Background. Shoulder pathologies are increasingly common in the worldwide population. Total shoulder replacement procedures grew significantly in the last ten years. Based on the diagnosis, shoulder conditions can be treated with different surgical implants, such as shoulder hemiarthroplasty (HA), total anatomic shoulder arthroplasty (TSA), and reverse shoulder arthroplasty (RSA).
Materials and methods. Data from Italian Register of Arthroplasty (RIAP) from 2018 to 2020 of the Campania region were collected to perform this investigation.
Results. Between 2018 and 2019 an increase of 18.3% in shoulder replacement surgeries was reported by a total of 35 different hospitals in Campania. However, in 2020 the number of shoulder arthroplasty decreased of 21.3%. Proximal humeral fractures and their sequelae were reported as an indication for shoulder arthroplasty with an increasing rate of +10.3%. While the indication most frequently reported was rotator cuff arthropathy with and increasing of +15.4% between 2018 and 2019.
Conclusions. Shoulder interventions are becoming increasingly common. Reverse shoulder arthroplasty has been the most performed in Campania during the last three years in patients with rotator cuff arthropathy.