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Reverse Total Shoulder Arthroplasty
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Complications in reverse shoulder arthroplasty.

Raul Barco1, Olga D Savvidou2, John W Sperling3

  • 1Hospital Universitario La Paz, Madrid, Spain.

EFORT Open Reviews
|May 3, 2017
PubMed
Summary
This summary is machine-generated.

Reverse shoulder arthroplasty (RSA) has a higher complication rate than anatomical total shoulder arthroplasty, with primary RSA at 15% and revision cases nearing 40%. Careful surgical technique and implant selection may reduce future complications.

Keywords:
Complicationsfractureinstabilitylooseningnotchingreverse shoulder arthroplasty

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Reverse shoulder arthroplasty (RSA) is increasingly used for complex shoulder conditions.
  • The complication rates for RSA appear higher compared to anatomical total shoulder arthroplasty.

Purpose of the Study:

  • To review the common complications associated with RSA.
  • To identify factors influencing RSA complication rates.

Main Methods:

  • Literature review of reported RSA complications.
  • Analysis of complication rates in primary versus revision RSA.

Main Results:

  • Overall primary RSA complication rate is approximately 15%.
  • Revision RSA complication rates can approach 40%.
  • Common complications include instability, infection, notching, loosening, and fractures.

Conclusions:

  • RSA is associated with a significant complication rate, particularly in revision cases.
  • Meticulous attention to implant design, surgical technique, and soft tissue management is crucial for minimizing complications.