Skip to main content
SpringerLink
Log in

Complications of Shoulder Arthroplasty

  • Chapter
  • First Online:
Book cover Textbook of Shoulder Surgery

Abstract

The volume of shoulder arthroplasty is increasing and with it the risk of complications and subsequent revision surgery. A detailed understanding of the principles of shoulder biomechanics, arthroplasty and of your chosen implant are essential to ensure optimal outcomes. Understanding the potential complications of this complex surgery, helps both minimise the likelihood of them occurring but also managing them effectively should they occur.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Scarlat MM. Complications with reverse total shoulder arthroplasty and recent evolutions. Int Orthop. 2013;37(5):843–5.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Cheung E, Willis M, Walker M, Clark R, Frankle MA. Complications in reverse total shoulder arthroplasty. J Am Acad Orthop Surg. 2011;19(7):439–4.

    Article  PubMed  Google Scholar 

  3. Van Hoof T, Gomes GT, Audenaert E, Verstraete K, Kerckaert I, D’Herde K. 3D computerized model for measuring strain and displacement of the brachial plexus following placement of reverse shoulder prosthesis. Anat Rec (Hoboken). 2008;291(9):1173–85.

    Article  Google Scholar 

  4. Boileau P, Watkinson DJ, Hatzidakis AM, Balg F. Grammont reverse prosthesis: design, rationale, and biomechanics. J Shoulder Elbow Surg. 2005;14(1 Suppl S):147S–61S.

    Article  PubMed  Google Scholar 

  5. Wingert NC, Beck JD, Harter GD. Avulsive axillary artery injury in reverse total shoulder arthroplasty. Orthopedics. 2014;37(1):e92–7.

    Article  PubMed  Google Scholar 

  6. Hattrup SJ, Cofield RH, Cha SS. Rotator cuff repair after shoulder replacement. J Shoulder Elb Surg. 2006;15(1):78–83.

    Article  Google Scholar 

  7. Roberts SN, Foley AP, Swallow HM, Wallace WA, Coughlan DP. The geometry of the humeral head and the design of prostheses. J Bone Joint Surg (Br). 1992;73-B:647–50.

    Article  Google Scholar 

  8. Wallace AL, Phillips RL, MacDougal GA, Walsh WR. Sonnabend DH. Resurfacing of the glenoid in total shoulder arthroplasty: a comparison, at a mean of five years, of prostheses inserted with and without cement. J Bone Joint Surg Am. 1999;81-A:510–8.

    Article  Google Scholar 

  9. Walch G, Moraga C, Young A, Castellanos-Rosas J. Results of anatomic non-constrained prosthesis in primary osteoarthritis with biconcave glenoid. J Shoulder Elb Surg. 2012;21(11):1526–33.

    Article  Google Scholar 

  10. Zumstein MA, Pinedo M, Old J, Boileau P. Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elb Surg. 2011;20(1):146–57.

    Article  Google Scholar 

  11. Jahoda D, Pokomy D, et al. Infectious complications of total shoulder arthroplasty. Acta Chir Orthp Traumatol Cech. 2008;75(6):422–8.

    CAS  Google Scholar 

  12. Zimmerli W, et al. Prosthetic joint infections. N Engl J Med. 2004;351(16):1645–54.

    Article  CAS  PubMed  Google Scholar 

  13. Cuff DJ, Virani NA, Levy J, Frankle MA, Derasari A, Hines B, Pupello DR, Cancio M, Mighell M. The treatment of deep shoulder infection and glenohumeral instability with debridement, reverse shoulder arthroplasty and postoperative antibiotics. J Bone Joint Surg Br. 2008;90:336–42.

    Article  CAS  PubMed  Google Scholar 

  14. Sabesan VJ, Ho JC, Kovacevic D, Iannotti JP. Two-stage reimplantation for treating prosthetic shoulder infections. Clin Orthop Relat Res. 2011;469(9):2538–43.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Sperling JW, Kozak TK, Hanssen AD, Cofield RH. Infection after shoulder arthroplasty. Clin Orthop Relat Res. 2001;382:206–16.

    Article  Google Scholar 

  16. Coste JS, Reig S, Trojani C, Berg M, Walch G, Boileau P. The management of infection in arthroplasty of the shoulder. J Bone Joint Surg Br. 2004;86:65–9.

    Article  CAS  PubMed  Google Scholar 

  17. Ince A, Seemann K, Frommelt L, Katzer A, Loehr JF. One-stage exchange shoulder arthroplasty for peri-prosthetic infection. J Bone Joint Surg Br. 2005;87:814–8.

    Article  CAS  PubMed  Google Scholar 

  18. Strickland JP, Sperling JW, Cofield RH. The results of two-stage re-implantation for infected shoulder replacement. J Bone Joint Surg Br. 2008;90:460–5.

    Article  CAS  PubMed  Google Scholar 

  19. Ackland DC, et al. Moment arms of the shoulder musculature after reverse total shoulder arthroplasty. J Bone Joint Surg Am. 2010;92(5):1221–30.

    Article  PubMed  Google Scholar 

  20. Edwards TB, Williams MD, Labriola JE, Elkousy HA, Gartsman GM, O’Connor DP. Subscapularis insufficiency and the risk of shoulder dislocation after reverse shoulder arthroplasty. J Shoulder Elb Surg. 2009;18:892–6.

    Article  Google Scholar 

  21. Trappey GJ IV, O’Connor DP, Edwards TB. What are the instability and infection rates after reverse shoulder arthroplasty? Clin Orthop Relat Res. 2011;469:2505–11.

    Article  PubMed  Google Scholar 

  22. Sperling JW, Hawkins RJ, Walch G, Zuckerman JD. Complications in total shoulder arthroplasty. J Bone Joint Surg Am. 2013;95-A(6):563–9.

    Article  Google Scholar 

  23. Young AA, Walch G, Pape G, Gohlke F, Favard L. Secondary rotator cuff dysfunction following total shoulder arthroplasty for primary glenohumeral osteoarthritis: results of a multicenter study with more than five years of follow-up. J Bone Joint Surg Am. 2012;94(8):685–93.

    Article  PubMed  Google Scholar 

  24. Elhassan B, Ozbaydar M, Massimini D, Diller D, Higgins L, Warner JJ. Transfer of pectoralis major for the treatment of irreparable tears of subscapularis: does it work? J Bone Joint Surg (Br). 2008;90(8):1059–65.

    Article  CAS  Google Scholar 

  25. Miller BS, Joseph TA, Noonan TJ, Horan MP, Hawkins RJ. Rupture of the subscapularis tendon after shoulder arthroplasty: diagnosis, treatment, and outcome. J Shoulder Elb Surg. 2005;14(5):492–6.

    Article  Google Scholar 

  26. Franklin JL, Barrett WP, Jackins SE, Matsen FA 3rd. Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff deficiency. J Arthroplast. 1988;3:39–46.

    Article  CAS  Google Scholar 

  27. Edwards TB, Boulahia A, Kempf JF, Boileau P, Nemoz C, Walch G. The influence of rotator cuff disease on the results of shoulder arthroplasty for primary osteoarthritis: results of a multicenter study. J Bone Joint Surg Am. 2002;84-A(12):2240–8.

    Article  Google Scholar 

  28. Mihata T, Lee TQ, Watanabe C, Fukunishi K, Ohue M, Tsujimura T, Kinoshita M. Clinical results of arthroscopic superior capsule reconstruction for irreparable rotator cuff tears. Arthroscopy. 2013;29(3):459–70.

    Article  PubMed  Google Scholar 

  29. Levigne C, Boileau P, Favard L, Garaud P, Mole D, Sirveaux F, et al. Scapular notching in reverse shoulder arthroplasty. J Shoulder Elb Surg. 2008;17(6):925–35.

    Article  Google Scholar 

  30. Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Mole D. Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br. 2004;86:388–95.

    Article  CAS  PubMed  Google Scholar 

  31. Nyffeler RW, Werner CM, Gerber C. Biomechanical relevance of glenoid component positioning in the reverse Delta III total shoulder prosthesis. J Shoulder Elb Surg. 2005;14:524–8.

    Article  Google Scholar 

  32. Lévigne C, Garret J, Boileau P, Alami G, Favard L, Walch G. Scapular notching in reverse shoulder arthroplasty: is it important to avoid it and how? Clin Orthop Relat Res. 2011;469(9):2512–20.

    Article  PubMed  Google Scholar 

  33. Boileau P. Complications and revision of reverse total shoulder arthroplasty. Orthop Traumatol Surg Res. 2016;102:S33–43.

    Article  CAS  PubMed  Google Scholar 

  34. Boileau P, Moineau G, Roussanne Y, O’Shea K. Bony increased-offset reversed shoulder arthroplasty: minimizing scapular impingement while maximizing glenoid fixation. Clin Orthop Relat Res. 2011;469(9):2558–67.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Franta AK, Lenters TR, Mounce D, Neradilek B, Matsen FA. The complex characteristics of 282 unsatisfactory shoulder arthroplasties. J Shoulder Elb Surg. 2007;16:555–62.

    Article  Google Scholar 

  36. Harryman DT, Sidles JA, Harris SL, Lippitt SB, Matsen FA 3rd. The effect of articular conformity and the size of the humeral head component on laxity and motion after glenohumeral arthroplasty. A study in cadavera. J Bone Joint Surg Am. 1995;77:555–63.

    Article  CAS  PubMed  Google Scholar 

  37. Singh JA, Sperling JW, Schleck C, Harmsen WS, Cofield RH. Periprosthetic infections after total shoulder arthroplasty: a 33-year perspective. J Shoulder Elb Surg. 2012;21:1534–41.

    Article  Google Scholar 

  38. Topolski MS, Chin PY, Sperling JW, Cofield RH. Revision shoulder arthroplasty with positive intraoperative cultures: the value of preoperative studies and intraoperative histology. J Shoulder Elb Surg. 2006;15(4):402–6.

    Article  Google Scholar 

  39. Hersch JC, Dines DM. Arthroscopy for failed shoulder arthroplasty. Arthroscopy. 2000;16:606–12.

    Article  CAS  PubMed  Google Scholar 

  40. Thorsness RJ, Romeo AA. Stiffness in shoulder arthroplasty: to manipulate or not? Sem Shoulder Arthropl. 2016;27:104–7.

    Article  Google Scholar 

  41. Tytherleigh-Strong GM, Levy O, Sforza G, Copeland SA. The role of arthroscopy for the problem shoulder arthroplasty. J Shoulder Elb Surg. 2002;11:230–4.

    Article  Google Scholar 

  42. Saha AK. Surgery of the paralysed and flail shoulder. Acta Orthop Scand. 1967;97(Suppl):5–90.

    Google Scholar 

  43. Rühmann O, Schmolke S, Bohnsack M, Carls J, Wirth CJ. Trapezius transfer in brachial plexus palsy. Correlation of the outcome with muscle power and operative technique. J Bone Joint Surg Br. 2005;87(2):184–90.

    Article  PubMed  Google Scholar 

  44. Boileau P, Chuinard C, Roussanne Y, Neyton L, Trojani C. Modified latissimus dorsi and teres major transfer through a single delto-pectoral approach for external rotation deficit of the shoulder: as an isolated procedure or with a reverse arthroplasty. J Shoulder Elb Surg. 2007;16(6):671–82.

    Article  Google Scholar 

  45. Boehm TD, Wallace WA, Neumann LJ. Heterotopic ossification after primary shoulder arthroplasty. J Shoulder Elb Surg. 2005;14(1):6–10.

    Article  Google Scholar 

  46. Verhofste B, Decock T, Van Tongel A, De Wilde L. Heterotopic ossification after reverse total shoulder arthroplasty. Bone Joint J. 2016;98-B(9):1215–21.

    Article  CAS  PubMed  Google Scholar 

  47. Saleh HE, Pennings AL, ElMaraghy AW. Venous thromboembolism after shoulder arthroplasty: a systematic review. J Shoulder Elb Surg. 2013;22(10):1440–8.

    Article  Google Scholar 

  48. Sperling JW, Cofield RH. Pulmonary embolism following shoulder arthroplasty. J Bone Joint Surg Am. 2002;84-A(11):1939–41.

    Article  Google Scholar 

  49. Lyman S, Sherman S, Carter T, Bach P, Mandl L, Marx R. Prevalence and risk factors for symptomatic thromboembolic events after shoulder arthroplasty. Clin Orthop Relat Res. 2006;448:152–6.

    Article  PubMed  Google Scholar 

  50. Nordstrom M, Lindblad B, Bergqvist D, Kjellstrom T. A prospective study of the incidence of deep-vein thrombosis within a defined urban population. J Intern Med. 1992;232:155–60.

    Article  CAS  PubMed  Google Scholar 

  51. Willis AA, Warren RF, Craig EV, et al. Deep vein thrombosis after reconstructive shoulder arthroplasty: a prospective observational study. J Shoulder Elb Surg. 2009;18:100–6.

    Article  Google Scholar 

  52. NICE clinical guideline 92 (NICE 2010) Venous thromboembolism: Reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary embolism) in patients admitted to hospital. http://www.nice.org.uk/nicemedia/live/12695/47197/47197.pdf. Assessed 26 Sept 2013.

  53. British Elbow and Shoulder Society. http://bess.org.uk/media/VTEdraft.pdf. Assessed 26 Sept 2013.

  54. Torchia ME, Cofield RH. Total shoulder arthroplasty with the Neer prosthesis: long- term results. Orthop Trans. 1994–1995;18:977.

    Google Scholar 

  55. Brems J. The glenoid component in total shoulder arthroplasty. J Shoulder Elb Surg. 1993;2(1):47–54.

    Article  CAS  Google Scholar 

  56. Collins D, Tencer A, Sidles J, Matsen F. Edge displacement and deformation of glenoid components in response to eccentric loading. The effect of preparation of the glenoid bone. J Bone Joint Surg Am. 1992;74:501–7.

    Article  CAS  PubMed  Google Scholar 

  57. Gallusser N, Farron A. Complications of shoulder arthroplasty for osteoarthritis with posterior glenoid wear. Orthop Traumatol Surg Res. 2014;100(5):503–8.

    Article  CAS  PubMed  Google Scholar 

  58. Wirth MA, Agrawal CM, Mabrey JD, Dean DD, Blanchard CR, Miller MA, Rockwood CA Jr. Isolation and characterization of polyethylene wear debris associated with osteolysis following total shoulder arthroplasty. J Bone Joint Surg Am. 1999;81:29–37.

    Article  CAS  PubMed  Google Scholar 

  59. Gartsman GM, Elkousy HA, Warnock KM, Edwards TB, O’Connor DP. Radiographic comparison of pegged and keeled glenoid components. J Shoulder Elbow. 2005;14:252–7.

    Article  Google Scholar 

  60. Lazarus MD, Jensen KL, Southworth C, Matsen FA 3rd. The radiographic evaluation of keeled and pegged glenoid component insertion. J Bone Joint Surg Am. 2002;84:1174–82.

    Article  PubMed  Google Scholar 

  61. Wirth MA, Rockwood CA Jr. Complications of total shoulder-replacement arthroplasty. J Bone Joint Surg Am. 1996;78:603–16.

    Article  CAS  PubMed  Google Scholar 

  62. Boileau P, Avidor C, Krishnan SG, Walch G, Kempf JF, Molé D. Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study. J Shoulder Elb Surg. 2002;11:351–9.

    Article  Google Scholar 

  63. Martin SD, Zurakowski D, Thornhill TS. Uncemented glenoid component in total shoulder arthroplasty. Survivorship and outcomes. J Bone Joint Surg Am. 2005;87:1284–92.

    PubMed  Google Scholar 

  64. Fox TJ, Cil A, Sperling JW, Sanchez-Sotelo J, Schleck CD, Cofield RH. Survival of the glenoid component in shoulder arthroplasty. J Shoulder Elb Surg. 2009;18:859–63.

    Article  Google Scholar 

  65. Castagna A, Randelli M, Garofalo R, Maradei L, Giardella A, Borroni M. Mid-term results of a metal-backed glenoid component in total shoulder replacement. J Bone Joint Surg Br. 2010;92(10):1410–5.

    Article  CAS  PubMed  Google Scholar 

  66. Cheung EV, Sperling JW, Cofield RH. Revision shoulder arthroplasty for glenoid component loosening. J Should Elbow Surg. 2008;17(3):371–5.

    Article  Google Scholar 

  67. Bonnevialle N, Melis B, Neyton L, Favard L, Molé D, Walch G, Boileau P. Aseptic glenoid loosening or failure in total shoulder arthroplasty: revision with glenoid re-implantation. J Should Elbow Surg. 2013;22(6):745–51.

    Article  Google Scholar 

  68. Melis B, Bonnevialle N, Neyton L, Favard L, Molé D, Walch G, Boileau P. Glenoid loosening and failure in anatomical total shoulder arthroplasty: is revision with a reverse shoulder arthroplasty a reliable option? J Should Elbow Surg. 2012;21(3):342–9.

    Article  Google Scholar 

  69. Boulahia A, Edwards TB, Walch G, Baratta RV. Early results of a reverse design prosthesis in the treatment of arthritis of the shoulder in elderly patients with a large rotator cuff tear. Orthopedics. 2002;25:129–33.

    PubMed  Google Scholar 

  70. Frankle M, Siegal S, Pupello D, Saleem A, Mighell M, Vasey M. The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Joint Surg Am. 2005;87:1697–705.

    PubMed  Google Scholar 

  71. Nyffeler RW, Werner CM, Simmen BR, Gerber C. Analysis of a retrieved delta III total shoulder prosthesis. J Bone Joint Surg Br. 2004;86:1187–91.

    Article  CAS  PubMed  Google Scholar 

  72. Levy O, Tsvieli O, Merchant J, Young L, Trimarchi A, Dattani R, Abraham R, Copeland SA, Narvani A, Atoun E. Surface replacement arthroplasty for glenohumeral arthropathy in patients aged younger than fifty years: results after a minimum ten-year follow-up. J Shoulder Elb Surg. 2015;24(7):1049–60. https://doi.org/10.1016/j.jse.2014.11.035. Epub 2015 Jan 16

    Article  Google Scholar 

  73. Herschel R, Wieser K, Morrey ME, Ramos CH, Gerber C, Meyer DC. Risk factors for glenoid erosion in patients with shoulder hemiarthroplasty: an analysis of 118 cases. J Shoulder Elb Surg. 2017;26(2):246–52. https://doi.org/10.1016/j.jse.2016.06.004. Epub 2016 Aug 18

    Article  Google Scholar 

  74. Bohsali KI, Wirth MA, Rockwood CA Jr. Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006;88:2279–92.

    PubMed  Google Scholar 

  75. Matsen FA 3rd, Iannotti JP, Rockwood CA Jr. Humeral fixation by press-fitting of a tapered metaphyseal stem: a prospective radiographic study. J Bone Joint Surg Am. 2003;85:304–8.

    Article  PubMed  Google Scholar 

  76. Cil A, Veillette CJ, Sanchez-Sotelo J, Sperling JW, Schleck C, Cofield RH. Revision of the humeral component for aseptic loosening in arthroplasty of the shoulder. J Bone Joint Surg Br. 2009;91(1):75–81.

    Article  CAS  PubMed  Google Scholar 

  77. Sanchez-Sotelo J, Wright TW, O’Driscoll SW, Cofield RH, Rowland CM. Radiographic assessment of uncemented humeral components in total shoulder arthroplasty. J Arthroplast. 2001;16(2):180–7.

    Article  CAS  Google Scholar 

  78. McElwain JP, English E. The early results of porous-coated total shoulder arthroplasty. Clin Orthop Relat Res. 1987;218:217–24.

    Google Scholar 

  79. Weiss AP, Adams MA, Moore JR, Weiland AJ. Unconstrained shoulder arthroplasty: a five-year average follow-up study. Clin Orthop Relat Res. 1990;257:86–90.

    Google Scholar 

  80. Sanchez-Sotelo J, O’Driscoll SW, Torchia ME, Cofield RH, Rowland CM. Radiographic assessment of cemented humeral components in shoulder arthroplasty. J Shoulder Elb Surg. 2001;10:526–31.

    Article  CAS  Google Scholar 

  81. Sperling JW, Cofield RH, O’Driscoll SW, Torchia ME, Rowland CM. Radiographic assessment of ingrowth total shoulder arthroplasty. J Should Elbow Surg. 2002;9:507–13.

    Article  Google Scholar 

  82. Raiss P, Edwards TB, Deutsch A, Shah A, Bruckner T, Loew M, Boileau P, Walch G. Radiographic changes around humeral components in shoulder arthroplasty. J Bone Joint Surg Am. 2014;96(7):e54.

    Article  PubMed  Google Scholar 

  83. Boileau P, Melis B, Duperron D, Moineau G, Rumian AP, Han Y. Revision surgery of reverse shoulder arthroplasty. J Shoulder Elb Surg. 2013;22(10):1359–70.

    Article  Google Scholar 

  84. Phadnis J, Huang T, Watts A, Krishnan J, Bain GI. Cemented or cementless humeral fixation in reverse total shoulder arthroplasty? a systematic review. Bone Joint J. 2016;98 B(1):65–74.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Upper Limb Unit, Wrightington Hospital, Wigan, UK

    Michael Walton, Daoud Makki & Steven Brookes-Fazakerley

Authors
  1. Michael Walton
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Daoud Makki
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Steven Brookes-Fazakerley
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Wrightington Hospital, Wigan, Lancashire, UK

    Ian A. Trail

  2. Wrightington Hospital, Wigan, Lancashire, UK

    Lennard Funk

  3. Orthopaedic Surgery Department, The James Cook University Hospital, Middlesbrough, North Yorkshire, UK

    Amar Rangan

  4. Trauma & Orthopaedics Department, Countess of Chester Hospital, Chester, Cheshire, UK

    Matthew Nixon

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Walton, M., Makki, D., Brookes-Fazakerley, S. (2019). Complications of Shoulder Arthroplasty. In: Trail, I., Funk, L., Rangan, A., Nixon, M. (eds) Textbook of Shoulder Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-70099-1_23

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-70099-1_23

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-70098-4

  • Online ISBN: 978-3-319-70099-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation