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Management of the Failed Anatomic Total Shoulder Arthroplasty

  • John Wu
  • Catherine M. Rapp
  • Edward J. Shields
  • J. Michael WiaterEmail author
Chapter

Abstract

The increasing use of shoulder arthroplasty over the past two decades brings with it a steady need for qualified surgeons to manage the complications and failures. The most common modes of failure after anatomic total shoulder arthroplasty include glenoid component failure (loosening, wear, fracture), glenohumeral joint instability, and rotator cuff tear or dysfunction. Less common but no less significant complications that can lead to failure include periprosthetic fracture, infection, nerve injury, deltoid injury or dysfunction, and heterotopic ossification. These modes of failure can occur in isolation or in combination. A thorough understanding of the complications is necessary in order to offer patients the most appropriate treatment strategy. Strategies for each mode of failure and reported outcomes will be reviewed in addition to a decision-making treatment algorithm.

Keywords

Revision shoulder arthroplasty Failed shoulder arthroplasty Glenoid loosening 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • John Wu
    • 1
  • Catherine M. Rapp
    • 1
  • Edward J. Shields
    • 1
  • J. Michael Wiater
    • 1
    Email author
  1. 1.Department of Orthopaedic SurgeryBeaumont Health SystemRoyal OakUSA

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