Failed Total Shoulder Arthroplasty

  • Giuseppe Porcellini
  • Azad Sait
  • Giovanni Merolla
  • Paolo Paladini


The success of total shoulder arthroplasty (TSA) depends on recreation of normal shoulder biomechanics using an anatomic prosthetic joint construct. Rotator cuff muscles play a vital role in shoulder dynamics by maintaining a stable centre of rotation. However, age-related rotator cuff degeneration is common and alters this biomechanics. Because of this reason, TSA has a higher failure rate when compared to arthroplasties of the other joints. Approximately 11% of TSA ends up in revision. Revision to reverse total shoulder arthroplasty (RTSA) predictably decreases pain and disability associated with failed TSA and improves function. RTSA in a revision setting is complex due to the bone defects and compromised soft tissues. This chapter elucidates the evaluation and management of a failed TSA.


Infected shoulder arthroplasty Vertical humeral osteotomy Glenoid defect BIO-RSA Revision surgery 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Giuseppe Porcellini
    • 1
  • Azad Sait
    • 1
  • Giovanni Merolla
    • 1
    • 2
  • Paolo Paladini
    • 1
  1. 1.Shoulder and Elbow UnitCervesi Hospital, AUSL della Romagna Ambito RiminiCattolicaItaly
  2. 2.Biomechanics LaboratoryCervesi Hospital, AUSL della Romagna Ambito RiminiCattolicaItaly

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