Failure of RSA

  • Raffaele Garofalo
  • Enrico Ceccarelli


Reverse total shoulder arthroplasty (RTSA) has been a great aide to the orthopedic surgeon for multiple conditions. However, it has an incidence of complications which has been a concern. Techniques and designs are improving to limit the complications and maximize results, and the indications for RTSAs are being better defined.

Complications include infection, dislocation, scapular notching, periprosthetic fracture, acromion fracture, baseplate loosening, hematoma formation, and other rarer complications.

The lack of a soft-tissue envelope, such as a rotator cuff, which normally surrounds the joint, may lead to dislocation, hematoma formation, or infection related to an increased dead space. Stress on the deltoid from lateralization and/or distalization may lead to acromial fractures or deltoid insufficiency. Medializing the center of rotation allows prosthesis-scapular neck impingement leading to notching. The RTSA design may contribute to specific complications.

The purpose of this chapter is to define and make an overview of the possible complications after RTSA.


Arthroplasty Shoulder Reverse arthroplasty Infection Dislocation Instability Mechanical failure Neurologic injury Complications 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Raffaele Garofalo
    • 1
  • Enrico Ceccarelli
    • 2
  1. 1.Upper Limb UnitF.Miulli HospitalAcquaviva delle FontiItaly
  2. 2.Orthopaedic DepartmentCasilino HospitalRomeItaly

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