The procedure of total shoulder arthroplasty (TSA) is currently increasing giving excellent results in terms of pain relief and shoulder function. Complications and failures are rare in expert hands, but we can have a high prevalence if the surgeon rarely performs this procedure.
Most of these complications are not the result of specific surgical errors, but rather a sum of pre-, intra-, and postoperative details that, when not addressed, accumulate and may result in problems difficult to solve and, finally, may lead to failure.
Experience is the sum of our mistakes, and the goal of this chapter is to share the key points that lead to success or failure of TSA, starting from selecting the right indication to the postoperative rehabilitation. Based on personal experiences added to a review of the literature, we present these key points and emphasize, at the same time, pitfalls and pearls to achieve a successful procedure.
Total shoulder arthroplasty Failure Complications Instability Infection
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