Skip to main content
SpringerLink
Log in

Salvage Options for Failed Arthroplasty: Arthrodesis and Resection

  • Chapter
  • First Online:
Complex and Revision Shoulder Arthroplasty

  • 557 Accesses

Abstract

Both resection arthroplasty and arthrodesis of the glenohumeral joint are largely viewed as salvage procedures when other reconstructive treatment choices may not be indicated or possible in the setting of failed arthroplasty. Understanding the salvage options and indications for patients with failed shoulder arthroplasty is important to the treating surgeon. Patients with needs of higher functional demands (e.g., for employment purposes) may consider arthrodesis as a preferred option. In patients where lower functional demands will be expected, however, a resection arthroplasty may be more appropriate as adequate outcomes may still be obtained. Appropriate patient selection as well as attention to appropriate technique can lead to acceptable results in these otherwise challenging scenarios.

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

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
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. Issa K, Pierce CM, Pierce TP, Boylan MR, Zikria BA, Naziri Q, et al. Total shoulder arthroplasty demographics, incidence, and complications-a Nationwide inpatient sample database study. Surg Technol Int. 2016;39:240–6.

    Google Scholar 

  2. Trofa D, Rajaee SS, Smith EL. Nationwide trends in total shoulder arthroplasty and hemiarthroplasty for osteoarthritis. Am J Orthop (Belle Mead NJ). 2014;43(4):166–72.

    Google Scholar 

  3. McLendon PB, Cox JL, Frankle MA. Large diaphyseal-incorporating allograft prosthetic composites: when, how, and why: treatment of advanced proximal humeral bone loss. Orthopade. 2017;46(12):1022–7.

    Article  CAS  Google Scholar 

  4. Merolla G, Wagner E, Sperling JW, Paladini P, Fabbri E, Porcellini G. Revision of failed shoulder hemiarthroplasty to reverse total arthroplasty: analysis of 157 revision implants. J Shoulder Elb Surg. 2018;27(1):75–81.

    Article  Google Scholar 

  5. Stephens BC, Simon P, Clark RE, Christmas KN, Stone GP, Lorenzetti AJ, et al. Revision for a failed reverse: a 12-year review of a lateralized implant. J Shoulder Elb Surg. 2016;25(5):e115–24.

    Article  Google Scholar 

  6. Alentorn-Geli E, Clark NJ, Assenmacher AT, Samuelsen BT, Sanchez-Sotelo J, Cofield RH, et al. What are the complications, survival, and outcomes after revision to reverse shoulder arthroplasty in patients older than 80 years? Clin Orthop Relat Res. 2017;475(11):2744–51.

    Article  Google Scholar 

  7. Hernandez NM, Chalmers BP, Wagner ER, Sperling JW, Cofield RH, Sanchez-Sotelo J. Revision to reverse total shoulder arthroplasty restores stability for patients with unstable shoulder prostheses. Clin Orthop Relat Res. 2017;475(11):2716–22.

    Article  Google Scholar 

  8. Porcellini G, Combi A, Merolla G, Bordini B, Stea S, Zanoli G, et al. The experience of the RIPO, a shoulder prosthesis registry with 6-year follow-up. Musculoskeletal Surg. 2017;(Dec):1–10.

    Google Scholar 

  9. Scalise JJ, Iannotti JP. Glenohumeral arthrodesis after failed prosthetic shoulder arthroplasty. Surgical technique. J Bone Joint Surg Am. 2009;91(Suppl 2):30–7.

    Article  Google Scholar 

  10. Scalise JJ, Iannotti JP. Glenohumeral arthrodesis after failed prosthetic shoulder arthroplasty. J Bone Joint Surg Am. 2008;90(1):70–7.

    Article  Google Scholar 

  11. Dubina A, Shiu B, Gilotra M, Hasan SA, Lerman D, Ng VY. What is the optimal reconstruction option after the resection of proximal humeral tumors? a systematic review. Open Orthop J. 2017;11:203–11.

    Article  Google Scholar 

  12. Viehweger E, Gonzalez J-F, Launay F, Legre R, Jouve J-L, Bollini G. Shoulder arthrodesis with vascularized fibular graft after tumor resection of the proximal humerus. Rev Chir Orthop Reparatrice Appar Mot. 2005;91(6):523–9.

    Article  CAS  Google Scholar 

  13. Ladermann A, Walch G, Denard PJ, Collin P, Sirveaux F, Favard L, et al. Reverse shoulder arthroplasty in patients with pre-operative impairment of the deltoid muscle. Bone Joint J. 2013;95–B(8):1106–13.

    Article  Google Scholar 

  14. Schneeberger AG, Muller TM, Steens W, Thur C. Reverse total shoulder arthroplasty after failed deltoid flap reconstruction. Arch Orthop Trauma Surg. 2014;134(3):317–23.

    Article  Google Scholar 

  15. Ruhmann O, Schmolke S, Bohnsack M, Flamme C, Wirth CJ. Shoulder arthrodesis: indications, technique, results, and complications. J Shoulder Elb Surg. 2005;14(1):38–50.

    Article  Google Scholar 

  16. Stark DM, Bennett JB, Tullos HS. Rigid internal fixation for shoulder arthrodesis. Orthopedics. 1991;14(8):849–55.

    CAS  PubMed  Google Scholar 

  17. Richards RR, Beaton D, Hudson AR. Shoulder arthrodesis with plate fixation: functional outcome analysis. J Shoulder Elb Surg. 1993;2(5):225–39.

    Article  CAS  Google Scholar 

  18. Braman JP, Sprague M, Bishop J, Lo IK, Lee EW, Flatow EL. The outcome of resection shoulder arthroplasty for recalcitrant shoulder infections. J Shoulder Elb Surg. 2006;15(5):549–53.

    Article  Google Scholar 

  19. Debeer P, Plasschaert H, Stuyck J. Resection arthroplasty of the infected shoulder: a salvage procedure for the elderly patient. Acta Orthop Belg. 2006;72(2):126–30.

    PubMed  Google Scholar 

  20. Muh SJ, Streit JJ, Lenarz CJ, McCrum C, Wanner JP, Shishani Y, et al. Resection arthroplasty for failed shoulder arthroplasty. J Shoulder Elb Surg. 2013;22(2):247–52.

    Article  Google Scholar 

  21. Stevens NM, Kim HM, Armstrong AD. Functional outcomes after shoulder resection: the patient’s perspective. J Shoulder Elb Surg. 2015;24(9):e247–54.

    Article  Google Scholar 

  22. Verhelst L, Stuyck J, Bellemans J, Debeer P. Resection arthroplasty of the shoulder as a salvage procedure for deep shoulder infection: does the use of a cement spacer improve outcome? J Shoulder Elb Surg. 2011;20(8):1224–33.

    Article  Google Scholar 

  23. Sperling JW, Kozak TK, Hanssen AD, Cofield RH. Infection after shoulder arthroplasty. Clin Orthop Relat Res [Internet]. 2001;382:206–16. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11153989.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. The CORE Institute, Phoenix, AZ, USA

    Jason Scalise

Authors
  1. Jason Scalise
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jason Scalise .

Editor information

Editors and Affiliations

  1. Department of Orthopedics, University of Utah, Salt Lake City, UT, USA

    Robert Z. Tashjian

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

Scalise, J. (2019). Salvage Options for Failed Arthroplasty: Arthrodesis and Resection. In: Tashjian, R. (eds) Complex and Revision Shoulder Arthroplasty . Springer, Cham. https://doi.org/10.1007/978-3-030-02756-8_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-02756-8_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-02755-1

  • Online ISBN: 978-3-030-02756-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation