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Complications of the Reverse Implant

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Textbook of Shoulder Surgery

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Abstract

Reverse shoulder replacements (RSA) is known to have a high complication rate. Werner reported an overall complication rate of 50% for the first series of Delta III prosthesis (DePuy France, Saint Priest CEDEX, France) [1]. In a review of 10,884 shoulder arthroplasties performed in 2011–2013, the overall complication rates of RSA and anatomical total shoulder arthroplasty (TSA) were compared [2]. At 30 days, the overall complication rate for for both types of shoulder arthroplasties was 2.2%. The higher early complication rate of 3% for RSA compared with 1.7% for TSA reached statistical significance. RSA patients had increased risk of infection, dislocation and revision in the early postoperative period. At 2 years, the complication rates for RSA rose to 21.8% compared with TSA at 14.3%. Dislocation and infection remained as significant complication for RSA. The study also found patients younger than 65 years, male sex, patients with anaemia, and those with worker’s compensation had a higher risk in developing complications.

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Author information

Authors and Affiliations

  1. Hong Kong Shoulder Wrist and Knee Centre, Hong Kong, China

    Daniel Mok FRCSEd, FRCS, FHKCOS, FHKAM

  2. Adventist Hospital, Hong Kong, China

    Francis Lam FRCS Ed (Orth)

  3. Department of Shoulder and Upper Limb Surgery, MIOT International Hospitals, Chennai, India

    Ram Chidambaram Ms Ortho, DNB, FRCS, FRCS Orth

Authors
  1. Daniel Mok FRCSEd, FRCS, FHKCOS, FHKAM
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  2. Francis Lam FRCS Ed (Orth)
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  3. Ram Chidambaram Ms Ortho, DNB, FRCS, FRCS Orth
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Corresponding author

Correspondence to Daniel Mok FRCSEd, FRCS, FHKCOS, FHKAM .

Editor information

Editors and Affiliations

  1. Wrightington Hospital, Wigan, Lancashire, UK

    Ian A. Trail

  2. Wrightington Hospital, Wigan, Lancashire, UK

    Lennard Funk

  3. Orthopaedic Surgery Department, The James Cook University Hospital, Middlesbrough, North Yorkshire, UK

    Amar Rangan

  4. Trauma & Orthopaedics Department, Countess of Chester Hospital, Chester, Cheshire, UK

    Matthew Nixon

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Mok, D., Lam, F., Chidambaram, R. (2019). Complications of the Reverse Implant. In: Trail, I., Funk, L., Rangan, A., Nixon, M. (eds) Textbook of Shoulder Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-70099-1_19

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  • DOI: https://doi.org/10.1007/978-3-319-70099-1_19

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