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Reverse Shoulder Arthroplasty: How to Manage Failure

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Management of Failed Shoulder Surgery

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Abstract

Since its introduction as a treatment for the unreconstructable rotator cuff tear and cuff tear arthropathy, the reverse shoulder arthroplasty (RSA) has become a mainstay of treating these pathologies. With increasing success has followed increasing usage, expansion of indications, and the inevitable increase in complications and revision surgeries. A recent systematic literature review reported an overall complication rate of 20% and that 13% of RSA operations either needed surgical revision of the implants or reoperations. Failure of RSA can be due to a surgeon-related technical error, an implant design-related failure, or a general failure related to any arthroplasty. Indeed, many of these factors coexist when an operation fails. The vast majority of complications can be grouped into some major categories, such as instability, infections, component loosening, component disassembling, fractures, and scapular notching.

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Authors and Affiliations

  1. University of Kentucky, Shoulder Elbow Research Centre, Orthopaedics and Sports Medicine, Lexington, KY, USA

    Srinath Kamineni

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  1. Srinath Kamineni
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Editor information

Editors and Affiliations

  1. Department of Orthopaedics, Catholic University, Rome, Italy

    Giuseppe Milano

  2. Department of Orthopaedics, Casa di Cura Villa Valeria, Rome, Italy

    Andrea Grasso

  3. Clínica del Pilar , Zaragoza, Spain

    Angel Calvo

  4. Orthopaedic/Upper Limb, St. Luke’s Hospital, Bielsko-Biała, Poland

    Roman Brzóska

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Kamineni, S. (2018). Reverse Shoulder Arthroplasty: How to Manage Failure. In: Milano, G., Grasso, A., Calvo, A., Brzóska, R. (eds) Management of Failed Shoulder Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56504-9_24

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  • DOI: https://doi.org/10.1007/978-3-662-56504-9_24

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56503-2

  • Online ISBN: 978-3-662-56504-9

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