Sunday, November 18, 2012

Reverse total shoulder arthroplasty for failed shoulder arthroplasty. JSES


Reverse total shoulder arthroplasty for failed shoulder arthroplasty. JSES

This report concerns 28 of 31 patients having revision of prior shoulder arthroplasty to a reverse total shoulder. These patients had extremely low SST scores before surgery (1.5) that improved to 7.6 at an average of 41 ± 17 months after surgery.

One of the cases shown demonstrates delayed cuff failure after a totals shoulder. Rotator cuff deficiency was the most common indication, followed by instability, infection, loosening and bony abnormalities. 

The authors remind us that reverse total shoulders have themselves a rather high complication rate, especially when performed for revision of a prior arthroplasty. 


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