Wednesday, March 29, 2017

Reverse total shoulder complications

Revision of reversed shoulder arthroplasty

These authors report on 20 shoulders with failed reverse total shoulder arthroplasty. Nine were managed with an extra large humeral head prosthesis after removal of the glenosphere. This approach often results in anterosuperior escape of the large head as shown below.

Six were managed with a spacer placed for infection.

Five were managed with a resection of the arthroplasty components.

Comment: This article serves to remind us of the nature and severity of complications that can occur after a reverse total shoulder and the challenges of managing these complications.

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