Thursday, July 2, 2020

Reverse total shoulder for failed anatomic total shoulder - complications

Salvage reverse total shoulder arthroplasty for failed anatomic total shoulder arthroplasty: a cohort analysis

These authors analyzed the results of reverse total shoulder (RTSA) as a revision salvage procedure for failed anatomic total shoulder (TSA) in 75 patients (32 men and 43 women)  at a mean of 22.3 months. The subjects were aged 60.3 11.3 years at the time of TSA and 64.6 9.7 years at the time of RTSA.

The 3 most common indications for revision RTSA were painful arthroplasty, rotator cuff failure, and unstable arthroplasty, but the majority of patients had multiple indications for surgery.




While significant improvements were found in all outcome measures from the time of failed TSA diagnosis to most recent follow-up after salvage RTSA, major complications occurred in 21 patients (28.4%) after salvage RTSA, and 9 (12%) underwent reoperation.



Comment: These revisions can be very complicated depending on the degree of scarring, the type of fixation of the humeral and glenoid components, and the residual bone stock. 
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