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Complex and Revision Shoulder Arthroplasty pp 135–155Cite as

Management of the Failed Anatomic Total Shoulder Arthroplasty

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Abstract

The increasing use of shoulder arthroplasty over the past two decades brings with it a steady need for qualified surgeons to manage the complications and failures. The most common modes of failure after anatomic total shoulder arthroplasty include glenoid component failure (loosening, wear, fracture), glenohumeral joint instability, and rotator cuff tear or dysfunction. Less common but no less significant complications that can lead to failure include periprosthetic fracture, infection, nerve injury, deltoid injury or dysfunction, and heterotopic ossification. These modes of failure can occur in isolation or in combination. A thorough understanding of the complications is necessary in order to offer patients the most appropriate treatment strategy. Strategies for each mode of failure and reported outcomes will be reviewed in addition to a decision-making treatment algorithm.

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  1. Department of Orthopaedic Surgery, Beaumont Health System, Royal Oak, MI, USA

    John Wu, Catherine M. Rapp, Edward J. Shields & J. Michael Wiater

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  1. Department of Orthopedics, University of Utah, Salt Lake City, UT, USA

    Robert Z. Tashjian

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Wu, J., Rapp, C.M., Shields, E.J., Michael Wiater, J. (2019). Management of the Failed Anatomic Total Shoulder Arthroplasty. In: Tashjian, R. (eds) Complex and Revision Shoulder Arthroplasty . Springer, Cham. https://doi.org/10.1007/978-3-030-02756-8_10

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