Abstract
The procedure of total shoulder arthroplasty (TSA) is currently increasing giving excellent results in terms of pain relief and shoulder function. Complications and failures are rare in expert hands, but we can have a high prevalence if the surgeon rarely performs this procedure.
Most of these complications are not the result of specific surgical errors, but rather a sum of pre-, intra-, and postoperative details that, when not addressed, accumulate and may result in problems difficult to solve and, finally, may lead to failure.
Experience is the sum of our mistakes, and the goal of this chapter is to share the key points that lead to success or failure of TSA, starting from selecting the right indication to the postoperative rehabilitation. Based on personal experiences added to a review of the literature, we present these key points and emphasize, at the same time, pitfalls and pearls to achieve a successful procedure.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bohsali KI, Bois AJ, Wirth MA. Complications of shoulder arthroplasty. J Bone Joint Surg Am. 2017;99(3):256–69.
Bohsali KI, Wirth MA, Rockwood CA Jr. Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006;88(10):2279–92.
Wirth MA, Rockwood CA Jr. Complications of total shoulder-replacement arthroplasty. J Bone Joint Surg Am. 1996;78(4):603–16.
Affonso J, Nicholson GP, Frankle MA, Walch G, Gerber C, Garzon-Muvdi J, McFarland EG. Complications of the reverse prosthesis: prevention and treatment. Instr Course Lect. 2012;61:157–68.
Mattei L, Mortera S, Arrigoni C, Castoldi F. Anatomic shoulder arthroplasty: an update on indications, technique, results and complication rates. Joints. 2015;3(2):72–7.
Chin PY, Sperling JW, Cofield RH, Schleck C. Complications of total shoulder arthroplasty: are they fewer or different? J Shoulder Elb Surg. 2006;15(1):19–22.
Wiater BP, Moravek JE Jr, Wiater JM. The evaluation of the failed shoulder arthroplasty. J Shoulder Elb Surg. 2014;23(5):745–58.
Walch G, Boileau P. Prosthetic adaptability: a new concept for shoulder arthroplasty. J Shoulder Elbow Surg. 1999;8:443.
Walch G, Edwards TB, Boulahia A, Boileau P, Mole D, Adeleine P. The influence of glenohumeral prosthetic mismatch on glenoid radiolucent lines: results of a multicenter study. J Bone Joint Surg Am. 2002;84-A(12):2186–91.
Westphal T, Woischnik S, Adolf D, Feistner H, Piatek S. Axillary nerve lesions after open reduction and internal fixation of proximal humeral fractures through an extended lateral deltoid-split approach: electrophysiological findings. J Shoulder Elb Surg. 2017;26(3):464–71.
Aibinder WR, Schoch B, Schleck C, Sperling JW, Cofield RH. Revisions for aseptic glenoid component loosening after anatomic shoulder arthroplasty. J Shoulder Elb Surg. 2017;26(3):443–9.
Padegimas EM, Zmistowski BM, Restrepo C, Abboud JA, Lazarus MD, Ramsey ML, Williams GR, Namdari S. Instability after reverse total shoulder arthroplasty: which patients dislocate? Am J Orthop (Belle Mead NJ). 2016;45(7):E444–50.
Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplast. 1999;14(6):756–60.
Goutallier D, Postel JM, Bernageau J, et al. Fatty muscle degeneration in cuff ruptures. Pre- and postoperative evaluation by CT scan. Clin Orthop Relat Res. 1994;304:78–83.
Samilson RL, Watkins MB, Winters DM. Acute suppurative arthritis. J Bone Joint Surg Am. 1956;38-A(6):1313–20.
Molé D, Wein F, Dézaly C, Valenti P, Sirveaux F. Surgical technique: the anterosuperior approach for reverse shoulder arthroplasty. Clin Orthop Relat Res. 2011;469(9):2461–8. Published online 2011 Mar 30.
Gill TJ, Hawkins RJ. Complications of shoulder surgery: treatment and prevention. New York: Lippincott; 2008. p. 88.
Valenti P, Sirveaux F. Surgical technique: the anterosuperior approach for reverse shoulder arthroplasty. Clin Orthop Relat Res. 2011;469(9):2461–8. Published online 2011 Mar 30.
Scheibel M, Habermeyer P. Subscapularis dysfunction following anterior surgical approaches to the shoulder. J Shoulder Elb Surg. 2008;17(4):671–83.
Katz D, Kany J, Valenti P, Sauzières P, Gleyze P, El Kholti K. New design of a cementless glenoid component in unconstrained shoulder arthroplasty: a prospective medium-term analysis of 143 cases. Eur J Orthop Surg Traumatol. 2013;23(1):27–34.
Sabesan VJ, Ackerman J, Sharma V, Baker KC, Kurdziel MD, Wiater JM. Glenohumeral mismatch affects micromotion of cemented glenoid components in total shoulder arthroplasty. J Shoulder Elb Surg. 2015;24(5):814–22.
Papadonikolakis A, Neradilek MB, Matsen FA. Failure of the glenoid component in anatomic total shoulder arthroplasty: a systematic review of the English-language literature between 2006 and 2012. J Bone Joint Surg Am. 2013;95(24):2205–12.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 ESSKA
About this chapter
Cite this chapter
Gleyze, P., Tzanakakis, N., Moraiti, C. (2018). Anatomical Shoulder Arthroplasty: Why It Fails. 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_15
Download citation
DOI: https://doi.org/10.1007/978-3-662-56504-9_15
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-56503-2
Online ISBN: 978-3-662-56504-9
eBook Packages: MedicineMedicine (R0)