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Reverse Shoulder Arthroplasty: How to Manage Failure

  • Srinath Kamineni
Chapter

Abstract

Since its introduction as a treatment for the unreconstructable rotator cuff tear and cuff tear arthropathy, the reverse shoulder arthroplasty (RSA) has become a mainstay of treating these pathologies. With increasing success has followed increasing usage, expansion of indications, and the inevitable increase in complications and revision surgeries. A recent systematic literature review reported an overall complication rate of 20% and that 13% of RSA operations either needed surgical revision of the implants or reoperations. Failure of RSA can be due to a surgeon-related technical error, an implant design-related failure, or a general failure related to any arthroplasty. Indeed, many of these factors coexist when an operation fails. The vast majority of complications can be grouped into some major categories, such as instability, infections, component loosening, component disassembling, fractures, and scapular notching.

Keywords

Reverse shoulder arthroplasty Instability Infection Loosening Scapular notching 

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Copyright information

© ESSKA 2018

Authors and Affiliations

  • Srinath Kamineni
    • 1
  1. 1.University of Kentucky, Shoulder Elbow Research Centre, Orthopaedics and Sports MedicineLexingtonUSA

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