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Revision Total Shoulder Arthroplasty: Complications and Results

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Revision Total Joint Arthroplasty

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Abstract

Shoulder arthroplasty implantation has become a more and more common procedure in the last decades to address multiple shoulder pathologies. Increased implantation has led to increased rate of complications and revision surgery. In the last two decades, reverse shoulder arthroplasty (RSA) has become the standard for revision surgery. It is a more stable implant and allows addressing severe anatomy distortions, bone loss and insufficient function of the rotator cuff. Instability was the most common complication with the Grammont-style designs, but its incidence has decreased with new designs. Infection is a catastrophic and challenging complication. Diagnosis is difficult and diverse protocols combining surgery and prolonged antibiotherapy have been used. Bone loss, either in the proximal humerus or on the glenoid side, is also frequent. Its management includes structural or morcellized bone supplementation, allograft prosthetic composite or megaprosthesis. In case of severe instability or glenoid deficiency, hemiarthroplasty can be used as a salvage procedure. Functional results after revision are consistently worse than results after primary procedures.

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Authors and Affiliations

  1. Upper Limb Unit, Department of Orthopedics, Hospital Universitario La Paz, Madrid, Spain

    Alfonso Vaquero-Picado, Samuel Antuña & Raul Barco

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  1. Alfonso Vaquero-Picado
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  2. Samuel Antuña
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  1. Department of Orthopedic Surgery, “La Paz” University Hospital, Madrid, Spain

    E. Carlos Rodríguez-Merchán

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Vaquero-Picado, A., Antuña, S., Barco, R. (2020). Revision Total Shoulder Arthroplasty: Complications and Results. In: Rodríguez-Merchán, E. (eds) Revision Total Joint Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-24773-7_9

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  • DOI: https://doi.org/10.1007/978-3-030-24773-7_9

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