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Complications of the Reverse Implant

  • Daniel MokEmail author
  • Francis Lam
  • Ram Chidambaram
Chapter

Abstract

Reverse shoulder replacements (RSA) is known to have a high complication rate. Werner reported an overall complication rate of 50% for the first series of Delta III prosthesis (DePuy France, Saint Priest CEDEX, France) [1]. In a review of 10,884 shoulder arthroplasties performed in 2011–2013, the overall complication rates of RSA and anatomical total shoulder arthroplasty (TSA) were compared [2]. At 30 days, the overall complication rate for for both types of shoulder arthroplasties was 2.2%. The higher early complication rate of 3% for RSA compared with 1.7% for TSA reached statistical significance. RSA patients had increased risk of infection, dislocation and revision in the early postoperative period. At 2 years, the complication rates for RSA rose to 21.8% compared with TSA at 14.3%. Dislocation and infection remained as significant complication for RSA. The study also found patients younger than 65 years, male sex, patients with anaemia, and those with worker’s compensation had a higher risk in developing complications.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Hong Kong Shoulder Wrist and Knee CentreHong KongChina
  2. 2.Adventist HospitalHong KongChina
  3. 3.Department of Shoulder and Upper Limb SurgeryMIOT International HospitalsChennaiIndia

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