Revision Shoulder Arthroplasty

  • Adam SeidlEmail author
  • Derek Axibal
  • Mikaël Chelli
  • Pascal Boileau


Described in 1983, Dr. Jules-Emile Pean performed the first glenohumeral joint arthroplasty to replace a shoulder damaged by tuberculosis [1, 2]. Since then, the indications for shoulder arthroplasty have expanded, including primary osteoarthritis, rotator cuff arthropathy, acute trauma, post-traumatic arthritis, inflammatory disease, osteonecrosis and tumors. In their epidemiological study of shoulder arthroplasty in the United States (US), Jain et al. found that primary shoulder arthroplasties increased from ~52,000 in 2009 to ~67,000 in 2011. In 2011, anatomic shoulder arthroplasties accounted for ~29,000 (44%), reverse shoulder arthroplasties comprised ~22,000 (32%), and hemiarthroplasties comprised ~16,000 (23%) [3]. Westermann et al. found similar numbers in the US in 2011 [4]. As the number of shoulder replacements continues to grow, so do the complications and need for subsequent revision surgeries. Unfortunately, complications after shoulder arthroplasty are not uncommon and oftentimes require revision surgery. Bohsali et al. found 404 complications in their analysis of 2540 shoulder arthroplasties (15.9%) [2]. Others have reported similar complication rates [5, 6]. Jain found that the number of revision cases increased from 5070 in 2009 to 6028 in 2011 in the US, accounting for ~8% of all cases. Labek found revision rates of 8% in Norway and 6% in New Zealand [7]. Slightly higher numbers were seen in Farvard’s study in France, with a 11.2% revision rate in anatomic arthroplasties and 13.4% in reverse implants [8]. With an increase in the numbers of shoulder arthroplasties performed each year, it is important that shoulder surgeons recognize the common modes of failure and have strategies to address this failure with revision shoulder arthroplasty. This chapter outlines the different modes of failure for shoulder arthroplasty, including patient presentation and necessary investigations. Furthermore, this chapter discusses strategies and surgical techniques for revision shoulder arthroplasty and associated results.


Revision Shoulder arthroplasty Complications Failed arthroplasty Bone loss Fracture 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Adam Seidl
    • 1
    Email author
  • Derek Axibal
    • 2
  • Mikaël Chelli
    • 3
  • Pascal Boileau
    • 4
  1. 1.Division of Sports Medicine and Shoulder SurgeryUniversity of ColoradoAuroraUSA
  2. 2.Resident Physician, Department of Orthopaedic SurgeryUniversity of ColoradoAuroraUSA
  3. 3.Department of Orthopaedics and TraumatologyUniversity Hospital of NiceNiceFrance
  4. 4.Department of OrthopaedicsUniversity Institute of Locomotion and Sports, Pasteur 2 HospitalNiceFrance

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