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Anatomical Shoulder Arthroplasty: How to Manage Failure

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Management of Failed Shoulder Surgery

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Abstract

Over the last decade, there has been an increased use of anatomical total shoulder arthroplasty (TSA) for the treatment of glenohumeral osteoarthritis (OA). In the United States, 29,359 anatomical TSA were implanted in 2011 versus 21,692 reverse shoulder arthroplasty (RSA). Reported complication rate ranges from 10 to 23%. Revision surgery is performed in 8–11% at long-term follow-up. An annualized risk of 1.1–1.4% has been reported.

In this chapter, we first describe the reasons of failure of anatomical total shoulder arthroplasty, such as instability, rotator cuff failure, component loosening, fractures, infections, and neurological injuries. Second, we discuss the most common solution for a failed anatomical prosthesis: conversion to RSA.

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References

  1. Westermann RW, Pugely AJ, Martin CT, Gao Y, Wolf BR, Hettrich CM. Reverse shoulder arthroplasty in the United States: a comparison of National Volume, patient demographics, complications, and surgical indications. Iowa Orthop J. 2015;35:1–7.

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Gonzalez JF, Alami GB, Baque F, Walch G, Boileau P. Complications of unconstrained shoulder prostheses. J Shoulder Elb Surg. 2011;20(4):666–82.

    Article  Google Scholar 

  3. Castagna A, Delcogliano M, De Caro F, Ziveri G, Borroni M, Gumina S, Postacchini F, De Biase CF. Conversion of shoulder arthroplasty to reverse implants: clinical and radiological results using a modular stem. Int Orthop. 2013;37(7):1297–305.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Favard L. Revision of total shoulder arthroplasty. Orthop Traumatol Surg Res. 2013;99(1 Suppl):S12–21. https://doi.org/10.1016/j.otsr.2012.11.010.

    Article  CAS  PubMed  Google Scholar 

  5. Habermeyer P, Magosch P. Strategies in revision shoulder arthroplasty. Orthopade. 2013;42(7):542–51. https://doi.org/10.1007/s00132-012-2025-5.

    Article  CAS  PubMed  Google Scholar 

  6. 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.

    Article  PubMed  Google Scholar 

  7. Teusink MJ, Pappou IP, Schwartz DG, Cottrell BJ, Frankle MA. Results of closed management of acute dislocation after reverse shoulder arthroplasty. J Schoulder Elbow Surg. 2015;24(4):621–7.

    Article  Google Scholar 

  8. Torchia ME, Cofield RH, Settergren CR. Total shoulder arthroplasty with the Neer prosthesis: long-term results. J Shoulder Elb Surg. 1997;6(6):495–505.

    Article  CAS  Google Scholar 

  9. Fischer CA, Weber MA, Neubecker C, Bruckner T, Tanner M, Zeifang F. Ultrasound vs. MRI in the assessment of rotator cuff structure prior to shoulder arthroplasty. J Orthop. 2015;12(1):23–30.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Gyftopoulos S, Rosenberg ZS, Roberts CC, Bencardino JT, Appel M, Baccei SJ, et al. ACR appropriateness criteria imaging after shoulder arthroplasty. J Am Coll Radiol. 2016;13(11):1324–36.

    Article  PubMed  Google Scholar 

  11. Scalise JJ, Ciccone J, Iannotti JP. Clinical, radiographic, and ultrasonographic comparison of subscapularis tenotomy and lesser tuberosity osteotomy for total shoulder arthroplasty. J Bone Joint Surg Am. 2010;92(7):1627–34.

    Article  PubMed  Google Scholar 

  12. Moeckel BH, Altchek DW, Warren RF, Wickiewicz TL, Dines DM. Instability of the shoulder after arthroplasty. J Bone Joint Surg Am. 1993;75(4):492–7.

    Article  CAS  PubMed  Google Scholar 

  13. Walch G, Boulahia A, Boileau P, Kempf JF. Primary glenohumeral osteoarthritis: clinical and radiographic classification. The Aequalis Group. Acta Orthop Belg. 1998;64S2:46–52.

    Google Scholar 

  14. Sanchez-Sotelo J, Sperling JW, Rowland CM, Cofield RH. Instability after shoulder arthroplasty: results of surgical treatment. J Bone Joint Surg Am. 2003;85-A(4):622–31.

    Article  Google Scholar 

  15. Levy DM, Abrams GD, Harris JD, Bach BR Jr, Nicholson GP, Romeo AA. Rotator cuff tears after total shoulder arthroplasty in primary osteoarthritis: a systematic review. Int J Shoulder Surg. 2016;10(2):78–84.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Franklin JL, Barrett WP, Jackins SE, Matsen FA. Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff deficiency. J Arthroplast. 1988;3(1):39–46.

    Article  CAS  Google Scholar 

  17. Miller BS, Joseph TA, Noonan TJ, Horan MP, Hawkins RJ. Rupture of the subscapularis tendon after shoulder arthroplasty: diagnosis, treatment, and outcome. J Shoulder Elb Surg. 2005;14(5):492–6.

    Article  Google Scholar 

  18. Shields E, Ho A, Wiater JM. Management of the subscapularis tendon during total shoulder arthroplasty. J Shoulder Elb Surg. 2017;26(4):723–31.

    Article  Google Scholar 

  19. Denard PJ, Raiss P, Sowa B, Walch G. Mid- to long-term follow-up of total shoulder arthroplasty using a keeled glenoid in young adults with primary glenohumeral arthritis. J Shoulder Elb Surg. 2013;22(7):894–900.

    Article  Google Scholar 

  20. Papadonikolakis A, Matsen FA. Metal-backed glenoid components have a higher rate of failure and fail by different modes in comparison with all-polyethylene components: a systematic review. J Bone Joint Surg Am. 2014;96(12):1041–7.

    Article  PubMed  Google Scholar 

  21. Throckmorton TW, Zarkadas PC, Sperling JW, Cofield RH. Pegged versus keeled glenoid components in total shoulder arthroplasty. J Shoulder Elb Surg. 2010;19(5):726–33.

    Article  Google Scholar 

  22. Bohsali KI, Wirth MA, Rockwood CA Jr. Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006;88(10):2279–92.

    PubMed  Google Scholar 

  23. Iannotti JP, Weiner S, Rodriguez E, Subhas N, Patterson TE, Jun BJ, Ricchetti ET. Three-dimensional imaging and templating improve glenoid implant positioning. J Bone Joint Surg Am. 2015;97(8):651–8.

    Article  PubMed  Google Scholar 

  24. Wright TW, Cofield RH. Humeral fractures after shoulder arthroplasty. J Bone Joint Surg Am. 1995;77(9):1340–6.

    Article  CAS  PubMed  Google Scholar 

  25. Andersen JR, Williams CD, Cain R, Mighell M, Frankle M. Surgically treated humeral shaft fractures following shoulder arthroplasty. J Bone Joint Surg Am. 2013;95(1):9–18.

    Article  PubMed  Google Scholar 

  26. Coste JS, Reig S, Trojani C, Berg M, Walch G, Boileau P. The management of infection in arthroplasty of the shoulder. J Bone Joint Surg Br. 2004;86(1):65–9.

    Article  CAS  PubMed  Google Scholar 

  27. Weber P, Utzschneider S, Sadoghi P, Andress HJ, Jansson V, Müller PE. Management of the infected shoulder prosthesis: a retrospective analysis and review of the literature. Int Orthop. 2011;35(3):365–73.

    Article  PubMed  Google Scholar 

  28. Mahure SA, Mollon B, Yu S, Kwon YW, Zuckerman JD. Definitive treatment of infected shoulder arthroplasty with a cement spacer. Orthopedics. 2016;39(5):e924–30.

    Article  PubMed  Google Scholar 

  29. Parisien RL, Yi PH, Hou L, Li X, Jawa A. The risk of nerve injury during anatomical and reverse total shoulder arthroplasty: an intraoperative neuromonitoring study. J Shoulder Elb Surg. 2016;25(7):1122–7.

    Article  Google Scholar 

  30. Holschen M, Franetzki B, Witt KA, Liem D, Steinbeck J. Conversions from anatomic shoulder replacements to reverse total shoulder arthroplasty: do the indications for initial surgery influence the clinical outcome after revision surgery? Arch Orthop Trauma Surg. 2017;137(2):167–72.

    Article  PubMed  Google Scholar 

  31. Abdel MP, Hattrup SJ, Sperling JW, Cofield RH, Kreofsky CR, Sanchez-Sotelo J. Revision of an unstable hemiarthroplasty or anatomical total shoulder replacement using a reverse design prosthesis. Bone Joint J. 2013;95-B(5):668–72.

    Article  CAS  PubMed  Google Scholar 

  32. Kelly JD, Zhao JX, Hobgood ER, Norris TR. Clinical results of revision shoulder arthroplasty using the reverse prosthesis. J Shoulder Elb Surg. 2012;21(11):1516–25.

    Article  Google Scholar 

  33. Patel DN, Young B, Onyekwelu I, Zuckerman JD, Kwon YW. Reverse total shoulder arthroplasty for failed shoulder arthroplasty. J Shoulder Elb Surg. 2012;21(11):1478–83.

    Article  Google Scholar 

  34. Melis B, Bonneviale N, Neyton L, Lévigne C, Favard L, Walch G, Boileau P. Glenoid loosening and failure in anatomical total shoulder arthroplasty: is revision with a reverse shoulder arthroplasty a reliable option? J Shoulder Elb Surg. 2012;21(3):342–9.

    Article  Google Scholar 

  35. Wall B, Nové-Josserand L, O’Connor DP, Edwards TB, Walch G. Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am. 2007;89(7):1476–85.

    PubMed  Google Scholar 

  36. Sperling JW, Cofield RH. Humeral windows in revision shoulder arthroplasty. J Shoulder Elb Surg. 2005;14(3):258–63.

    Article  Google Scholar 

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Authors and Affiliations

  1. Haga Hospital, The Hague, The Netherlands

    Friso A. de Boer

  2. Bergman Clinics, Rijswijk, The Netherlands

    Pol E. Huijsmans

Authors
  1. Friso A. de Boer
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  2. Pol E. Huijsmans
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Correspondence to Pol E. Huijsmans .

Editor information

Editors and Affiliations

  1. Department of Orthopaedics, Catholic University, Rome, Italy

    Giuseppe Milano

  2. Department of Orthopaedics, Casa di Cura Villa Valeria, Rome, Italy

    Andrea Grasso

  3. Clínica del Pilar , Zaragoza, Spain

    Angel Calvo

  4. Orthopaedic/Upper Limb, St. Luke’s Hospital, Bielsko-Biała, Poland

    Roman Brzóska

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de Boer, F.A., Huijsmans, P.E. (2018). Anatomical Shoulder Arthroplasty: How to Manage Failure. 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_17

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  • DOI: https://doi.org/10.1007/978-3-662-56504-9_17

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56503-2

  • Online ISBN: 978-3-662-56504-9

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