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Reverse Shoulder Arthroplasty: Why It Fails

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Management of Failed Shoulder Surgery

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Abstract

Reverse shoulder arthroplasty (RSA) is successful treatment for elderly patients with large rotator cuff tears or painful rotator cuff arthropathy. Four-part fractures, failed anatomical shoulder replacements, and failed fracture treatments with other methods are other indications to RSA.

Some problems are unique to the RSA. The most important ones are neurologic problems, bone fracture around the implant, hematoma postoperative infection, instability (dislocation), baseplate failure, and scapular notching. The best way to handle these problems has not yet been determined. The long-term results in patients who have a RSA show about 20% complication rate. Improvement in implant design, knowledge of shoulder biomechanics, and management of common complications will help the surgeon avoiding failures of RSA.

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Authors and Affiliations

  1. Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia

    Vladimir Senekovič

  2. Clinic Arbormea Medical Ljubljana, Ljubljana, Slovenia

    Vladimir Senekovič

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  1. Vladimir Senekovič
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Correspondence to Vladimir Senekovič .

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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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Senekovič, V. (2018). Reverse Shoulder Arthroplasty: Why It Fails. 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_22

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  • DOI: https://doi.org/10.1007/978-3-662-56504-9_22

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  • Online ISBN: 978-3-662-56504-9

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