Revision Strategies in Reverse Total Shoulder Arthroplasty:

Journal of Shoulder and Elbow Arthroplasty

JennieGarver¹ 

关键词: Reverse total shoulder arthroplasty;    revision shoulder arthroplasty;    complications;   

DOI  :  10.1177/2471549217695259

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

BackgroundWhile initially developed to improve function in patients with chronic rotator cuff deficiency, the success of reverse total shoulder arthroplasty (RTSA) has led to expanding indications including fracture sequelae and revision of failed hemi- or total shoulder arthroplasty. While primary RTSA carries complication and revision rates of up to 75% and 2%–10%, respectively, these rates are higher in RTSA performed in a revision setting.MethodsThe current literature on RTSA and revision RTSA was reviewed to determine the most common complications and treatment strategies to address these complications.ResultsThe most common complications leading to revision of RTSA are instability, infection, humeral implant loosening, and glenoid implant loosening. Each of these presents unique technical challenges for the surgeon. Retention or replacement of a reverse prosthesis affords high patient satisfaction and better functional outcomes than resection, but may require several additional surgeries. In cases i...

【 授权许可】

CC BY