J Korean Orthop Assoc.  2019 Apr;54(2):100-109. 10.4055/jkoa.2019.54.2.100.

Etiology and Treatment of Revision Shoulder Arthroplasty

Affiliations
  • 1Department of Orthopaedic Surgery, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea. kykhyr@gilhospital.com

Abstract

The rapidly increasing rate of shoulder arthroplasty is certain to increase the number of revision arthroplasties because of parallel increases in complication numbers. It has been widely reported that the causes of revision shoulder arthroplasty include rotator cuff deficiency, instability, glenoid or humeral component loosening, implant failure, periprosthetic fracture, and infection. Revision arthroplasty can be technically challenging, and surgical options available for failed shoulder arthroplasty are limited, especially in patients with glenoid bone loss or an irreparable rotator cuff tear. Furthermore, the outcomes of revision arthroplasty are consistently inferior to those of primary arthroplasty. Accordingly, surgical decision making requires a good understanding of the etiology of failure. Here, we provide a review of indications of revision arthroplasty and of the surgical techniques used by failure etiology.

Keyword

total shoulder replacement; revision surgery; complication; treatment failure; risk factors

MeSH Terms

Arthroplasty*
Decision Making
Humans
Periprosthetic Fractures
Risk Factors
Rotator Cuff
Shoulder*
Tears
Treatment Failure
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