Complications of shoulder arthroplasty

Kamal I. Bohsali, Aaron J. Bois, Michael A. Wirth

Research output: Contribution to journalReview article

74 Scopus citations

Abstract

The most common complications after reverse shoulder arthroplasty in order of decreasing frequency included instability, periprosthetic fracture, infection, component loosening, neural injury, acromial and/or scapular spine fracture, hematoma, deltoid injury, rotator cuff tear, and venous thromboembolism (VTE). The most common complications after anatomic total shoulder arthroplasty (TSA) in order of decreasing frequency were component loosening, glenoid wear, instability, rotator cuff tear, periprosthetic fracture, neural injury, infection, hematoma, deltoid injury, and VTE. Glenoid component wear and loosening remain a common cause of failure after anatomic TSA, despite advances in surgical technique and implant design. Diagnostic confirmation of infection after shoulder arthroplasty remains a challenge. In the setting of a painful and stiff shoulder after arthroplasty, the surgeon should have a heightened suspicion for infection. Inflammatory markers may be normal, radiographs may be inconclusive, and prosthetic joint aspiration may be negative for a causative organism.

Original languageEnglish (US)
Pages (from-to)256-269
Number of pages14
JournalJournal of Bone and Joint Surgery - American Volume
Volume99
Issue number3
DOIs
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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