Reverse Total Shoulder Arthroplasty: Complications

Kim,  Young Kyu

doi:2011.14.1.111

Clin Shoulder Elb > Volume 14(1); 2011 > Article

Review

Clinics in Shoulder and Elbow 2011;14(1):111-116.
DOI: https://doi.org/10.5397/CiSE.2011.14.1.111 Published online June 30, 2011.

Reverse Total Shoulder Arthroplasty: Complications

Young Kyu Kim

Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Inchon, Korea. kykhyr@gilhospital.com

견관절 역형 전 치환 성형술: 합병증

김 영 규

가천의과학대학교 길병원 정형외과학교실

Abstract

PURPOSE
The purposes of this article are to review the mid-term results and the complications after reverse total shoulder arthroplasty and to analyze the influence of the etiology on the result. MATERIALS AND METHODS: We conducted a systemic review of the published literature with the mid-term follow-up after reverse total shoulder arthroplasty was performed. The overall rates of problems, complications, reoperations and revisions were determined.
RESULTS
The reported complication rates varied from 0% to 68%. The first series of reverse prosthesis with at least 2 yrs of follow-up confirmed the preliminary results, with excellent functional outcomes. However, a systemic review of the published literature with a mid-term follow-up showed problems in 44% of the cases, complications in 24% of the cases, reoperations in 3.5% of the cases and revision in 10% of the cases.
CONCLUSION
Reverse total shoulder arthroplasty has relatively high complication and revision rates. So, a reverse prosthesis should be used in patients with very disabling arthropathy and a massive cuff tear and who are over seventy (at least sixty-five) years old.

Key Words: Shoulder; Reverse total shoulder arthroplasty; Complications; Revision