Open AccessJournal Article
Complications of shoulder arthroplasty
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TLDR
Failed shoulder arthroplasty can be successfully managed with revision surgery, but the technically challenging surgery and the overall results are inferior compared with other diagnostic categories.Abstract:
Early and mid-range followup studies of shoulder arthroplasty have been encouraging, showing good and excellent results in > 90% of shoulders. Despite this success, complications in shoulder replacement surgery are inevitable, with an incidence of approximately 14%. Numerous complications have been identified and include the following factors in order of decreasing frequency: instability, rotator cuff tear, ectopic ossification, glenoid component loosening, intraoperative fracture, nerve injury, infection, and humeral component loosening. Successful treatment of these difficulties requires careful identification and subsequent analysis of all factors contributing to the complication, knowing that the etiology is often multifactorial. Failed shoulder arthroplasty can be successfully managed with revision surgery, but the technically challenging surgery and the overall results are inferior compared with other diagnostic categories.read more
Citations
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Journal ArticleDOI
Complications of total shoulder arthroplasty.
TL;DR: The number of shoulder arthroplasties has increased in parallel to the total number of total joint arthrolachysmography as mentioned in this paper, with an increase of approximately 40% in the number of procedures performed per year between 1996 and 2002.
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The radiographic evaluation of keeled and pegged glenoid component insertion.
TL;DR: Perfectly cementing and seating a glenoid replacement is a difficult task, andRadiolucencies and incomplete component seating occur more frequently in association with keeled components compared with pegged components.
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Continuous Peripheral Nerve Blocks: A Review of the Published Evidence
TL;DR: Nearly all benefits occur during the infusion itself, but several randomized controlled trials suggest that in some situations there are prolonged benefits after catheter removal as well, and this article is an evidence-based review of the published literature involving continuous peripheral nerve blocks.
Journal ArticleDOI
Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study.
TL;DR: The high rate of loosening, because of the absence of ingrowth and/or the accelerated polyethylene wear, has led the use of metal-backed glenoids to abandon, and efforts must continue to improve glenoid component design and fixation.
Journal ArticleDOI
Characteristics of unsatisfactory shoulder arthroplasties.
Samer S. Hasan,Jordan M. Leith,Barry Campbell,Ranjit Kapil,Kevin L. Smith,Frederick A. Matsen +5 more
TL;DR: Observations suggest that greater attention to achieving proper component position, postoperative motion, and in fracture cases, fixation of the tuberosities may lead to increased patient satisfaction after shoulder arthroplasty.
References
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Journal ArticleDOI
Recent experience in total shoulder replacement.
C S Neer,K C Watson,F J Stanton +2 more
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Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis.
TL;DR: Total shoulder arthroplasty with the Delta III prosthesis is a salvage procedure for severe shoulder dysfunction caused by an irreparable rotator cuff tear associated with other glenohumeral lesions and has a substantial potential to improve the condition of patients with severe shoulders dysfunction, at least in the short term.
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Neer Award 2005: The Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty.
TL;DR: The Grammont reverse prosthesis can improve function and restore active elevation in patients with incongruent cuff-deficient shoulders; active rotation is usually unchanged and results are less predictable and complication and revision rates are higher in patients undergoing revision surgery as compared with those in Patients with CTA.
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Reverse Total Shoulder Arthroplasty: A Review of Results According to Etiology
TL;DR: The advanced age of the patients in the present series and the relatively short duration of follow-up suggest that the reverse total shoulder arthroplasty prosthesis should continue to be used judiciously.