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KMID : 0361620190540020100
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Journal of the Korean Orthopaedic Association
2019 Volume.54 No. 2 p.100 ~ p.109
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Etiology and Treatment of Revision Shoulder Arthroplasty
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Kim Young-Kyu
Jung Kyu-Hak
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Abstract
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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.
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KEYWORD
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total shoulder replacement, revision surgery, complication, treatment failure, risk factors
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