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KMID : 0858320110140010111
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Journal of the Korean Shoulder Elbow Society
2011 Volume.14 No. 1 p.111 ~ p.116
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Reverse Total Shoulder Arthroplasty: Complications
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Kim Young-Kyu
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Abstract
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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.
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KEYWORD
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Shoulder, Reverse total shoulder arthroplasty, Complications, Revision
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