Revision of reversed total shoulder arthroplasty. Indications and outcome

BackgroundThe complications of reversed total shoulder arthroplasty (RTSA) requiring an additional intervention, their treatment options and outcome are poorly known. It was therefore the purpose of this retrospective study, to identify the reasons for revision of RTSA and to report outcomes.MethodsFour hundred and forty-one performed RTSA implanted between 1999 and 2008 were screened. Sixty-seven of these cases had an additional intervention to treat a complication. Causes were identified in these 67 cases and the outcome of the first 37 patients who could be followed for more than two years after their first additional intervention was analyzed.ResultsOf 441 RTSA, 67 cases (15%) needed at least one additional intervention to treat a complication, 30 of them needed a second, eleven a third and four a fourth additional intervention. The most common complication requiring a first intervention was instability (18%) followed by hematoma or superficial wound complications (15%) and complications of the glenoid component (12%). Patients benefitted from RTSA despite the need of additional interventions as indicated by a mean increase in total Constant-Murley score from 23 points before RTSA to 46 points at final follow-up (p < 0.0001).ConclusionsInstability, hematoma or superficial wound complications and complications of the glenoid component are the most common reasons for an additional intervention after RTSA. Patients undergoing an additional intervention as treatment of these complications profit significantly as long as the prosthesis remains in place.

• Publication year

  2012

• Venue

  BMC Musculoskeletal Disorders

• Publication date

  2012-08-27

• Fields of study

  Medicine

• Identifiers
  DOI 10.1186/1471-2474-13-160PMID 22925554PMCID 3495202
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Do the indications, results, and complications of reverse shoulder arthroplasty change with surgeon's experience?

  2012cited by this paper
• Reverse total shoulder arthroplasty—from the most to the least common complication

  2010cited by this paper
• Reverse Total Shoulder Replacement: Intraoperative and Early Postoperative Complications

  2009cited by this paper
• Reverse Total Shoulder Arthroplasty

  2009cited by this paper
• Reverse total shoulder arthroplasty after failed rotator cuff surgery.

  2009cited by this paper
• Objective evaluation of lengthening in reverse shoulder arthroplasty.

  2009cited by this paper
• The biomechanics of reverse anatomy shoulder replacement--a modelling study.

  2009cited by this paper
• Six-Year Experience with the Delta III Reverse Shoulder Prosthesis

  2009cited by this paper
• Risk factors for revision after shoulder arthroplasty

  2009cited by this paper
• Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency.

  2008cited by this paper
• A review of the Constant score: modifications and guidelines for its use.

  2008cited by this paper
• Treatment of Comminuted Fractures of the Proximal Humerus in Elderly Patients With the Delta III Reverse Shoulder Prosthesis

  2008cited by this paper
• [Excentered scapulohumeral osteoarthritis].

  2007cited by this paper
• The use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty for proximal humeral fracture.

  2007cited by this paper
• Use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty in patients with glenohumeral arthritis and rotator cuff deficiency.

  2007cited by this paper
• Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years.

  2006cited by this paper
• Grammont reverse prosthesis: design, rationale, and biomechanics.

  2005cited by this paper
• Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis.

  2005cited by this paper
• The Reverse Shoulder Prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients.

  2005cited by this paper
• Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders.

  2004cited by this paper
• Grammont's reverse shoulder prosthesis for rotator cuff arthropathy. A retrospective study of 32 cases.

  2004cited by this paper
• Early results of a reverse design prosthesis in the treatment of arthritis of the shoulder in elderly patients with a large rotator cuff tear.

  2002cited by this paper

• Does Social Deprivation Status Affect the Complication Profile Among Patients Undergoing Total Shoulder Arthroplasty? A Matched Cohort Analysis

  2025cites this paper
• Instability after reverse shoulder arthroplasty: A systematic review of interventions and clinical outcomes.

  2025cites this paper
• Reduced revision rates with image-derived instrumentation in total shoulder arthroplasty : an analysis from the Australian Orthopaedic Association National Joint Replacement Registry.

  2025cites this paper
• Diagnostic accuracy of the alpha-defensin lateral flow test in periprosthetic shoulder infection: a retrospective study

  2025cites this paper
• Heterotopic Ossification After Shoulder Arthroplasty: A Systematic Review

  2024cites this paper
• Outcomes and Complications of Revision Reverse Shoulder Arthroplasty Following Failed Primary Reverse Shoulder Arthroplasty: A Systematic Review

  2023cites this paper
• Global mapping of institutional and hospital-based (Level II–IV) arthroplasty registries: a scoping review

  2023cites this paper
• Outcomes of revision versus re-revision reverse total shoulder arthroplasty: A case–control-matched cohort study

  2023cites this paper
• Complications and Reinterventions of Reverse Total Shoulder Arthroplasty in a Korean Population: 14-Year Experience in Reverse Shoulder Arthroplasty

  2023cites this paper
• Shoulder arthroplasty for proximal humeral fracture treatment: a retrospective functional outcome analysis

  2022cites this paper
• Reverse Total Shoulder Arthroplasty with a Custom Deltoid Lateralization Sleeve for the Treatment of Failed Arthroplasty and Severe Proximal Humeral Bone Loss.

  2021cites this paper
• Schulterendoprothetik

  2021cites this paper
• Cost-effectiveness of the reverse total shoulder arthroplasty. Does indication affect outcome?

  2021cites this paper
• Outcome and complications following revision shoulder arthroplasty

  2021cites this paper
• The modern reverse shoulder arthroplasty and an updated systematic review for each complication: part II

  2020cites this paper
• The Cost-Effectiveness of Reverse Total Shoulder Arthroplasty Versus Open Reduction Internal Fixation for Proximal Humerus Fractures in the Elderly.

  2020cites this paper
• Ponseti Method After Walking Age - A Multi-Centric Study of 429 Feet: Results, Possible Treatment Modifications and Outcomes According to Age Groups.

  2020cites this paper
• Outcomes and revision rates of primary vs. secondary reverse total shoulder arthroplasty for proximal humeral fractures

  2020cites this paper
• Revision shoulder arthroplasty: a systematic review and comparison of North American vs. European outcomes and complications.

  2020cites this paper
• Re-intervention and revision rates following primary reverse total shoulder arthroplasty – review of a local shoulder arthroplasty registry

  2020cites this paper
• An Analyses of the Oxford Shoulder Score and its Relationship to Early Joint Revision in the New Zealand Joint Registry.

  2020cites this paper
• The modern reverse shoulder arthroplasty and an updated systematic review for each complication: part I

  2020cites this paper
• Proceedings from the 2018 International Consensus Meeting on Orthopedic Infections: management of periprosthetic shoulder infection.

  2019cites this paper
• Exposure of the brachial plexus in complex revisions to reverse total shoulder arthroplasty

  2019cites this paper
• The role of Superior Capsule Reconstruction in the irreparable rotator cuff tear - A systematic review.

  2019cites this paper
• The Anatomical Variation of the Scapular Spine in A Chinese Population

  2019cites this paper
• Revision Shoulder Arthroplasty

  2019cites this paper
• How common are acromial and scapular spine fractures after reverse shoulder arthroplasty?: A systematic review.

  2019cites this paper
• Proceedings from the 2018 International Consensus Meeting on Orthopedic Infections: evaluation of periprosthetic shoulder infection.

  2019cites this paper
• Should we avoid shoulder surgery in wheelchair users? A systematic review of outcomes and complications.

  2018cites this paper
• The Effect of Obesity in Shoulder Arthroplasty Outcomes and Complications.

  2018cites this paper
• Patient-Specific Implants in Severe Glenoid Bone Loss.

  2018cites this paper
• Management of Periprosthetic Reverse Shoulder Arthroplasty Infections

  2018cites this paper
• Revision shoulder arthroplasty: Patient-reported outcomes vary according to the etiology of revision.

  2018cites this paper
• Reverse total shoulder arthroplasty

  2018cites this paper
• Management of painful reverse shoulder arthroplasty

  2017cites this paper
• Glenoid morphology in light of anatomical and reverse total shoulder arthroplasty: a dissection- and 3D-CT-based study in male and female body donors

  2017cites this paper
• Revision of reversed shoulder arthroplasty

  2017cites this paper
• Primary stability of inferior tilt fixation of the glenoid component in reverse total shoulder arthroplasty: A finite element study

  2016cites this paper
• Options chirurgicales dans les reprises de prothèses d’épaules : résultats cliniques et complications

  2016cites this paper
• Improved accuracy of K-wire positioning into the glenoid vault by intraoperative 3D image intensifier-based navigation for the glenoid component in shoulder arthroplasty.

  2016cites this paper
• Revisions of total shoulder arthroplasty: Clinical results and complications of various modalities

  2016cites this paper
• Revisions of total shoulder arthroplasty: Clinical results and complications of various modalities.

  2016cites this paper
• Arthroplasty for the surgical management of complex proximal humerus fractures in the elderly: a cost-utility analysis.

  2016cites this paper
• Outcomes in the treatment of periprosthetic joint infection after shoulder arthroplasty: a systematic review.

  2016cites this paper
• Early revision within 1 year after shoulder arthroplasty: patient factors and etiology.

  2015cites this paper
• Hip-inspired implant for revision of failed reverse shoulder arthroplasty with severe glenoid bone loss

  2014influential citation
• Reversed Revised: What to do when it goes wrong?

  2014cites this paper
• Strategien beim Endoprothesenwechsel der Schulter

  2013cites this paper
• Akromion- und Spina-scapulae-Frakturen nach Implantation einer inversen Schultertotalendoprothese

  2013cites this paper