Complications in Reverse Total Shoulder Arthroplasty

Does Preoperative American Society of Anesthesiologists Score Relate to Complications After Total Shoulder Arthroplasty?

“…Although TSAs and reverse TSAs are done safely in most patients, some patients have medical or surgical complications develop that can lead to poor functional results and unanticipated hospital costs [3,5,47,53]. Although wide ranges have been reported for the frequency of complications with TSAs and reverse TSAs, the latter generally have complication rates that are higher, and sometimes several times higher, than the former [1,3,5,6,51,52,54,56].…”

“…Despite the technical challenges it initially presented to surgeons, the short-term (8-10 years) results of reverse TSA have been encouraging [24,37,55], and the success of the reverse TSA prosthesis has been shown to contribute to the large increase in the number of shoulder replacement procedures performed annually in the United States [14,27]. Although TSAs and reverse TSAs are done safely in most patients, some patients have medical or surgical complications develop that can lead to poor functional results and unanticipated hospital costs [3,5,47,53]. Although wide ranges have been reported for the frequency of complications with TSAs and reverse TSAs, the latter generally have complication rates that are higher, and sometimes several times higher, than the former [1,3,5,6,51,52,54,56].…”

Immediate Postoperative Radiographs After Shoulder Arthroplasty Are Often Poor Quality and Do Not Alter Care

“…Second, there were multiple surgeons with preferences for the timing of radiographs after the shoulder arthroplasties that differed during the course of the study period. The groups were different in terms of the number of rTSAs performed, with fewer performed in the group that did not have immediate postoperative radiographs; this skewed the characteristics of Groups 1 and 2 in terms of rTSA and TSA but is likely explained by the known dislocation risk with rTSA [2] and the predilection for surgeons to obtain immediate postoperative radiographs in these cases. Risk of liability is a major surgeon concern if a dislocated rTSA is missed before discharge from the hospital.…”

Planning software and patient-specific instruments in shoulder arthroplasty

“…Incorrect placement of the glenosphere can lead to early catastrophic baseplate failure, instability, and scapular notching which may be a cause secondary implant loosening and functional decline [34]. The incidence of these complications can be mitigated by placing the glenoid baseplate on the inferior aspect on the glenoid, centered in the anterior/posterior sagittal plane, as close to neutral tilt as possible with avoidance of superior tilt [35].…”