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http://dx.doi.org/10.5397/cise.2021.00066

Complications of reverse shoulder arthroplasty: a concise review  

Kim, Su Cheol (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Kim, Il Su (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Jang, Min Chang (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Yoo, Jae Chul (Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Publication Information
Clinics in Shoulder and Elbow / v.24, no.1, 2021 , pp. 42-52 More about this Journal
Abstract
Reverse shoulder arthroplasty is an ideal treatment for glenohumeral dysfunction due to cuff tear arthropathy. As the number of patients treated with reverse shoulder arthroplasty is increasing, the incidence of complications after this procedure also is increasing. The rate of complications in reverse shoulder arthroplasty was reported to be 15%-24%. Recently, the following complications have been reported in order of frequency: periprosthetic infection, dislocation, periprosthetic fracture, neurologic injury, scapular notching, acromion or scapular spine fracture, and aseptic loosening of prosthesis. However, the overall complication rate has varied across studies because of different prosthesis used, improvement of implant and surgical skills, and different definitions of complications. Some authors included complications that affect the clinical outcomes of the surgery, while others reported minor complications that do not affect the clinical outcomes such as minor reversible neurologic deficit or minimal scapular notching. This review article summarizes the processes related to diagnosis and treatment of complications after reverse shoulder arthroplasty with the aim of helping clinicians reduce complications and perform appropriate procedures if/when complications occur.
Keywords
Arthroplasty; Complications; Replacement; Rotator cuff tear; Rotator cuff tear arthropathy; Shoulder;
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1 Chalmers BP, Wagner ER, Sperling JW, Cofield RH, Sanchez-Sotelo J. Treatment and outcomes of reverse shoulder arthroplasty dislocations. J Shoulder Elb Arthroplast 2017;1: 2471549217695260.
2 Matthewson G, Kooner S, Kwapisz A, Leiter J, Old J, MacDonald P. The effect of subscapularis repair on dislocation rates in reverse shoulder arthroplasty: a meta-analysis and systematic review. J Shoulder Elbow Surg 2019;28:989-97.   DOI
3 Shah SS, Gaal BT, Roche AM, et al. The modern reverse shoulder arthroplasty and an updated systematic review for each complication: part I. JSES Int 2020;4:929-43.   DOI
4 Bacle G, Nove-Josserand L, Garaud P, Walch G. Long-term outcomes of reverse total shoulder arthroplasty: a follow-up of a previous study. J Bone Joint Surg Am 2017;99:454-61.   DOI
5 Ascione F, Domos P, Guarrella V, Chelli M, Boileau P, Walch G. Long-term humeral complications after Grammont-style reverse shoulder arthroplasty. J Shoulder Elbow Surg 2018;27: 1065-71.   DOI
6 Jauregui JJ, Nadarajah V, Shield WP 3rd, Henn RF 3rd, Gilotra M, Hasan SA. Reverse shoulder arthroplasty: perioperative considerations and complications. JBJS Rev 2018;6:e3.
7 Hsu JE, Bumgarner RE, Matsen FA 3rd. Propionibacterium in shoulder arthroplasty: what we think we know today. J Bone Joint Surg Am 2016;98:597-606.   DOI
8 Ball CM. Neurologic complications of shoulder joint replacement. J Shoulder Elbow Surg 2017;26:2125-32.   DOI
9 Zumstein MA, Pinedo M, Old J, Boileau P. Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg 2011; 20:146-57.   DOI
10 Alentorn-Geli E, Samitier G, Torrens C, Wright TW. Reverse shoulder arthroplasty. Part 2: systematic review of reoperations, revisions, problems, and complications. Int J Shoulder Surg 2015;9:60-7.   DOI
11 Helmkamp JK, Bullock GS, Amilo NR, et al. The clinical and radiographic impact of center of rotation lateralization in reverse shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg 2018;27:2099-107.   DOI
12 Boileau P, Melis B, Duperron D, Moineau G, Rumian AP, Han Y. Revision surgery of reverse shoulder arthroplasty. J Shoulder Elbow Surg 2013;22:1359-70.   DOI
13 Boileau P. Complications and revision of reverse total shoulder arthroplasty. Orthop Traumatol Surg Res 2016;102(1 Suppl):S33-43.   DOI
14 Routman HD. The role of subscapularis repair in reverse total shoulder arthroplasty. Bull Hosp Jt Dis (2013) 2013;71 Suppl 2:108-12.
15 Levy JC, Everding NG, Gil CC Jr, Stephens S, Giveans MR. Speed of recovery after shoulder arthroplasty: a comparison of reverse and anatomic total shoulder arthroplasty. J Shoulder Elbow Surg 2014;23:1872-81.   DOI
16 Achermann Y, Goldstein EJ, Coenye T, Shirtliff ME. Propionibacterium acnes: from commensal to opportunistic biofilm-associated implant pathogen. Clin Microbiol Rev 2014;27:419-40.   DOI
17 Marecek GS, Weatherford BM, Fuller EB, Saltzman MD. The effect of axillary hair on surgical antisepsis around the shoulder. J Shoulder Elbow Surg 2015;24:804-8.   DOI
18 Ortmaier R, Resch H, Hitzl W, Mayer M, Stundner O, Tauber M. Treatment strategies for infection after reverse shoulder arthroplasty. Eur J Orthop Surg Traumatol 2014;24:723-31.   DOI
19 Hsu JE, Gorbaty JD, Whitney IJ, Matsen FA 3rd. Single-stage revision is effective for failed shoulder arthroplasty with positive cultures for Propionibacterium. J Bone Joint Surg Am 2016;98: 2047-51.   DOI
20 Best MJ, Aziz KT, Wilckens JH, McFarland EG, Srikumaran U. Increasing incidence of primary reverse and anatomic total shoulder arthroplasty in the United States. J Shoulder Elbow Surg 2020 Aug 25 [Epub]. https://doi.org/10.1016/j.jse. 2020.08.010.   DOI
21 Zhou HS, Chung JS, Yi PH, Li X, Price MD. Management of complications after reverse shoulder arthroplasty. Curr Rev Musculoskelet Med 2015;8:92-7.   DOI
22 Dizay HH, Lau DG, Nottage WM. Benzoyl peroxide and clindamycin topical skin preparation decreases Propionibacterium acnes colonization in shoulder arthroscopy. J Shoulder Elbow Surg 2017;26:1190-5.   DOI
23 Murray MR, Saltzman MD, Gryzlo SM, Terry MA, Woodward CC, Nuber GW. Efficacy of preoperative home use of 2% chlorhexidine gluconate cloth before shoulder surgery. J Shoulder Elbow Surg 2011;20:928-33.   DOI
24 Longo UG, Candela V, Facchinetti G, et al. Antibiotic prophylaxis in primary and revision shoulder replacement: a systematic review. BMC Musculoskelet Disord 2020;21:292.   DOI
25 Romano CL, Borens O, Monti L, Meani E, Stuyck J. What treatment for periprosthetic shoulder infection? Results from a multicentre retrospective series. Int Orthop 2012;36:1011-7.   DOI
26 Khurana A, Parker S, Goel V, Alderman PM. Dermabond wound closure in primary hip arthroplasty. Acta Orthop Belg 2008;74:349-53.
27 Kolmodin J, Davidson IU, Jun BJ, et al. Scapular notching after reverse total shoulder arthroplasty: prediction using patient-specific osseous anatomy, implant location, and shoulder motion. J Bone Joint Surg Am 2018;100:1095-103.   DOI
28 Jacquot A, Sirveaux F, Roche O, Favard L, Clavert P, Mole D. Surgical management of the infected reversed shoulder arthroplasty: a French multicenter study of reoperation in 32 patients. J Shoulder Elbow Surg 2015;24:1713-22.   DOI
29 Boileau P, Watkinson D, Hatzidakis AM, Hovorka I. Neer Award 2005: the Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elbow Surg 2006;15:527-40.   DOI
30 Crosby LA, Hamilton A, Twiss T. Scapula fractures after reverse total shoulder arthroplasty: classification and treatment. Clin Orthop Relat Res 2011;469:2544-9.   DOI
31 Rezapoor M, Alvand A, Jacek E, Paziuk T, Maltenfort MG, Parvizi J. Operating room traffic increases aerosolized particles and compromises the air quality: a simulated study. J Arthroplasty 2018;33:851-5.   DOI
32 Elston MJ, Dupaix JP, Opanova MI, Atkinson RE. Cutibacterium acnes (formerly Proprionibacterium acnes) and shoulder surgery. Hawaii J Health Soc Welf 2019;78(11 Suppl 2):3-5.
33 Portillo ME, Salvado M, Alier A, et al. Prosthesis failure within 2 years of implantation is highly predictive of infection. Clin Orthop Relat Res 2013;471:3672-8.   DOI
34 Richards J, Inacio MC, Beckett M, et al. Patient and procedure-specific risk factors for deep infection after primary shoulder arthroplasty. Clin Orthop Relat Res 2014;472:2809-15.   DOI
35 Simha S, Shields EJ, Wiater JM. Periprosthetic infections of the shoulder. JBJS Rev 2018;6:e6.   DOI
36 Farshad M, Gerber C. Reverse total shoulder arthroplasty-from the most to the least common complication. Int Orthop 2010; 34:1075-82.   DOI
37 Yoo JC, Kim JH, Ahn JH, Lee SH. Arthroscopic perspective of the axillary nerve in relation to the glenoid and arm position: a cadaveric study. Arthroscopy 2007;23:1271-7.   DOI
38 Levy JC, Anderson C, Samson A. Classification of postoperative acromial fractures following reverse shoulder arthroplasty. J Bone Joint Surg Am 2013;95:e104.   DOI
39 Werner BS, Ascione F, Bugelli G, Walch G. Does arm lengthening affect the functional outcome in onlay reverse shoulder arthroplasty. J Shoulder Elbow Surg 2017;26:2152-7.   DOI
40 Carofino BC, Brogan DM, Kircher MF, et al. Iatrogenic nerve injuries during shoulder surgery. J Bone Joint Surg Am 2013;95: 1667-74.   DOI
41 Kunutsor SK, Wylde V, Beswick AD, Whitehouse MR, Blom AW. One- and two-stage surgical revision of infected shoulder prostheses following arthroplasty surgery: a systematic review and meta-analysis. Sci Rep 2019;9:232.   DOI
42 Kim YK, Won JS, Park CK, Kim JG. Evaluating scapular notching after reverse total shoulder arthroplasty. Clin Shoulder Elb 2015;18:248-53.   DOI
43 Morris BJ, O'Connor DP, Torres D, Elkousy HA, Gartsman GM, Edwards TB. Risk factors for periprosthetic infection after reverse shoulder arthroplasty. J Shoulder Elbow Surg 2015;24: 161-6.   DOI
44 Cheung E, Willis M, Walker M, Clark R, Frankle MA. Complications in reverse total shoulder arthroplasty. J Am Acad Orthop Surg 2011;19:439-49.   DOI
45 Mercurio M, Castioni D, Ianno B, Gasparini G, Galasso O. Outcomes of revision surgery after periprosthetic shoulder infection: a systematic review. J Shoulder Elbow Surg 2019;28:1193-203.   DOI
46 Klatte TO, Junghans K, Al-Khateeb H, et al. Single-stage revision for peri-prosthetic shoulder infection: outcomes and results. Bone Joint J 2013;95:391-5.   DOI
47 Brusalis CM, Taylor SA. Periprosthetic fractures in reverse total shoulder arthroplasty: current concepts and advances in management. Curr Rev Musculoskelet Med 2020;13:509-19.   DOI
48 Saltzman MD, Nuber GW, Gryzlo SM, Marecek GS, Koh JL. Efficacy of surgical preparation solutions in shoulder surgery. J Bone Joint Surg Am 2009;91:1949-53.   DOI
49 Schnetzke M, Coda S, Raiss P, Walch G, Loew M. Radiologic bone adaptations on a cementless short-stem shoulder prosthesis. J Shoulder Elbow Surg 2016;25:650-7.   DOI
50 Belay ES, Danilkowicz R, Bullock G, Wall K, Garrigues GE. Single-stage versus two-stage revision for shoulder periprosthetic joint infection: a systematic review and meta-analysis. J Shoulder Elbow Surg 2020;29:2476-86.   DOI
51 Jarrett CD, Brown BT, Schmidt CC. Reverse shoulder arthroplasty. Orthop Clin North Am 2013;44:389-408.   DOI
52 Zilber S, Camana E, Lapner P, Haritinian E, Nove Josserand L. Reverse total shoulder arthroplasty using helical blade to optimize glenoid fixation and bone preservation: preliminary results in thirty five patients with minimum two year follow-up. Int Orthop 2018;42:2159-64.   DOI
53 Hattrup SJ. The influence of postoperative acromial and scapular spine fractures on the results of reverse shoulder arthroplasty. Orthopedics 2010;33:302.   DOI
54 Dilisio MF, Miller LR, Warner JJ, Higgins LD. Arthroscopic tissue culture for the evaluation of periprosthetic shoulder infection. J Bone Joint Surg Am 2014;96:1952-8.   DOI
55 Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Mole D. 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. J BoneJoint Surg Br 2004;86:388-95.
56 Kolakowski L, Lai JK, Duvall GT, et al. Neer Award 2018: benzoyl peroxide effectively decreases preoperative Cutibacterium acnes shoulder burden: a prospective randomized controlled trial. J Shoulder Elbow Surg 2018;27:1539-44.   DOI
57 Hudek R, Sommer F, Kerwat M, Abdelkawi AF, Loos F, Gohlke F. Propionibacterium acnes in shoulder surgery: true infection, contamination, or commensal of the deep tissue. J Shoulder Elbow Surg 2014;23:1763-71.   DOI
58 Patel A, Calfee RP, Plante M, Fischer SA, Green A. Propionibacterium acnes colonization of the human shoulder. J Shoulder Elbow Surg 2009;18:897-902.   DOI
59 Friedman RJ, Barcel DA, Eichinger JK. Scapular notching in reverse total shoulder arthroplasty. J Am Acad Orthop Surg 2019; 27:200-9.   DOI
60 Mollon B, Mahure SA, Roche CP, Zuckerman JD. Impact of scapular notching on clinical outcomes after reverse total shoulder arthroplasty: an analysis of 476 shoulders. J Shoulder Elbow Surg 2017;26:1253-61.   DOI
61 Li X, Knutson Z, Choi D, et al. Effects of glenosphere positioning on impingement-free internal and external rotation after reverse total shoulder arthroplasty. J Shoulder Elbow Surg 2013; 22:807-13.   DOI
62 Parisien RL, Yi PH, Hou L, Li X, Jawa A. The risk of nerve injury during anatomical and reverse total shoulder arthroplasty: an intraoperative neuromonitoring study. J Shoulder Elbow Surg 2016;25:1122-7.   DOI
63 Kraus MB, Cain RB, Rosenfeld DM, et al. Tongue tied after shoulder surgery: a case series and literature review. Case Rep Anesthesiol 2019;2019:5392847.
64 Ferrier A, Blasco L, Marcoin A, et al. Geometric modification of the humeral position after total reverse shoulder arthroplasty: what is the optimal lowering of the humerus. J Shoulder Elbow Surg 2018;27:2207-13.   DOI
65 McFarland EG, Caicedo JC, Guitterez MI, Sherbondy PS, Kim TK. The anatomic relationship of the brachial plexus and axillary artery to the glenoid: implications for anterior shoulder surgery. Am J Sports Med 2001;29:729-33.   DOI
66 Van Hoof T, Gomes GT, Audenaert E, Verstraete K, Kerckaert I, D'Herde K. 3D computerized model for measuring strain and displacement of the brachial plexus following placement of reverse shoulder prosthesis. Anat Rec (Hoboken) 2008;291:1173-85.   DOI
67 Lynch NM, Cofield RH, Silbert PL, Hermann RC. Neurologic complications after total shoulder arthroplasty. J Shoulder Elbow Surg 1996;5:53-61.   DOI
68 Leschinger T, Hackl M, Buess E, et al. The risk of suprascapular and axillary nerve injury in reverse total shoulder arthroplasty: an anatomic study. Injury 2017;48:2042-9.   DOI
69 Mesiha M, Boileau P, Walch G. Technique for reverse total shoulder arthroplasty for primary glenohumeral osteoarthritis with a biconcave glenoid. JBJS Essent Surg Tech 2013;3:e21.   DOI
70 Ladermann A, Stimec BV, Denard PJ, Cunningham G, Collin P, Fasel JH. Injury to the axillary nerve after reverse shoulder arthroplasty: an anatomical study. Orthop Traumatol Surg Res 2014;100:105-8.   DOI
71 Paisley KC, Kraeutler MJ, Lazarus MD, Ramsey ML, Williams GR, Smith MJ. Relationship of scapular neck length to scapular notching after reverse total shoulder arthroplasty by use of plain radiographs. J Shoulder Elbow Surg 2014;23:882-7.   DOI