Early complications of reverse total shoulder arthroplasty

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Abstract

Background. The frequency of early complications after reverse shoulder arthroplasty remains high enough, and the overall complication rate is reported from 4.7% to 38%.

Methods. We did 23 primary reverse shoulder arthroplasty and used clinical information after these operations in our study. As a comparative material, we used date from registers of foreign countries, as well as information from special literature.

Results. Early complications were found in five cases (21.7%) in our study: two cases (8.7%) of a periprosthetic fracture; three patients (13.2%) had dislocation components. We studied these complications and formulated rules preventive measures.

Conclusions. (1) The most common early complications after revers total shoulder arthroplasty were instability components, periprosthetic fracture. (2) These types of complications arise due to unbalanced soft tissues, inadequate selection of the size of the glenosphere, interposition of soft tissues, and inadequate term of loads on the operated limb. (3) The number of these complications can be reduced by observing preventive measures at all stages of treatment.

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About the authors

Aleksey V. Lychagin

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: baizil@inbox.ru

PhD, Professor

Russian Federation, Moscow

Guren A. Kesian

National Medical Research Center for Traumatology and Orthopedics named after N.N. Priorov

Email: baizil@inbox.ru

PhD, Head of Department

Russian Federation, Moscow

Eugeny B. Kalinskу

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: baizil@inbox.ru

MD, Associate Professor

Russian Federation, Moscow

Nikilay A. Sukharev

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: baizil@inbox.ru

Post-graduate student

Russian Federation, Moscow

References

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Supplementary files

Supplementary Files
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1. Fig. 1. Patients’ X-ray with shoulder component dislocation of a reverse shoulder joint endoprosthesis

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2. Fig. 2. X-ray of a patient with dislocated glenosphere

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3. Fig. 3. X-ray of a patient after correction of dislocated glenosphere

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4. Fig. 4. Revision surgery, osteosynthesis of periprosthetic humerus diaphysis fracture using cerclage technique

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5. Fig. 5. X-ray of a patient after osteosynthesis of periprosthetic fracture using cerclage technique

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