Top

Published in:

01-04-2010 | Original Paper

Complications in shoulder arthroplasty: an analysis of 485 cases

Authors: Peter R. Aldinger, Patric Raiss, Markus Rickert, Markus Loew

Published in: International Orthopaedics | Issue 4/2010

Abstract

The aim of this study was to analyse the complication rates of six different shoulder arthroplasty concepts for different diagnoses in the short and midterm. The study included 485 primary shoulder arthroplasties. The mean follow-up of the cohort was 3.5 (1–10) years. Complications were classified into three categories: (1) without reoperation, (2) soft tissue revision and (3) implant revision. In total, 56 complications were recorded (11.6%): 34 (7%) were category 1 complications, 11 (2.3%) were category 2 and 11 (2.3%) were category 3. For the whole cohort the median follow-up was 1.6 years (1–10 years) and the survival rate without any complication was 90.5% (95% CI: 87.9–93.1). Patients rated the result of their surgery in 270 (55.7%) cases as very satisfied, in 148 (30.5%) as satisfied, in 43 (8.9%) as somewhat disappointed and in 24 (4.9%) as disappointed. A relatively low complication rate was found in this study. Long-term observations are necessary to confirm these results.

Arredondo J, Worland RL (1999) Bipolar shoulder arthroplasty in patients with osteoarthritis: short-term clinical results and evaluation of birotational head motion. J Shoulder Elbow Surg 8:425–429CrossRefPubMed

Bailie DS, Llinas PJ, Ellenbecker TS (2008) Cementless humeral resurfacing arthroplasty in active patients less than fifty-five years of age. J Bone Joint Surg Am 90:110–117CrossRefPubMed

Berth A, Pap G (2007) Hemi- versus bipolar shoulder arthroplasty for chronic rotator cuff arthropathy. Int Orthop 32:735–740CrossRefPubMed

Bohsali KI, Wirth MA, Rockwood CA Jr (2006) Complications of total shoulder arthroplasty. J Bone Joint Surg Am 88:2279–2292CrossRefPubMed

Boileau P, Krishnan SG, Tinsi L, Walch G, Coste JS, Molé D (2002) Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. J Shoulder Elbow Surg 11:401–412CrossRefPubMed

Boileau P, Watkinson D, Hatzidakis AM, Hovorka I (2006) Neer Award 2005: The Grammont reverse shoulder prosthesis: results in cuff tear arthritis, fracture sequelae, and revision arthroplasty. J Shoulder Elbow Surg 15:527–540CrossRefPubMed

Boyer P, Huten D, Alnot JY (2006) Bipolar shoulder prosthesis for rheumatoid arthritis with irreparable rotator cuff tear: results after 5 years’ follow-up (in French). Rev Chir Orthop Reparatrice Appar Mot 92:556–566PubMed

Burroughs PL, Gearen PF, Petty WR, Wright TW (2003) Shoulder arthroplasty in the young patient. J Arthroplasty 18:792–798CrossRefPubMed

Chin PY, Sperling JW, Cofield RH, Schleck C (2006) Complications of total shoulder arthroplasty: are they fewer or different? J Shoulder Elbow Surg 15:19–22CrossRefPubMed

10.

Diaz-Borjon E, Yamakado K, Pinilla R, Keith P, Worland RL (2007) Shoulder replacement in end-stage rotator cuff tear arthropathy: 5- to 11-year follow-up analysis of the bi-polar shoulder prosthesis. J Surg Orthop Adv 16:123–130PubMed

11.

Edwards TB, Kadakia NR, Boulahia A, Kempf JF, Boileau P, Némoz C, Walch G (2003) A comparison of hemiarthroplasty and total shoulder arthroplasty in the treatment of primary glenohumeral osteoarthritis: results of a multicenter study. J Shoulder Elbow Surg 12:207–213CrossRefPubMed

12.

Gartsman GM, Roddey TS, Hammerman SM (2000) Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis. J Bone Joint Surg Am 82:26–34PubMed

13.

Gronhagen CM, Abbaszadegan H, Revay SA, Adolphson PY (2007) Medium-term results after primary hemiarthroplasty for comminute proximal humerus fractures: a study of 46 patients followed up for an average of 4.4 years. J Shoulder Elbow Surg 16:766–773CrossRefPubMed

14.

Haines JF, Trail IA, Nuttall D, Birch A, Barrow A (2006) The results of arthroplasty in osteoarthritis of the shoulder. J Bone Joint Surg Br 88:496–501PubMed

15.

Hayes PR, Flatow EL (2001) Total shoulder arthroplasty in the young patient. Instr Course Lect 50:73–88PubMed

16.

John M, Pap G, Angst F, Flury MP, Lieske S, Schwyzer HK, Simmen BR (2009) Short-term results after reversed shoulder arthroplasty (Delta III) in patients with rheumatoid arthritis and irreparable rotator cuff tear. Int Orthop

17.

Levy O, Copeland SA (2001) Cementless surface replacement arthroplasty of the shoulder. 5- to 10-year results with the Copeland mark-2 prosthesis. J Bone Joint Surg Br 83:213–221CrossRefPubMed

18.

Levy O, Copeland SA (2004) Cementless surface replacement arthroplasty (Copeland CSRA) for osteoarthritis of the shoulder. J Shoulder Elbow Surg 13:266–271CrossRefPubMed

19.

Levy O, Funk L, Sforza G, Copeland SA (2004) Copeland surface replacement arthroplasty of the shoulder in rheumatoid arthritis. J Bone Joint Surg Am 86-A:512–518PubMed

20.

McFarland EG, Sanguanjit P, Tasaki A, Keyurapan E, Fishman EK, Fayad LM (2006) The reverse shoulder prosthesis: a review of imaging features and complications. Skeletal Radiol 35:488–496CrossRefPubMed

21.

Mont MA, Maar DC, Krackow KA, Jacobs MA, Jones LC, Hungerford DS (1993) Total hip replacement without cement for non-inflammatory osteoarthrosis in patients who are less than forty-five years old. J Bone Joint Surg Am 75:740–751PubMed

22.

Mullett H, Levy O, Raj D, Even T, Abraham R, Copeland SA (2007) Copeland surface replacement of the shoulder. Results of an hydroxyapatite-coated cementless implant in patients over 80 years of age. J Bone Joint Surg Br 89:1466–1469CrossRefPubMed

23.

Radnay CS, Setter KJ, Chambers L, Levine WN, Bigliani LU, Ahmad CS (2007) Total shoulder replacement compared with humeral head replacement for the treatment of primary glenohumeral osteoarthritis: a systematic review. J Shoulder Elbow Surg 16:396–402CrossRefPubMed

24.

Raiss P, Aldinger PR, Kasten P, Rickert M, Loew M (2007) Humeral head resurfacing for fixed anterior glenohumeral dislocation. Int Orthop 33:451–456CrossRefPubMed

25.

Raiss P, Kasten P, Baumann F, Moser M, Rickert M, Loew M (2009) Treatment of osteonecrosis of the humeral head with cementless surface replacement arthroplasty. J Bone Joint Surg Am 91:340–349CrossRefPubMed

26.

Rickert M, Loew M (2007) Hemiarthroplasty or total shoulder replacement in glenohumeral osteoarthritis (in German)? Orthopade 36:1013–1016CrossRefPubMed

27.

Rispoli DM, Sperling JW, Athwal GS, Schleck CD, Cofield RH (2006) Humeral head replacement for the treatment of osteoarthritis. J Bone Joint Surg Am 88:2637–2644CrossRefPubMed

28.

Robinson CM, Page RS, Hill RM, Sanders DL, Court-Brown CM, Wakefield AE (2003) Primary hemiarthroplasty for treatment of proximal humeral fractures. J Bone Joint Surg Am 85-A:1215–1223PubMed

29.

Sarris IK, Papadimitriou NG, Sotereanos DG (2003) Bipolar hemiarthroplasty for chronic rotator cuff tear arthropathy. J Arthroplasty 18:169–173CrossRefPubMed

30.

Smith AM, Mardones RM, Sperling JW, Cofield RH (2007) Early complications of operatively treated proximal humeral fractures. J Shoulder Elbow Surg 16:14–24CrossRefPubMed

31.

Sperling JW, Cofield RH, Rowland CM (2004) Minimum fifteen-year follow-up of Neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty years or younger. J Shoulder Elbow Surg 13:604–613CrossRefPubMed

32.

Stern SH, Bowen MK, Insall JN, Scuderi GR (1990) Cemented total knee arthroplasty for gonarthrosis in patients 55 years old or younger. Clin Orthop Relat Res 260:124–129PubMed

33.

Wall B, Nové-Josserand L, O’Connor DP, Edwards TB, Walch G (2007) Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am 89:1476–1485CrossRefPubMed

34.

Werner CM, Steinmann PA, Gilbart M, Gerber C (2005) Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis. J Bone Joint Surg Am 87:1476–1486CrossRefPubMed

35.

Wirth MA, Rockwood CA Jr (1996) Complications of total shoulder-replacement arthroplasty. J Bone Joint Surg Am 78:603–616PubMed

36.

Worland RL, Jessup DE, Arredondo J, Warburton KJ (1997) Bipolar shoulder arthroplasty for rotator cuff arthropathy. J Shoulder Elbow Surg 6:512–515CrossRefPubMed

Title: Complications in shoulder arthroplasty: an analysis of 485 cases
Authors: Peter R. Aldinger
Patric Raiss
Markus Rickert
Markus Loew
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 4/2010
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-009-0780-7

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Complications in shoulder arthroplasty: an analysis of 485 cases

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2010

Distal tibia fractures: management and complications of 101 cases

Nailing versus plating in humerus shaft fractures: A prospective comparative study

Fixation of basicervical and related fractures

Coccygectomy with or without periosteal resection

Valgus osteotomy in recent intracapsular femoral neck fractures

Evaluation of acetabular versions after a curved periacetabular osteotomy for dysplastic hips