Hemiarthroplasty and Total Shoulder Arthroplasty Conversion to Reverse Total Shoulder Arthroplasty

Research output: Contribution to journalArticle

Abstract

Purpose of Review: The incidence of shoulder arthroplasty is increasing dramatically for primary arthroplasty but also for revision arthroplasty. Revision to reverse total shoulder arthroplasty is increasingly the salvage operation for failed primary arthroplasty. The purpose of this review is to explore the indications for and results of revision reverse total shoulder arthroplasty. Recent Findings: Despite relatively high complication and reoperation rates with revision shoulder replacement, revision of failed hemiarthroplasty or total shoulder arthroplasty to reverse total shoulder arthroplasty improves outcomes for many patients. A failed hemiarthroplasty or total shoulder arthroplasty is frequently disabling for the patient and because the surgical revision options are often limited only to reverse total shoulder arthroplasty, the potential improvement is often worth the higher surgical complication or reoperation rate. Summary: Due to the challenges inherent in revision arthroplasty, revision of primary arthroplasty to reverse total shoulder arthroplasty, outcomes are poorer than primary reverse total shoulder arthroplasty. Despite these limitations, patient postoperative pain and function do increase from preoperative levels making conversion of hemiarthroplasty or anatomic total shoulder to reverse total shoulder arthroplasty an important option for a challenging problem.

Original languageEnglish (US)
Pages (from-to)501-508
Number of pages8
JournalCurrent Reviews in Musculoskeletal Medicine
Volume13
Issue number4
DOIs
StatePublished - Jun 1 2020

Keywords

  • Complex shoulder revision
  • Reverse total shoulder arthroplasty
  • Revision shoulder arthroplasty
  • Shoulder arthroplasty

PubMed: MeSH publication types

  • Journal Article
  • Review

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