Complications of total shoulder-replacement arthroplasty

Complications associated with orthopaedic prostheses or implants account for approximately 5 per cent of the more than 3.5 million hospitalizations for musculoskeletal conditions. This is important in light of the increasing number of patients who receive prostheses and the fact that the average age...

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Bibliographic Details
Published in:Journal of bone and joint surgery. American volume 1996-04, Vol.78 (4), p.603-616
Main Authors: WIRTH, M. A, ROCKWOOD, C. A
Format: Article
Language:English
Subjects:
Biological and medical sciences
Fractures, Bone - etiology
Humans
Joint Diseases - surgery
Joint Instability - etiology
Joint Prosthesis - adverse effects
Medical sciences
Orthopedic surgery
Prosthesis Design
Prosthesis Failure
Prosthesis-Related Infections
Shoulder Joint - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
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Summary:Complications associated with orthopaedic prostheses or implants account for approximately 5 per cent of the more than 3.5 million hospitalizations for musculoskeletal conditions. This is important in light of the increasing number of patients who receive prostheses and the fact that the average age of patients who have a total shoulder arthroplasty is the lowest among those for all major joint replacements. Like replacement procedures in other major joints, total shoulder arthroplasty is associated with numerous complications, including prosthetic loosening, glenohumeral instability, tears of the rotator cuff, periprosthetic fracture, infection, neural injury, and dysfunction of the deltoid. Our review of forty-one series involving 1858 total shoulder arthroplasties reported from 1975 through 1995 revealed an average duration of follow-up of only 3.5 years. We agree with Neer and Kirby that an average duration of follow-up of three years is not sufficient to assess many of the complications associated with total shoulder arthroplasty. (DBO)
ISSN:0021-9355
1535-1386
DOI:10.2106/00004623-199604000-00018