Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Typ-2-Diabetes und Adipositas Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Häufige urologisch-sexualmedizinische Themen in der Praxis sind das Thema des MMW-Webinars am 5. Juni von 17.30 bis 19 Uhr. Konkret geht es um die Frage, wann bei Harnwegsinfektionen auf Antibiotika verzichtet werden kann, und um ein Update zur Therapie von Libido- und Potenzstörungen des Mannes. Der dritte Vortrag behandelt sexuell übertragbare Krankheiten. Stellen Sie Ihre Fragen an die Experten und sammeln Sie 2 CME-Punkte. Jetzt gleich anmelden!
Erweiterte Suche
Anmelden
nach oben
Current Reviews in Musculoskeletal Medicine
Erschienen in: Current Reviews in Musculoskeletal Medicine 1/2015

01.03.2015 | Shoulder Surgery: Complications (X Li, Section Editor)

Management of complications after total shoulder arthroplasty

verfasst von: Josef K. Eichinger, Joseph W. Galvin

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 1/2015

Einloggen, um Zugang zu erhalten

Abstract

The outcomes of total shoulder arthroplasty (TSA) for painful arthritis of the glenohumeral joint are excellent with significant improvement in pain and function. Increased use of total shoulder arthroplasty over the past decade has led to identification of common complications. Although the complication rate is low, accurate and timely diagnosis, appropriate management, and implementation of methods for prevention are critical to a successful long-term outcome. The most common complications include infection, glenoid and humeral component loosening, rotator cuff tear, periprosthetic fracture, and neurologic injury. The purpose of this review is to outline the best practices for diagnosing, managing, and preventing these complications.
Literatur
1.
Norris TR, Iannotti JP. Functional outcome after shoulder arthroplasty for primary osteoarthritis: a multicenter study. J Should Elbow Surg. 2002;11(2):130–5.CrossRef
2.
Kim SH, Wise BL, Zhang Y, et al. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am. 2011;93(24):2249–54.CrossRefPubMed
3.
Walch G, Boulahia A, Calderone S, et al. The ‘dropping’ and ‘hornblower’s’ signs in evaluation of rotator-cuff tears. J Bone Joint Surg (Br). 1998;80(4):624–8.CrossRef
4.
Gerber C, Hersche O, Farron A. Isolated rupture of the subscapularis tendon. J Bone Joint Surg Am. 1996;78(7):1015–23.PubMed
5.
Park HB, Yokota A, Gill HS. Diagnostic accuracy of clinical tests for the different degrees of subacromial impingement syndrome. J Bone Joint Surg Am. 2005;87(7):1446–55.CrossRefPubMed
6.
Bak K, Sørensen AK, Jørgensen U. The value of clinical tests in acute full-thickness tears of the supraspinatus tendon: does a subacromial lidocaine injection help in the clinical diagnosis? A prospective study. Arthroscopy. 2010;26(6):734–42.CrossRefPubMed
7.
Walch G, Badet R, Boulahia A, et al. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplasty. 1999;14(6):756–60.CrossRefPubMed
8.
Cil A, Veillette CJ, Sanchez-Sotelo J, et al. Survivorship of the humeral component in shoulder arthroplasty. J Should Elbow Surg. 2010;19(1):143–50.CrossRef
9.
Bohsali KI, Wirth MA, Rockwood Jr CA. Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006;88(10):2279–92.CrossRefPubMed
10.
Wirth MA, Rockwood Jr CA. Complications of total shoulder-replacement arthroplasty. J Bone Joint Surg Am. 1996;78(4):603–16.PubMed
11.
Coste JS, Reig S, Trojani C, et al. The management of infection in arthroplasty of the shoulder. J Bone Joint Surg (Br). 2004;86(1):65–9.
12.
Sperling JW, Kozak TK, Hanssen AD, et al. Infection after shoulder arthroplasty. Clin Orthop Relat Res. 2001;382:206–16.CrossRefPubMed
13.
Topolski MS, Chin PY, Sperling JW, et al. Revision shoulder arthroplasty with positive intraoperative cultures: the value of preoperative studies and intraoperative histology. J Should Elbow Surg. 2006;15(4):402–6.CrossRef
14.
Pottinger P, Butler-Wu S, Neradilek MB, et al. Prognostic factors for bacterial cultures positive for Propionibacterium acnes and other organisms in a large series of revision shoulder arthroplasties performed for stiffness, pain, or loosening. J Bone Joint Surg Am. 2012;94(22):2075–83.CrossRefPubMed
15.
Jawa A, Shi L, O’Brien T, et al. Prosthesis of antibiotic-loaded acrylic cement (PROSTALAC) use for the treatment of infection after shoulder arthroplasty. J Bone Joint Surg Am. 2011;93(21):2001–9.CrossRefPubMed
16.•
Bonnevialle N, Melis B, Neyton L, et al. Aseptic glenoid loosening or failure in total shoulder arthroplasty: revision with glenoid reimplantation. J Should Elbow Surg. 2013;22(6):745–51. This is a retrospective review of 42 symptomatic failed TSAs secondary to glenoid component loosening and it demonstrated that revision TSA with reimplantation of an all-PE cemented glenoid component leads to high rate of recurrent glenoid loosening and failure. CrossRef
17.
Sperling JW, Hawkins RJ, Walch G, et al. Complications in total shoulder arthroplasty. J Bone Joint Surg Am. 2013;95(6):563–9.PubMed
18.•
Zhang AL, Feeley BT, Schwartz BS, et al.: Management of deep postoperative shoulder infections: is there a role for open biopsy during staged treatment? J Shoulder Elbow Surg. 2014. S1058-2746. This was a prospective study in which an open biopsy was performed as a separate procedure prior to second stage reimplantation for an infected TSA. Specimens obtained at time of open biopsy detected a high culture positive rate of 22% and in 38% of P. Acnes infections, which suggests a role for this procedure in the management of infected TSA undergoing two stage reimplantation.
19.
Sabesan VJ, Ho JC, Kovacevic D, et al. Two-stage reimplantation for treating prosthetic shoulder infections. Clin Orthop Relat Res. 2011;469(9):2538–43.CrossRefPubMedCentralPubMed
20.
Li X, Eichinger JK, Higgins LD. Management of failed metal-backed glenoid component in patients with bilateral total shoulder arthroplasty. Int J Shoulder Surg. 2013;7(4):143–8.CrossRefPubMedCentralPubMed
21.
Moeckel BH, Altchek DW, Warren RF, et al. Instability of the shoulder after arthroplasty. J Bone Joint Surg Am. 1993;75(4):492–7.PubMed
22.
Sanchez-Sotelo J, Sperling JW, Rowland CM, et al. Instability after shoulder arthroplasty: results of surgical treatment. J Bone Joint Surg Am. 2003;85-A(4):622–31.PubMed
23.
Hattrup SJ, Cofield RH, Cha SS. Rotator cuff repair after shoulder replacement. J Should Elbow Surg. 2006;15(1):78–83.CrossRef
24.
Endres NK, Warner JJ. Anterior instability after total shoulder replacement: salvage with modified Latarjet procedure. A report of 2 cases. J Should Elbow Surg. 2010;19(2):e1–5.CrossRef
25.
Walch G, Moraga C, Young A, et al. Results of anatomic nonconstrained prosthesis in primary osteoarthritis with biconcave glenoid. J Should Elbow Surg. 2012;21(11):1526–33.CrossRef
26.
Vermes C, Chandrasekaran R, Jacobs JJ, et al. The effects of particulate wear debris, cytokines, and growth factors on the functions of MG-63 osteoblasts. J Bone Joint Surg Am. 2001;83-A(2):201–11.PubMed
27.
Fox TJ, Cil A, Sperling JW, et al. Survival of the glenoid component in shoulder arthroplasty. J Should Elbow Surg. 2009;18:859–63.CrossRef
28.
Taunton MJ, McIntosh AL, Sperling JW, et al. Total shoulder arthroplasty with a metal-backed, bone-ingrowth glenoid component. Medium to long-term results. J Bone Joint Surg Am. 2008;90:2180–8.CrossRefPubMed
29.
Boileau P, Avidor C, Krishnan SG, et al. Cemented polyethylene versus uncemented metalbacked glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study. J Should Elbow Surg. 2002;11:351–9.CrossRef
30.
Kasten P, Pape G, Raiss P, et al. Mid-term survivorship analysis of a shoulder replacement with a keeled glenoid and a modern cementing technique. J Bone Joint Surg (Br). 2010;92:387–92.CrossRef
31.
Stone KD, Grabowski JJ, Cofield RH, et al. Stress analyses of glenoid components in total shoulder arthroplasty. J Should Elbow Surg. 1999;8:151–8.CrossRef
32.
Budge MD, Nolan EM, Heisey MH, et al. Results of total shoulder arthroplasty with a monoblock porous tantalum glenoid component: a prospective minimum 2-year follow-up study. J Should Elbow Surg. 2013;22:535–41.CrossRef
33.
O’Driscoll SW, Petrie RS, Torchia ME. Arthroscopic removal of the glenoid component for failed total shoulder arthroplasty. A report of five cases. J Bone Joint Surg Am. 2005;87(4):858–63.CrossRefPubMed
34.
Cheung EV, Sperling JW, Cofield RH. Revision shoulder arthroplasty for glenoid component loosening. J Should Elbow Surg. 2008;17(3):371–5.CrossRef
35.••
Melis B, Bonnevialle N, Neyton L, et al. Glenoid loosening and failure in anatomical total shoulder arthroplasty: is revision with a reverse shoulder arthroplasty a reliable option? J Should Elbow Surg. 2012;21(3):342–9. This was a retrospective multicenter cohort study evaluating the outcomes of 37 consecutive anatomical TSA revised to RTSA for aseptic glenoid loosening or failure. Eighty six percent of patients were satisfied or very satisfied with their outcome; however, there was a 21% reoperation rate for either glenoid loosening, prosthetic instability or humeral subsidence. RTSA in the revision setting for glenoid loosening is a reliable option in the appropriate patient. CrossRef
36.
Deshmukh AV, Koris M, Zurakowski D, et al. Total shoulder arthroplasty: long-term survivorship, functional outcome, and quality of life. J Should Elbow Surg. 2005;14(5):471–9.CrossRef
37.
Sperling JW, Cofield RH, O’Driscoll SW, et al. Radiographic assessment of ingrowth total shoulder arthroplasty. J Should Elbow Surg. 2002;9:507–13.CrossRef
38.
Matsen 3rd FA, Iannotti JP, Rockwood Jr CA. Humeral fixation by press-fitting of a tapered metaphyseal stem: a prospective radiographic study. J Bone Joint Surg Am. 2003;85:304–8.PubMed
39.
Sahota S, Sperling JW, Cofield RH.: Humeral windows and longitudinal splits for component removal in revision shoulder arthroplasty. J Shoulder Elbow Surg. 2014;S1058-2746.
40.
Elhassan B, Ozbaydar M, Massimini D, et al. Transfer of pectoralis major for the treatment of irreparable tears of subscapularis: does it work? J Bone Joint Surg (Br). 2008;90(8):1059–65.CrossRef
41.
Young AA, Walch G, Pape G, et al. Secondary rotator cuff dysfunction following total shoulder arthroplasty for primary glenohumeral osteoarthritis: results of a multicenter study with more than five years of follow-up. J Bone Joint Surg Am. 2012;94(8):685–93.CrossRefPubMed
42.
Kumar S, Sperling JW, Haidukewych GH, et al. Periprosthetic humeral fractures after shoulder arthroplasty. J Bone Joint Surg Am. 2004;86-A(4):680–9.PubMed
43.
Wright TW, Cofield RH. Humeral fractures after shoulder arthroplasty. J Bone Joint Surg Am. 1995;77:1340–6.PubMed
44.
Andersen JR, Williams CD, Cain R, et al. Surgically treated humeral shaft fractures following shoulder arthroplasty. J Bone Joint Surg Am. 2013;95(1):9–18.CrossRefPubMed
45.
Lädermann A, Lübbeke A, Mélis B, et al. Prevalence of neurologic lesions after total shoulder arthroplasty. J Bone Joint Surg Am. 2011;93(14):1288–93.CrossRefPubMed
46.
Lynch NM, Cofield RH, Silbert PL, et al. Neurologic complications after total shoulder arthroplasty. J Should Elbow Surg. 1996;5:53–61.CrossRef
47.
Walton JS, Folk JW, Friedman RJ, et al. Complete brachial plexus palsy after total shoulder arthroplasty done with interscalene block anesthesia. Reg Anesth Pain Med. 2000;25(3):318–21.CrossRefPubMed
48.
Lugli T. Artificial shoulder joint by Péan (1893): the facts of an exceptional intervention and the prosthetic method. Clin Orthop Relat Res. 1978;133:215–8.PubMed
Metadaten
Titel
Management of complications after total shoulder arthroplasty
verfasst von
Josef K. Eichinger
Joseph W. Galvin
Publikationsdatum
01.03.2015
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 1/2015
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-014-9251-x

Weitere Artikel der Ausgabe 1/2015

Current Reviews in Musculoskeletal Medicine 1/2015 Zur Ausgabe

Shoulder Surgery: Complications (X Li, Section Editor)

Complications after arthroscopic labral repair for shoulder instability

Shoulder Surgery: Complications (X Li, Section Editor)

Management of complications after rotator cuff surgery

Shoulder Surgery: Complications (X Li, Section Editor)

Management of complications after revision shoulder arthroplasty

Shoulder Surgery: Complications (X Li, Section Editor)

Management of complications after reverse shoulder arthroplasty

Shoulder Surgery: Complications (X Li, Section Editor)

Management of Propionibacterium acnes infection after shoulder surgery

Shoulder Surgery: Complications (X Li, Section Editor)

Managing and recognizing complications after treatment of acromioclavicular joint repair or reconstruction

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Knie-TEP: Kein Vorteil durch antibiotikahaltigen Knochenzement

29.05.2024 Periprothetische Infektionen Nachrichten

Zur Zementierung einer Knie-TEP wird in Deutschland zu über 98% Knochenzement verwendet, der mit einem Antibiotikum beladen ist. Ob er wirklich besser ist als Zement ohne Antibiotikum, kann laut Registerdaten bezweifelt werden.

Häusliche Gewalt in der orthopädischen Notaufnahme oft nicht erkannt

28.05.2024 Häusliche Gewalt Nachrichten

In der Notaufnahme wird die Chance, Opfer von häuslicher Gewalt zu identifizieren, von Orthopäden und Orthopädinnen offenbar zu wenig genutzt. Darauf deuten die Ergebnisse einer Fragebogenstudie an der Sahlgrenska-Universität in Schweden hin.

Fehlerkultur in der Medizin – Offenheit zählt!

28.05.2024 Fehlerkultur Podcast

Darüber reden und aus Fehlern lernen, sollte das Motto in der Medizin lauten. Und zwar nicht nur im Sinne der Patientensicherheit. Eine negative Fehlerkultur kann auch die Behandelnden ernsthaft krank machen, warnt Prof. Dr. Reinhard Strametz. Ein Plädoyer und ein Leitfaden für den offenen Umgang mit kritischen Ereignissen in Medizin und Pflege.

Mehr Frauen im OP – weniger postoperative Komplikationen

21.05.2024 Allgemeine Chirurgie Nachrichten

Ein Frauenanteil von mindestens einem Drittel im ärztlichen Op.-Team war in einer großen retrospektiven Studie aus Kanada mit einer signifikanten Reduktion der postoperativen Morbidität assoziiert.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise