Table V.
Complications and revisions after short-stem RSA.
| Study | Shoulders, n | Complications | Details of complications | Revisions | Treatment |
|---|---|---|---|---|---|
| Giuseffi (2013)19 | 44 | 3 (6.8%) | Superficial infection: 1, dislocation: 1, brachial plexus abnormality: 1 | 0 | 0 |
| Atoun (2014)5 | 31 | 6 (19.4%) | Acromial stress fracture: 1, dislocations: 2, intraoperative humeral fractures: 2, intraoperative glenoid fractures: 1 | 2 (6.5%) | 2 instabilities: reorientation of liner, osteophyte resection |
| Ascione (2017)2 | 100 | 15 (15%) | Scapula spine fracture: 4 (4%), acromial fracture: 1 (1%), infections: 4 (4%), instability: 3 (3%), glenoid aseptic loosening: 2 (2%), brachial plexus palsy: 1 (1%) | 10 (10%) | 1 scapular spine fracture: ORIF, 1 acromion fracture: ORIF, 3 infections: 3 single stage revisions ,3 instabilities: change to larger glenosphere and thicker PE insert, 1 glenoid aseptic loosening: change to thicker PE insert, 1 plexus palsy: stem exchange |
| Goetzmann (2017)20 | 24 | 2 (8%) | Scapula spine fracture: 1, brachial plexus palsy: 1 | 1 (4%) | Plexus palsy: stem exchange with humeral shortening |
| Schnetzke (2017)48 | 24 | 2 (8.3%) | Acromion fatigue fractures: 2 | 0 | 0 |
| Merolla (2017)36 | 38 | 7 | Scapula spine fracture: 2, acromial fracture: 1, infections: 3, instability: 1 | 2 (5.3%) | 1 infection: 1-step revision with change to another reverse prosthesis, 1 dislocation: change to higher PE insert |
| Aibinder (2019)1 | 65 | NR | NR | NR | NR |
| Dukan (2019)13 | 71 | 15 (21%) | Acromial stress fracture: 3, late sepsis: 2, anterior delta atrophy: 9 (12%), intraoperative partial glenoid fracture: 1 | 2 (2.8%) | 2 infections: 2-step revision with spacer |
| Raiss (2019)42 | 77 | 6 (7.8%) | Acromial stress fracture: 1, severe infections: 2, mild infections: 2, dislocation: 1 | 5 (7.8%) | 4 infections: change of PE liner and glenosphere, 1 instability: change to a thicker PE liner |
| Peduzzi (2019)40 | 81 | 7 (8.6%) | Scapula spine fracture: 3, infections: 1, minor wound problem: 1, glenoid loosening: 1, humeral fracture: 1 | 2 (2.5%) | 1 infection: change of insert/glenosphere, 1 humeral fracture: change of humeral stem, ORIF |
| All | 490 | 63/490 (12.9%) | 24/490 (4.9%) |
PE, polyethylene; ORIF, open reduction internal fixation; RSA, reverse shoulder arthroplasty; NR, not reported.