Table 4.
Complications of rTSA.a
| Authors | Year | Scapular notching | Radiolucent lines around glenoid | Heterotopic ossification | Dislocation | Infection | Humeral stem loosening | Acromion fracture | Neuropraxia | Cubital tunnel syndrome | Humeral fracture | Miscellaneous | # of Patients |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Chalmers et al.64 | 2014 | 0 | 0 | – | 0 | – | – | – | 1 (II) | – | – | – | 9 |
| Formaini et al.48 | 2015 | – | – | – | – | – | – | – | – | – | 1 (III) required revision to long stem prosthesis | – | 25 |
| Frank et al.65 | 2018 | – | – | – | 5 (III) | 2 (II) | – | – | – | – | – | – | 243 |
| Uzer et al.47 | 2017 | 1 (I) | – | – | – | 2 (II) | 1 (III); treated with humeral component revision | – | – | – | 1 (III) fixation with limited-contact dynamic compression plate | – | 33 |
| Izquierdo-Fernández et al.66 | 2017 | 14 (I) | 16 (I) | – | – | – | – | – | – | – | – | – | 29 |
| Jonušas et al.67 | 2017 | 0 | – | 2 (I) | – | – | – | – | – | – | – | 1 (I(tubercle malposition) | 27 |
| Jorge-Mora et al.49 | 2018 | – | – | – | 1 (III); treated with component exchange | 1 (III); treated with debridement and mobile component exchange | – | – | – | – | 1 (II); treateted locking stem and cerclage | – | 58 |
| Kirzner et al.68 | 2018 | 21 (1) | – | – | – | – | – | 2 | – | – | – | 2 scapular spine fracture; treated non-operatively | 40 |
| Lowe et al.46 | 2018 | – | – | – | – | – | – | 2 (II); not surgically treated | 1 (II) | – | – | 1 (I) perforated stomach ulcer | 30 |
| Merolla et al.76 | 2018 | 16 (1) | 5 (1) | 14 (1) | 4 (III); 3 treated with closed reduction, 1 required higher PE implant | 3 (II/III); 1 (III) required one-step implant exchange | 13 (III) | 1 (III); treated with ORIF | 0 | 0 | 0 | 2 (II) scapular spine fracture; treated non-operatively | 74 |
| Padegimas et al.b,22 | 2016 | – | – | – | 5 (III); treated with polyethylene component exchange | – | – | – | – | – | – | – | 393 |
| Padegimas et al.69 | 2018 | – | – | – | 2 (III); 1 treated with component exchange, 1 treated with polyethylene exchange | 0 | – | 1 (II); not surgically treated | – | – | – | – | 14 |
| Parisien et al.57 | 2016 | – | – | – | – | – | – | – | 1 (II) | – | – | 12 | |
| Raiss et al.70 | 2018 | 1(III); treated with polyethylene exchange | 2 (III); treated with debridement, polyethylene and glenoid exchange | 1 (II); treated non-operatively | 77 | ||||||||
| Sanchez-Sotelo et al.50 | 2018 | 0 | 0 | 15 | 0 | 2 (III); treated two-stage revision | 0 | 1 | 0 | 0 | 1 (III); treated with cemented humeral component revision and fracture fixation | 1 glenoid component loosening treated with HA (III); 1 scapular stress fracture (II) | 90 |
| Schnetzke et al.24 | 2017 | 0 | 0 | – | – | 0 | 0 | 2 (II) | – | – | – | 8 (cortical thinning/osteopenia) (I) | 24 |
| Thomasson et al.23 | 2015 | – | – | – | – | – | – | – | 6 (II) | 1 (III) | – | – | 57 |
| Torrens et al.71 | 2016 | 26 (I) | – | – | 2 (III); required revision | 0 | – | 1 (II); not surgically treated | – | – | – | 81 | |
| Updegrove et al.72 | 2018 | 3 | 0 | 5 | – | – | – | – | – | – | – | – | 12 |
| Verdano et al.73 | 2018 | 3 | – | 3 | 0 | 0 | – | 0 | 0 | – | 0 | – | 32 |
| Yoon et al.74 | 2017 | 20 (I) | – | – | 0 | 0 | – | 1(II) | – | – | – | 1 AC separation (I) | 35 |
| Zilber et al.75 | 2018 | 11 | 5 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 perioperative glenoid fracture; no treatment (I) | 35 |
| Total complications | 115 | 26 | 39 | 15 | 13 | 14 | 12 | 9 | 1 | 4 | 18 | 206 | |
| Total patients | 512 | 273 | 270 | 1141 | 796 | 256 | 532 | 330 | 256 | 257 | 355 | 1455 | |
| % of patients | 22.5 | 9.5 | 14.4 | 1.3 | 1.6 | 5.5 | 2.6 | 2.8 | 0.4 | 1.6 | 5.1 | 18.28 | |
aData reported as count (complication grade).