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Current Concepts Review - Complications of Total Shoulder-Replacement Arthroplasty*

MICHAEL A. WIRTH, M.D. and CHARLES A. ROCKWOOD, JR., M.D., SAN ANTONIO, TEXAS

*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.

	Introduction

 
Complications associated with orthopaedic prostheses or implants account for approximately 5 per cent of the more than 3.5 million hospitalizations for musculoskeletal conditions⁸². 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^28,73. 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.

In recent years, mirroring the increase in the number of total joint arthroplasties in general, the number of shoulder-replacement procedures has increased substantially^28,71-73. However, despite this growth, fewer than 5000 total shoulder replacements were performed annually in the United States from 1990 through 1992, compared with 136,000 total hip and . . . [Full Text of this Article]

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