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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
UPDATES ON SHOULDER ARTHROPLASTY 102nd CONGRESS OF THE PIEMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (S.P.L.L.O.T.) - Brescia September 9-10, 2005
NEW TECHNOLOGIES, MODERN INSTRUMENTARIUM IN ARTHROPLASTIC SURGERY
Minerva Ortopedica e Traumatologica 2005 August;56(4):331-6
Revision of failed shoulder arthroplasty
Odella F., Odella S., Leo R.
Istituto Ortopedico G. Pini, Milano
Aim. Revision arthroplasty is still a challenge for an orthopedic surgeon since at present standard guide lines are not yet available for this kind of procedures. It is important to know the causes which can lead to the failure of shoulder arthroplasty; they are often related to the primary diagnosis or to malposition of the implant or to postoperative complications. The aim of this study is to define the causes of failure, to study a new strategy and to describe the main surgical procedures in order to obtain the best results.
Methods. Failure of shoulder arthroplasty is always characterized by pain. Forty-five patients, previously submitted to arthroplasty, needed a revision surgery.
Results. The results obtained were generally satisfactory.
Conclusion. The good outcome of a shoulder arthroplasty is due to a careful balance of many factors; if athroplasty failure occurs, it is necessary to identify the cause and take into account that the same complication can be due to different factors.