Complications of shoulder surgery: revision surgery may be helpful when a total shoulder joint replacement, rotator cuff repair or surgery for dislocation fails or is unsuccessful in relieving pain, stiffness, weakness or instability
Edited By: Frederick A. Matsen III, M.D., Winston J. Warme, MD
Last updated Friday, October 16, 2009
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AboutBasics of complications of shoulder surgery Download this article in ( ) pdf format
Even
when it is performed well, shoulder surgery may fail to yield a
comfortable and functional shoulder. Operations for rotator cuff tears,
shoulder dislocations, fractures, and shoulder arthritis may be
complicated by shoulder stiffness, weakness, instability, loosening,
wear, fracture or infection. An important example is the failure of the
glenoid component in a total shoulder joint replacement.
When a surgery has failed, a careful analysis is
required to determine the type and cause of the failure and whether the
failure is likely to benefit from a revision surgery.
After
performing a clinical exam and x-rays, a shoulder surgeon experienced
in the complexities of revision shoulder surgery will try to identify
the causes of failure and to determine if surgery is likely to be
helpful. The chances of a successful revision surgery are highest if
(1) the patient is well motivated and in good health and (2) if the
shoulder has mechanical problems that can be addressed by removing scar
tissue, balancing muscles, repairing deficient tendons, achieving
stability and restoring functional joint surfaces.
Revision
shoulder surgery is often a highly technical procedure and is best
performed by a surgical team who performs revision surgery often. Such
a team can maximize the benefit and minimize the risks.
Examples of surgical techniques used in revision surgery include
(1) a bone block to restore the contour of the bony socket when standard procedures fail to restore shoulder stability
(2) Hemiarthroplasty with non prosthetic arthroplasty when arthritis complicates previous surgery in an active individual
(3) Total shoulder arthroplasty when arthritis from prior surgery has severely destroyed the surfaces of the joint
(4) Reverse total shoulder when prior surgery has left the shoulder with severe weakness or instability
Surgery for Complications of shoulder surgery at the University of Washington, Department of Orthopaedics and Sports Medicine, Seattle, Washington If you are interested in making an appointment to discuss this procedure in Seattle, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-BONE (2663) to make an appointment. Our clinical center is located in Seattle Washington, USADisclaimer
This resource has been provided by the University of Washington Department of Orthopaedics and Sports Medicine as general information only. This information may not apply to a specific patient. Additional information may be found at http://www.orthop.washington.edu or by contacting the UW Department of Orthopaedics and Sports Medicine.
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