Department of Orthopaedic Surgery, Stanford University Medical Center, Redwood City, CA, USA.
J Am Acad Orthop Surg. 2011 Jul;19(7):439-49.
Reverse total shoulder arthroplasty was initially used to manage complex shoulder problems. Indications have been expanded to include rotator cuff arthropathy, massive rotator cuff tear, failed shoulder arthroplasty, and fracture sequelae. Increased use of primary reverse total shoulder arthroplasty has led to reports of associated problems unique to the procedure. The most common complications include neurologic injury, periprosthetic fracture, hematoma, infection, scapular notching, dislocation, mechanical baseplate failure, and acromial fracture. Little information has been published regarding best practices for managing these complications.
反式全肩关节置换术最初用于治疗复杂的肩部问题。适应证已扩大到包括肩袖关节炎、巨大肩袖撕裂、肩关节置换失败和骨折后遗症。原发性反式全肩关节置换术的应用增加导致了与该手术相关的独特问题的报告。最常见的并发症包括神经损伤、假体周围骨折、血肿、感染、肩胛切迹、脱位、机械底板失败和肩峰骨折。关于如何处理这些并发症的最佳实践方法,发表的信息很少。