Wittmann Thomas, Raiss Patric
OCM München, Steinerstr. 6, 81369, München, Deutschland.
Klinik für Orthopädie und Unfallchirurgie, Muskuloskelettales UniversitätsZentrum München (MUM), LMU Klinikum, Marchioninistraße 15, 81377, München, Deutschland.
Orthopadie (Heidelb). 2023 Feb;52(2):144-152. doi: 10.1007/s00132-022-04338-2. Epub 2023 Jan 27.
In recent years, the number of reverse shoulder arthroplasty implantations has increased continuously and a higher number of revision surgeries due to complications can be expected in the future. Current data show a mean complication rate for RSA of around 4%. The most common complications are instability, infection, component loosening, and periprosthetic fracture.
Revision surgery for RSA is challenging, and an individual treatment plan is necessary. For prosthetic instability, different operative or non-operative treatment options are available. Revision surgery for periprosthetic infection with replacement of the prosthesis is usually necessary for infection management. The treatment of periprosthetic fractures is based on techniques of general fracture treatment and depends on the fracture type. Knowledge of complications and risk factors may decrease complication rates in primary reverse shoulder arthroplasty in the future.
近年来，反肩关节置换术的植入数量持续增加，预计未来因并发症导致的翻修手术数量会更高。目前的数据显示，反肩关节置换术的平均并发症发生率约为4%。最常见的并发症是不稳定、感染、假体松动和假体周围骨折。
反肩关节置换术的翻修手术具有挑战性，需要制定个体化的治疗方案。对于假体不稳定，有不同的手术或非手术治疗选择。对于假体周围感染，通常需要进行翻修手术并更换假体以控制感染。假体周围骨折的治疗基于一般骨折治疗技术，并取决于骨折类型。了解并发症和危险因素可能会降低未来初次反肩关节置换术中的并发症发生率。
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