ArticleGeriatric orthopaedic surgery & rehabilitation2021
Complications and Intraoperative Fractures in Reverse Shoulder Arthroplasty: A Systematic Review.
Article in Geriatric orthopaedic surgery & rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Surgical management of a traumatic periprosthetic glenoid fracture following a reverse shoulder arthroplasty.JSES reviews, reports, and techniques · 2026Article
- Long-Term Results of Anatomic Stemless Shoulder Prosthesis in Patients With Primary Osteoarthritis.Orthopaedic surgery · 2026Article
- Surgical Release of a Calcified Conjoint Tendon Following Reverse Total Shoulder Arthroplasty: A Case Report.Case reports in orthopedics · 2026Article
- Reverse shoulder replacement for the treatment of proximal humerus fractures: a current literature review.JSES international · 2025Review
- Revision reverse shoulder arthroplasty: Current concepts for the glenoid.Journal of hand and microsurgery · 2025Review
- Assessment of fracture stability following modified minimally invasive reduction osteosynthesis system (MIROS) fixation for Neer 2 and 3-Part proximal humeral fractures.BMC musculoskeletal disorders · 2025Article
- Reverse total shoulder arthroplasty with proximal bone loss: a biomechanical comparison of partially vs. fully cemented humeral stems.Journal of shoulder and elbow surgery · 2024Article
- Article
- Time-elapsed microstructural imaging of failure of the reverse shoulder implant.Journal of orthopaedic surgery and research · 2024Article
- Use of custom glenoid components for reverse total shoulder arthroplasty.Clinics in shoulder and elbow · 2023Article
- Early rehabilitation after reverse total shoulder prosthesis on fracture of proximal humerus in elderly patients provides better functional outcome.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Intraoperative and early postoperative complications of reverse shoulder arthroplasty: A current concepts review.Journal of orthopaedics · 2023Review
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe reverse shoulder arthroplasty is nowadays a treatment option for a variety of shoulder problems. As its incidence rose, also the number of complications increased, including intraoperative fractures. SIGNIFICANCE: We performed a systematic review and critical analysis of the current literature following the PRISMA guidelines. Our purpose was to: 1) determine incidence, causes, and characteristics of intraoperative fractures; 2) evaluate their current treatment options, possible related complications, reoperation rates, and the patients' outcome; and 3) determine the overall incidence of each complication related to reverse shoulder arthroplasty. The articles were selected from PubMed medical database in April 2020 using a comprehensive search strategy. Rayyan software was used to support the selection process of the records. A descriptive and critical analysis of the results was performed.
resultsThe study group included a total of 13,513 reverse shoulder arthroplasty procedures. The total number of complications was 1647 (rate 12.1%). The most common complication was dislocation (340 cases, rate 2.5%). Forty-six studies reported a total of 188 intraoperative fractures among the complications (rate 1.4%). The intraoperative fracture rate was 2.9% and 13.6% in primary and revision settings, respectively. There were 136 humeral fractures, 60% of them occurred in revision RSAs, during the removal of the previous implant, and involved the shaft in the majority of cases (39%). Glenoid fractures were 51 and occurred mostly during the reaming of the glenoid. We observed 7 further related complications (rate of 4%) and 3 reoperations (rate of 1.5%). The outcome was satisfactory in the majority of cases.
conclusionsA comprehensive review on intraoperative fractures in reverse shoulder arthroplasties is presented. Results suggest favorable outcomes for all treatment methods, with a modest further complication rate. This investigation may aid in the treatment decision-making for these complications.
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