Editorial Commentary: Older Patients Without Degenerative Joint Disease Can Have Excellent Outcomes After Hip Arthroscopy.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosures The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: J.P.S. reports a relationship with Stryker and DJO that includes: travel reimbursement and a relationship with American Shoulder and Elbow Surgeons that includes: committee membership. A.B.W. reports a relationship with Stryker that includes: paid consultant and a relationship with ISHA – The Hip Preservation Society that includes: board or committee member. Full ICMJE author disclosure forms are available for this article online, as supplementary material. 18. Curr Rev Musculoskelet Med. 2021 Oct;14(5):291-296. doi: 10.1007/s12178-021-09712-9. Epub 2021 Aug 18. Failed Reverse Total Shoulder Arthroplasty: What Are Our Bailouts? Erickson BJ(1). Author information: (1)Rothman Orthopaedic Institute, 645 Madison Ave, New York, NY, 10022, USA. brandon.erickson@rothmanortho.com. PURPOSE OF REVIEW: As the population continues to age and indications continue to expand, the number of reverse total shoulder arthroplasty (RSTA) procedures has increased significantly. While RTSA is an effective solution to many shoulder problems, it is not without complications. Furthermore, as the number of RTSA procedures increases, so will the number of complications following this procedure. While some complications can be managed with revision RTSA, there are some complications that, unfortunately, cannot. The purpose of this review is to discuss the revision options for failed RTSA. RECENT FINDINGS: While there has been a significant amount of recent literature surrounding RTSA, much of this literature has been aimed at improving outcomes for primary RTSA by improving glenoid placement, maximizing range of motion, etc., or improving outcomes following conversion of another surgery to RTSA [1••, 2, 3]. There has been little evidence surrounding options for failed RTSA that cannot be salvaged to a revision RTSA. These options are limited and often involve resection arthroplasty and hemiarthroplasty, although neither option provides patients with significant function of the shoulder [4, 5•]. Complications following RTSA are becoming more common as the number of RTSA continues to increase. Furthermore, as the indications for RTSA expand, the complications will continue to increase as this implant is used to tackle more difficult problems about the shoulder. When possible, the etiology of the problem with the RTSA should be addressed and may involve component revision, bone grafting, etc. When the problem cannot be solved with revision RTSA, then the patient can be converted to a hemiarthroplasty, or have a resection arthroplasty, with the understanding that their shoulder function will be limited. © 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature. DOI: 10.1007/s12178-021-09712-9 PMCID: PMC8497668