Analysis of 4063 complications of shoulder arthroplasty reported to the US Food and Drug Administration from 2012 to 2016

Journal of Shoulder and Elbow Surgery
Jeremy S SomersonFrederick A Matsen

Abstract

Most of the literature on shoulder arthroplasty failure comes from high-volume centers. These reports tend to exclude the experience of community orthopedic surgeons, who perform most of the shoulder joint replacements. We analyzed the failure reports mandated by the US Food and Drug Administration for all hospitals. Each reported event from 2012 to 2016 was characterized by implant, failure mode, and year of surgery. For the 1673 anatomic arthroplasties, the most common failure modes were glenoid component failure (20.4%), rotator cuff/subscapularis tear (15.4%), pain/stiffness (12.9%), dislocation/instability (11.8%), infection (9%), and humeral component loosening (5.1%). For the 2390 reverse arthroplasties, the most common failure modes were dislocation/instability (32%), infection (13.8%), glenosphere-baseplate dissociation (12.2%), failed/loosened baseplate (10.4%), humeral component dissociation/tray fracture (5.5%), difficulty inserting the baseplate (4.8%), and difficulty inserting the glenosphere (4.2%). Although the percentage distribution among the different failure modes was relatively consistent over the years of this study, the percentage distribution of these failure modes differed substantially among different ...Continue Reading

Citations

Nov 7, 2019·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Miguel A DiazMark A Frankle
Aug 23, 2020·Current Reviews in Musculoskeletal Medicine·Erik S ContrerasGregory L Cvetanovich
Sep 11, 2020·JBJS Case Connector·Miguel A RamirezAndrew Schaver
Sep 24, 2020·The Spine Journal : Official Journal of the North American Spine Society·Sohrab VirkSheeraz Qureshi
Oct 24, 2020·Journal of Shoulder and Elbow Surgery·Manan S PatelJoseph A Abboud
Feb 16, 2021·The Journal of Bone and Joint Surgery. American Volume·Corey J SchiffmanFrederick A Matsen
Feb 6, 2020·Journal of Shoulder and Elbow Surgery·William L SheppardNicholas M Bernthal
Apr 21, 2021·The Journal of Bone and Joint Surgery. American Volume·Matthew FlorczynskiHeather Baltzer
Jun 9, 2020·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Craig C AkohSamuel B Adams
Jun 1, 2021·The Orthopedic Clinics of North America·Paul J WeatherbyJeremy S Somerson
Aug 5, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Matthew Klima
Sep 4, 2021·The Spine Journal : Official Journal of the North American Spine Society·Petros KoutsogiannisSohrab Virk
Nov 21, 2021·Journal of Shoulder and Elbow Surgery·Robert J PettitAndrew Jawa

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