Prevention and management of reverse shoulder arthroplasty complications: A structured current concepts review

doi:10.5312/wjo.125587

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Orthop. Sep 18, 2026; 17(9): 125587
Published online Sep 18, 2026. doi: 10.5312/wjo.125587

Table 2 Differential complication risk in special reconstructive indications relative to primary reverse shoulder arthroplasty

Context	Complications increased	Representative evidence
Acute PHFs/fracture sequelae	Instability, neurologic injury, intraoperative fracture, revision	National Joint Registry study: Significantly increased revision risk vs other indications; systematic review of RSA for PHF reporting higher complication/revision rates
Oncologic reconstruction	Instability/dislocation (especially with modular endoprostheses and deltoid deficiency)	Systematic reviews and meta-analyses of oncologic RSA reconstruction
Revision arthroplasty	Intraoperative fracture, infection, re-revision	Registry data showing stepwise increase in re-revision risk with successive revisions

PHFs: Proximal humeral fractures; RSA: Reverse shoulder arthroplasty.

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Citation: Elshahhat A. Prevention and management of reverse shoulder arthroplasty complications: A structured current concepts review. World J Orthop 2026; 17(9): 125587
URL: https://www.wjgnet.com/2218-5836/full/v17/i9/125587.htm
DOI: https://dx.doi.org/10.5312/wjo.125587

Elshahhat A. Prevention and management of reverse shoulder arthroplasty complications: A structured current concepts review. World J Orthop 2026; 17(9): 125587 [DOI: 10.5312/wjo.125587]

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