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Complications of Reverse Shoulder Replacement | Dr Kenneth Cutbush Explains Risks, Dislocation, Fractures, Infection & Revision Rates

In this video, Dr Kenneth Cutbush, Orthopaedic Shoulder Surgeon in Brisbane, explains the potential complications associated with a reverse shoulder replacement (reverse shoulder arthroplasty). While this is a life-changing procedure for many patients with severe shoulder arthritis or rotator cuff deficiency, it is still an open joint replacement — meaning risks must be understood clearly before surgery.

Dr Cutbush outlines each major category of complication, including infection, dislocation, fracture, nerve injury, hardware issues, revision risk and anaesthetic considerations. Although these complications are rare, understanding them helps patients make informed decisions and recognise early warning signs during recovery.

Infection rates for reverse shoulder replacement in Dr Cutbush’s practice are less than 1%, and dislocation occurs in roughly 1% of cases, typically within the first year. He also explains the risk of scapular spine stress fractures, which occur in approximately 5% of patients and often begin with warning pain. With early recognition and appropriate protection of the shoulder during rehabilitation, many of these risks can be minimised or avoided.

What this video covers:
– Common and rare complications of reverse shoulder replacement
– Infection risk and treatment options
– Dislocation rates and how they are managed
– Causes of scapular spine stress fractures and how to prevent them
– Hardware issues and when revision surgery is needed
– Nerve injury considerations
– How prosthesis components are adjusted during revision
– Why early warning signs matter during recovery
– Understanding risk vs. benefit in reverse shoulder arthroplasty

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