Shoulder replacement is a rleatively reproducible procedure, in general, but the "devil is in the details" as is the case with most surgical procedures. in addition to appropriate indications for shoulder arthroplasty, and conscientious patient selection, technical execution requires attention to detail. This means avoiding potential pitfalls. I have attached a symposium manuscript which discusses 8 common pitfalls. These include the following issues:

1. Pre-operative and Intra-Operative Decisions To Minimize Component Malposition
2. Avoiding Infection In Shoulder Arthroplasty
3. Avoidable Causes Of Prosthetic Instability and Dislocation
4. Pre-Operative and Intra-Operative Decision Making to Minimize Post Operative Rotator Cuff Failure
5. Will Intraoperative Monitoring Avoid Nerve Injury In Total Shoulder Arthroplasty?
6. Minimizing Long Term Problems With Periprosthetic Fracture
7. Pitfalls of the Difficult Osteoarthritic Shoulder – Marked Posterior Humeral Head Subluxation and Glenoid Erosion
8. Component Loosening in Anatomic and Reverse Arthroplasty. Can It Be Avoided?

While expertise and experience in performing shoulder replacement surgery will minimize the incidence of these pitfalls, complications may still occur. I have attached a review article below which addresses potential complications of shoulder  arthroplasty.

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