What factors may lead to early TSA failure?

The choice highlighting poor surgical technique, infection, and improper patient selection is integral to understanding factors that contribute to early total shoulder arthroplasty (TSA) failure.

Poor surgical technique can lead to inadequate implant positioning, instability, or complications during healing, all of which can significantly compromise the success of the procedure. For instance, if the components of the shoulder joint are not aligned correctly or if there is excessive bone removal, the mechanical function of the joint can be adversely affected, leading to early failure.

Infection is another critical factor that jeopardizes the integrity of the surgical outcome. Even a minor infection can lead to significant complications, including stiffness, pain, and ultimately implant failure. Surgeons must adhere strictly to sterile techniques and post-operative care standards to mitigate this risk.

Improper patient selection plays a pivotal role as well. Candidates who are not suitable for TSA due to unrealistic expectations, non-compliance with post-operative rehabilitation, or other co-existing medical conditions may not achieve optimal outcomes. Selecting patients based on their overall health, activity level, and specific shoulder pathology ensures that those most likely to benefit from the procedure are chosen.

In contrast, other factors such as excessive patient activity post-surgery, inadequate recovery time, or overprescription of