Complications 2011

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Complications 2011

  1. 1. Christopher M. Aland MD Orthopedic and Sportsmedicine Center of Bucks County
  2. 2. Disclaimer <ul><li>I own stock in Arthrocare and Johnson and Johnson </li></ul><ul><li>I have no conflicts of interest that affect my ability to teach this course </li></ul>
  3. 3. Complications of Shoulder Arthroscopy <ul><li>While rates are low, there are certain complications that are seen and can be avoided </li></ul><ul><ul><li>Equipment related </li></ul></ul><ul><ul><li>Technique related </li></ul></ul><ul><ul><li>Patient related </li></ul></ul><ul><ul><li>General </li></ul></ul>
  4. 4. Equipment related <ul><li>Hand instruments </li></ul><ul><li>Power instruments </li></ul><ul><li>Pumps and Fluids </li></ul>
  5. 5. Technique Related <ul><li>Vascular complication </li></ul><ul><li>Neurological complications </li></ul><ul><ul><li>direct </li></ul></ul><ul><ul><li>indirect </li></ul></ul><ul><li>Bone injuries </li></ul>
  6. 6. Patient related <ul><li>Obesity </li></ul><ul><li>MRSA </li></ul>
  7. 7. General <ul><li>Typically anesthesia related </li></ul><ul><li>Complications common to all surgery </li></ul><ul><ul><li>Infection </li></ul></ul><ul><ul><li>Stiffness </li></ul></ul><ul><ul><li>Scar related </li></ul></ul><ul><ul><li>Pulmonary embolism </li></ul></ul><ul><ul><li>DVT </li></ul></ul>
  8. 8. A word about implants <ul><li>Complication rate is directly proportional to the number of implants used </li></ul><ul><li>Cost factors involved </li></ul><ul><li>Murphy’s law </li></ul>

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