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  • Failed shoulder replacement

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    Old 12-26-2017, 05:00 AM   #1
    Adrjen
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    Failed shoulder replacement

    Three years ago I had a shoulder replacement surgery. Pain as expected during recovery and PT. Then I had full range of motion and NO pain for about two years. Earlier this year it started hurting and getting worse and worse monthly. Due to the metal, we couldn?t get good xray images but due to where it hurt we expected a Rotator Cuff tear. So I go to what was supposed to be a one or two hour surgery this past Tuesday, but woke up 6 hours later. The doctor took samples to pathology to make sure that I didn?t have an infection, and instead it showed that I had Giant white blood cells in the area. The white cells had prevented any new bone from growing around the implant, so eventually it started breaking up. My doctor feels this was likely caused by Sjogrens Syndrome (or some other Auto Immune disease) fighting the foreign object and not allowing new bone to grow. This time he used cadaver bone mixed with something else and made a few other changes. If this doesn?t work, I?ll have to have a reverse shoulder replacement which uses different muscles. Not fun! Two months in a sling with a pillow, then months of PT. For the next two months I can only bend over when standing and do pendulum swings. Have any of you heard of Sjogrens syndrome or other Autoimmune disease causing anything similar to this?

     
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    Old 12-26-2017, 07:21 AM   #2
    ladybud
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    Re: Failed shoulder replacement

    Quote:
    Originally Posted by Adrjen View Post
    Three years ago I had a shoulder replacement surgery. Pain as expected during recovery and PT. Then I had full range of motion and NO pain for about two years. Earlier this year it started hurting and getting worse and worse monthly. Due to the metal, we couldn?t get good xray images but due to where it hurt we expected a Rotator Cuff tear. So I go to what was supposed to be a one or two hour surgery this past Tuesday, but woke up 6 hours later. The doctor took samples to pathology to make sure that I didn?t have an infection, and instead it showed that I had Giant white blood cells in the area. The white cells had prevented any new bone from growing around the implant, so eventually it started breaking up. My doctor feels this was likely caused by Sjogrens Syndrome (or some other Auto Immune disease) fighting the foreign object and not allowing new bone to grow. This time he used cadaver bone mixed with something else and made a few other changes. If this doesn?t work, I?ll have to have a reverse shoulder replacement which uses different muscles. Not fun! Two months in a sling with a pillow, then months of PT. For the next two months I can only bend over when standing and do pendulum swings. Have any of you heard of Sjogrens syndrome or other Autoimmune disease causing anything similar to this?
    I am so sorry you have been thru such a difficult time with this. I have not heard specifically of this happening but theoretically it makes sense. People with autoimmune diseases have excess antibodies from their overactive immune system. They often overreact with rejection and inflammation of foreign bodies, depending on the substance. For example, silicone will often stimulate such a reaction. The giant cells are a sign of immune reaction and inflammation. You might want to explore what substances make up the joint implant you have. Titanium and cadaver bone are usually well tolerated. I do hope this recent surgery works and you heal with good joint function.

     
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    Old 12-27-2017, 08:50 AM   #3
    Blueyes
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    Re: Failed shoulder replacement

    Quote:
    Originally Posted by Adrjen View Post
    Three years ago I had a shoulder replacement surgery. Pain as expected during recovery and PT. Then I had full range of motion and NO pain for about two years. Earlier this year it started hurting and getting worse and worse monthly. Due to the metal, we couldn?t get good xray images but due to where it hurt we expected a Rotator Cuff tear. So I go to what was supposed to be a one or two hour surgery this past Tuesday, but woke up 6 hours later. The doctor took samples to pathology to make sure that I didn?t have an infection, and instead it showed that I had Giant white blood cells in the area. The white cells had prevented any new bone from growing around the implant, so eventually it started breaking up. My doctor feels this was likely caused by Sjogrens Syndrome (or some other Auto Immune disease) fighting the foreign object and not allowing new bone to grow. This time he used cadaver bone mixed with something else and made a few other changes. If this doesn?t work, I?ll have to have a reverse shoulder replacement which uses different muscles. Not fun! Two months in a sling with a pillow, then months of PT. For the next two months I can only bend over when standing and do pendulum swings. Have any of you heard of Sjogrens syndrome or other Autoimmune disease causing anything similar to this?

     
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    Old 01-02-2018, 02:30 PM   #4
    holly1983
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    Re: Failed shoulder replacement/SLAPP "repair"

    Hello blueyes,

    Thank you for posting your story. I'm new to the forums, and a TSR has been recommended as the only treatment for severe degenerative arthritis in my right shoulder after a failed labral repair 4 years ago.

    After a bit more research on TSR, I have found that some ortho surgeons are using a technique that spares the rotator cuff and wonder if this has anything to do with outcome. I currently reside in a state where I cannot locate any surgeons who use this method, but instead are using the traditional anterior incision approach which indeed cuts through the rotator cuff.

    I'm sorry for people who are going through as much pain as I am; its quite debilitating, and most people I meet believe a shoulder replacement should be similar to a knee or hip.

    Holly

     
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