Assuring success in primary total shoulder arthroplasty: Pearls and pitfalls to make your next case a success

Shoulder arthroplasty has grown in popularity over the past decade and orthopedic surgeons at both academic and community-based practices are performing an increasing number of these procedures in the United States. Understanding common technical challenges as well as emphasizing the importance of certain pre-operative and intra-operative measures can be proven beneficial toward ensuring a successful outcome for patients. We review several topics and share simple recommendations with regard to patient selection, positioning, infection prevention, instrumentation, and intra-operative subscapularis management.