Anatomic Shoulder Arthroplasty

Opening with a discussion of the indications and pre-operative evaluation of the arthritic shoulder and a review of the anatomy and biomechanics of the shoulder, this comprehensive clinical guide to anatomic shoulder arthroplasty then proceeds to describe the various types of prosthetics and management techniques used in this common surgical procedure. Humeral head resurfacing is described, along with stemmed and stemless replacements, followed by the anatomy and biomechanics of the glenoid using both standard and augmented replacement. Interposition shoulder arthroplasty, revision total shoulder arthroplasty, and hemiarthroplasty of the proximal humerus are likewise elaborated. Additional chapters on complications -- infection, periprosthetic fracture,subscapularis insufficiency and instability -- and rehabilitation techniques round out the presentation. Anatomic Shoulder Arthroplasty/em is an excellent resource for orthopeadic and shoulder surgeons and sports medicine practitioners, both new and veteran.

Covering every aspect of shoulder arthroplasty from initial assessment to comprehensive postoperative rehabilitation, Shoulder Arthroplasty: Principles and Practice, provides highly illustrated, authoritative guidance on the fastest growing arthroplasty procedure. Dr. Joseph Zuckerman, former president of the American Shoulder and Elbow Surgeons and the American Academy of Orthopaedic Surgeons, has assembled a team of world-renowned contributing authors who clearly explain and demonstrate—in print and in video—the techniques they utilize to achieve successful outcomes. This one-stop reference is an ideal resource for surgeons at all levels of experience who wish to further enhance their ability to perform shoulder replacement.

Success in shoulder arthroplastic surgery is not necessarily dependent only on the principle of construction of a prosthetic device, nor on the way this device is implanted or fixed to the bony interface, but more so on the understanding and handling of the soft tissues surrounding the articulation. Based on their experience in basic anatomy and function, the editors of this book were able to develop a prosthetic device which can take into account individual anatomical variations in each patient, making a successful outcome of surgery much more predictable. This must-have for any shoulder surgeon not only informs on the current state-of-the-art, but also provides an understanding of what advances can be achieved with innovative thinking in the field of orthopaedic surgery.

Mayo Clinic Principles of Shoulder Surgery provides the basic principles and foundational knowledge for this orthopedic specialty in a concise and easy-to-use manner. The book, written by a well-seasoned surgeon with years of experience training residents and fellows, pulls together a comprehensive reference for interdisciplinary use, relevant to many fields including sports medicine, rheumatology, and rehabilitation. Dr. Sanchez-Sotelo covers an array of topics starting with history taking, the physical examination, the use and understanding of advanced imaging techniques, and preforming surgical procedures such as fracture fixation, arthroscopic surgery, tendon transfers, and replacement, all visually enhanced with relevant videos. This book is the perfect resource for all medical libraries, whether you are a student, primary care physician, physical therapist, or allied health professional. Key Features of Mayo Clinic Principles of Shoulder Surgery -Highly illustrated with detailed figures and tables throughout and a key point summary boxes at the end of every chapter to improve comprehension -Includes over 40 videos of the most common procedures performed by an orthopedic surgeon -Each chapter includes a color coded tab to facilitate easy navigation at-a-glance -Organized into concise chapters for quick review

This book describes and evaluates techniques and devices used in shoulder arthroplasty with a view to enabling readers to improve their surgical practice. After an opening section on basic knowledge, including surgical anatomy, key issues in total shoulder arthroplasty and reverse total shoulder arthroplasty (RTSA) are considered in detail. Among the topics covered are biomechanics, cemented versus cementless humeral fixation, the comparative merits of humeral components featuring short stem and stemless designs and of pegged and keeled glenoid components, the influence of humeral inclination in RTSA, and the avoidance and management of unstable RTSA. An entire section is then devoted to the description and illustration of valuable surgical tips and tricks. Arthroplasty for acute proximal humerus fractures is considered separately, again addressing important aspects of technique and current controversies. The book is an outcome of a workshop held by the international Shoulder Club, formed at Hacettepe University in Ankara in 2015 with the aim of bringing together leading authorities in the field and young orthopedic surgeons and students from across the world in order to disseminate expertise and exchange ideas.

The definitive book on reverse shoulder arthroplasty from leading orthopaedic shoulder surgeons This masterful book from top experts provides clinical insights on reverse shoulder arthroplasty gleaned from hands-on refinement of shoulder replacement techniques. Years of significant biomechanical and clinical research yielded invaluable knowledge that led to important improvements in functional outcome and implant durability. Among these refinements were stronger polyethylene derivatives, better ingrowth technology, and improved connection devices. As the durability and longevity of implant technology increased, younger active patients became suitable candidates for this procedure. In fact, RSA has played a pivotal role in making shoulder arthroplasty the fastest growing implant technology. In the first two sections, the authors take the reader through the history and evolution of RSA, followed by step-by-step surgical techniques for specific injuries and conditions. The next three sections discuss past and recent outcomes, complications, and rehabilitation. The last section covers special considerations including patient specific instrumentation, convertible humeral and glenoid components, and the future potential of stemless humeral technology. Key Features The latest trends in patient-specific components, guide systems, and instrument design The use of RSA for rotator cuff repair, shoulder arthritis, and acute and complex fractures In-depth discussion of techniques to improve deltoid function, avoid impingement, and increase implant longevity Clinical pearls on how to recognize and handle complications that occur: instability, infection, scapular notching, component loosening, glenoid and humeral bone loss, and RSA failure High quality videos and 300 superb illustrations further delineate techniques This book is a practical resource that enables learning complex procedures, putting them into practice, and handling complications should they arise. It is an essential tool for all orthopaedic surgeons who treat shoulder conditions.

Focusing exclusively on reverse shoulder arthroplasty (RSA) techniques and devices, this plentifully illustrated text covers all aspects of this important and innovative treatment for shoulder pain and dysfunction. The book begins with a history of RSA followed by a thorough overview of the basic science and biomechanics of the shoulder. Indications for and clinical applications of RSA in a number of surgical interventions are then described, including the revision of failed shoulder arthroplasty, setting in cases of glenoid and humeral bone loss and rotator cuff tears. A whole section is then dedicated to various commercial devices with descriptive expert analysis of the design and implementation of each. An examination of the current economic value of RSA, including cost effectiveness and expected cost outcomes, comprises the final section. Reverse Shoulder Arthroplasty can therefore be read either from start to finish, allowing orthopedic surgeons to appreciate the various perspectives offered, or by selecting specific topics of interest much like a “how-to manual” of either a particular device design or the treatment of a specific pathology.

Whether you have performed this procedure many times or are evaluating its potential for your practice, benefit from these insights: Indications: What makes your patient a candidate for total arthroplasty? Complications: Share in the latest thinking on avoiding complications and how to discuss potential complications with your patient before surgery. Technique: For primary replacement and revision surgery.The failed total shoulder arthroplasty: Treatment and pain relief.The future: Where are we headed? What major innovations lie ahead?