Revision Shoulder Arthroplasty

Here is a technique intensive textbook of shoulder arthroplasty detailing how to handle all relevant aspects of shoulder replacement surgery. Distinguished shoulder surgeons Gary M. Gartsman—author of the well-received Shoulder Arthroscopy—and T. Bradley Edwards provide step-by-step details for each category of shoulder arthroplasty, covering indications and contraindications, pre-operative planning and imaging, results and complications, and more. Copious color intraoperative photographs and illustrations make this book one that all shoulder surgeons need to have at hand! Presents the personal techniques of two master surgeons to give you the benefit of an authoritative approach to challenging surgeries as well as a consistent tone throughout the book. Covers pre-operative planning and surgical techniques in meticulous detail, including Glenoid Component, Reduction/Deltoid Tensioning, Humeral Surface Replacement, and Biological Glenoid Resurfacing. Emphasizes results, complications, and the important topic of post-operative orthosis and rehabilitation to provide a timely focus on outcomes, a rapidly growing trend in orthopaedic surgery. Features intraoperative photographs accompanied by line drawings for added clarification of the procedures. Organizes material in a consistent, structured format for easier use of the text as a technical reference.

Written by an international group of renowned shoulder surgeons, this book is the most comprehensive, current reference devoted to revision and complex shoulder arthroplasty. The first section thoroughly explains the circumstances under which implants can fail and the details involved in assessing the problems in failed shoulder arthroplasty. The second section describes techniques for revision shoulder arthroplasty, including techniques for both anatomic reconstruction and reverse arthroplasty and the role of arthroscopy in revision surgery. The third section focuses on specific issues for various specialized types of shoulder reconstruction requiring prosthetic arthroplasty. More than 400 illustrations complement the text.

This practical text presents the most up-to-date information on the evaluation and management of all aspects of complex and revision shoulder arthroplasty, divided into three thematic section. Chapters in part I focus on the diagnosis and management of complex primary shoulder arthroplasty, including evaluation of humeral and glenoid bone deformity, computer-assisted surgical planning, stemless arthroplasty, anatomic and reverse TSA for severe glenoid erosion, post-traumatic sequalae and deltoid deficiency. The next section describes the diagnosis and management of failed replacements, including hemiarthroplasty, anatomic and reverse total shoulder arthroplasty. These chapters will focus on the initial evaluation and management, including imaging, laboratory work-up and the role of biopsies, covering the diagnosis and revision of a failed hemiarthroplasty; diagnosis and revision of a failed total shoulder arthroplasty; diagnosis and management of the failed reverse shoulder arthroplasty; management of the unstable TSA or RSA; diagnosis and management of the infected arthroplasty; treatment of periprosthetic fractures; salvage options (resection and arthrodesis) for failed arthroplasty. Part III presents specific surgical techniques utilized during revision shoulder arthroplasty, including surgical exposure, removal techniques for failed humeral components, revision of glenoid and humeral defects with bone grafts and augments, and the role of arthroscopic procedures. Utilizing the best clinical evidence, Complex and Revision Shoulder Arthroplasty is an excellent resource for orthopedic and shoulder surgeons, residents and fellows, as well as sports medicine specialists and related professionals.

State-of-the art techniques for shoulder replacement surgery Shoulder Arthroplasty: Complex Issues in the Primary and Revision Setting assembles the clinical knowledge of leading orthopedic surgeons treating patients with arthritic shoulders. The book presents practical approaches to surgically managing each type of arthritis, the challenges of revision surgery, and related complications during and following surgery. Chapters provide thorough descriptions of the physical examination, imaging, diagnosis, indications, surgical treatment, nonoperative treatments, therapeutic options, and outcomes. Features: Comprehensive discussion addressing everything from the latest techniques for arthroplasty to alternatives to total shoulder replacement Recommendations about how to avoid and manage common complications including infection, nonunion, malunion, instability, aseptic loosening, and soft tissue complications such as rotator cuff tears, impingement syndromes, and lesions Important coverage on the treatment of young arthritic patients This book is an essential reference for orthopedic surgeons, general surgeons, and residents in these specialties.

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?

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.