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.

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.

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.

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.

This handbook fully investigates reverse shoulder arthroplasty (RSA), presenting all the recent advances in the field to enable shoulder surgeons to treat patients with complex conditions, such as rotator cuff tears and instability, failed surgery and combined arthritis, or proximal humerus neoplasia. Reverse shoulder arthroplasty is becoming increasingly common because conventional total shoulder replacement may cause pain, loss of strength, simple or complex disabilities as well as limited motion, reducing general quality of life. The goal of a reverse prosthesis is to restore a painless, biomechanically valid joint. Drawing on the results of recent studies, the book covers all relevant aspects of RSA, including basic science, pathogenesis, clinical and instrumental evaluation, surgical techniques and complication management, helping readers to better understand when and how reverse shoulder arthroplasty should be implanted and what to do in cases of poor results. Written by leading shoulder specialists, the book provides surgeons and rehabilitation specialists, as well as residents and shoulder fellows, with a valuable, state-of-the-art guide for clinical practice.

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.

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.

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.