title: Shoulder arthroplasty for the young, active patient.
abstract: Patients younger than 55 years with degenerative conditions of the glenohumeral joint represent a unique population that can be treated with shoulder arthroplasty. Certain challenges related to this cohort may include greater patient expectations, higher functional demands, soft-tissue contracture from previous surgery, and glenoid bone loss. Surgical treatment options include unconstrained total shoulder arthroplasty; hemiarthroplasty; humeral head resurfacing alone; hemiarthroplasty with concentric reaming of the glenoid; and hemiarthroplasty with adjunctive biologic glenoid resurfacing with autogenous fascia lata, Achilles tendon allograft, or meniscal allograft.
authors.affiliation: Department of Orthopedic Surgery, University of Texas Health Science Center, San Antonio, TX, USA.
authors.forename: Ryan M
authors.initials: RM
authors.lastname: Tibbetts
authors.forename: Michael A
authors.initials: MA
authors.lastname: Wirth
mesh_terms: D019643:Arthroplasty, Replacement / Q000379:methods*; D061165:Glenoid Cavity / Q000601:surgery; D006801:Humans; D058430:Humeral Head / Q000601:surgery; D007593:Joint Instability / Q000601:surgery; D008875:Middle Aged