Shoulder prosthetic arthroplasty options in 2014: what to do and when to do it.
The number of shoulder arthroplasty procedures performed in the United States is steadily increasing as a result of an expansion in implant options, clinical indications, and surgical experience. Available options include stemmed implants, short-stemmed or stemless prostheses, fracture-specific designs, resurfacing implants, partial surface replacement, metal-backed or polyethylene glenoid components designed for cementation or bone ingrowth, and reverse total shoulder arthroplasty. Efforts to re-create anatomy, improve outcomes, and avoid complications have resulted in many changes in prosthesis design. Despite these changes, failures still occur, and revision surgery is sometimes necessary. A thorough knowledge of current arthroplasty options, indications, and the principles of implantation is necessary to optimize outcomes after shoulder arthroplasty.
Fellow-Shoulder and Elbow Reconstruction, Department of Orthopaedic Surgery, Beaumont Health System, Royal Oak, Michigan.
Daphne
D
Pinkas
J Michael
JM
Wiater
Edwin E
EE
Spencer
T Bradley
TB
Edwards
John W
JW
Uribe
Geert
G
Declercq
Anand M
AM
Murthi
Ralph
R
Hertel
D019643:Arthroplasty, Replacement / Q000379:methods*; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D007595:Joint Prosthesis; D011474:Prosthesis Design; D012785:Shoulder Joint / Q000601:surgery*