Related Experiment Videos
Shoulder arthroplasty. Indications, contraindications and complications
M Caniggia1, P Fornara, M Franci
1Department of Orthopedics and Traumatology, University of Siena, Italy.
Panminerva Medica
|March 8, 2000
Summary
Shoulder replacement surgery, using adaptable modular prostheses, effectively treats various joint conditions. Success depends on rotator cuff integrity, bone quality, precise component placement, and rehabilitation.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Shoulder prostheses have evolved significantly, with modern
- modular
- designs offering extensive adaptability.
Purpose of the Study:
- To review indications, contraindications, and complications of glenohumeral joint prosthetic substitution.
- To highlight factors crucial for successful shoulder replacement outcomes.
Main Methods:
- Review of current literature on shoulder prostheses.
- Analysis of indications, contraindications, and complications based on clinical evidence.
Main Results:
- Modular prostheses are adaptable to anatomical variations, respecting biomechanics.
- Indications include avascular necrosis, complex fractures, rotator cuff arthropathy, osteoarthritis, and rheumatoid arthritis.
- Contraindications involve active infection, Charcot's arthropathy, and severe neurological conditions.
Conclusions:
- Shoulder replacement offers good outcomes when performed with attention to rotator cuff status, bone quality, and component positioning.
- Successful prosthetic substitution requires intact musculature, good bone stock, accurate placement, and a comprehensive rehabilitation program.