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A surgical approach in total shoulder arthroplasty
M A Kadic1, P M Rozing, W R Obermann
1Department of Orthopedics, University Hospital Leiden, The Netherlands.
Archives of Orthopaedic and Trauma Surgery
|January 1, 1992
Summary
A novel surgical approach to the shoulder joint was explored to address limitations of the standard Neer approach for total shoulder arthroplasty. This alternative method may improve glenoid preparation and rotator cuff repair during shoulder replacement surgery.
Area of Science:
- Orthopedic Surgery
- Anatomy
Background:
- The Neer approach is standard for total shoulder arthroplasty but has limitations.
- It is inadequate for glenoid cavity preparation, bone grafting, or large rotator cuff tear repair.
Purpose of the Study:
- To identify and evaluate an alternative surgical approach to the glenohumeral joint.
- To overcome the limitations of the Neer approach for complex shoulder arthroplasty cases.
Main Methods:
- Anatomical laboratory investigation to find an alternative approach.
- Prospective application of the new approach in 7 of 13 patients undergoing Biomet Bio-modular shoulder arthroplasty.
- 1-year follow-up of 12 cases.
Main Results:
- The developed approach was utilized in a subset of patients undergoing shoulder arthroplasty.
- The study included a prospective follow-up period of 1 year for most cases.
Conclusions:
- An alternative surgical approach to the glenohumeral joint was identified and tested.
- This approach may offer advantages for glenoid preparation and rotator cuff repair in total shoulder arthroplasty.