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Updated: Jul 9, 2026
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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Minimal-incision total shoulder arthroplasty: a cadaveric study.
Jason A Schneider1, J David Hill, Frances Cuomo
1Resurgens Orthopaedics, Atlanta, Georgia, USA.
American Journal of Orthopedics (Belle Mead, N.J.)
|December 14, 2007
Summary
This study demonstrates the feasibility of performing total shoulder arthroplasty (TSA) using a minimal 6-cm incision. This minimally invasive approach shows potential for shoulder surgery without complications.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Traditional total shoulder arthroplasty (TSA) involves a large deltopectoral incision (approx. 17 cm).
- Minimally invasive techniques in other joint arthroplasties show promise for reduced morbidity and improved patient outcomes.
Purpose of the Study:
- To evaluate the technical feasibility of a minimal-incision approach for total shoulder arthroplasty (TSA).
Main Methods:
- TSA was performed on 10 fresh-frozen cadaveric shoulders.
- A minimal 6-cm incision was utilized, originating from the coracoid process distally along the deltopectoral interval.
- Standard TSA instruments and guides were used for soft-tissue release, humeral osteotomy, and glenoid resurfacing.
Main Results:
- The procedure was successfully completed in all 10 cadaver specimens.
- No skin or soft-tissue complications were observed during the cadaveric dissections.
- The 6-cm incision allowed for the necessary surgical steps of TSA.
Conclusions:
- It is technically possible to perform total shoulder arthroplasty (TSA) through a minimal 6-cm incision.
- This approach may offer a less invasive alternative to traditional TSA.
- Further research is warranted to assess clinical outcomes and patient benefits.