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Related Experiment Video

Updated: Jun 7, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Shoulder arthroplasty: evolving techniques and indications.

Gilles Walch1, Pascal Boileau, Eric Noël

  • 1Hôpital privé Jean-Mermoz, centre orthopédique Santy, 24, avenue Paul-Santy, 69008 Lyon, France. walch.gilles@wanadoo.fr

Joint Bone Spine
|October 22, 2010
PubMed
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Modern shoulder replacement surgery has evolved significantly. Unconstrained prostheses offer reliable outcomes for intact rotator cuffs, while reverse shoulder prostheses show promise for complex fractures and osteoarthritis.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Reconstructive Surgery

Background:

  • Shoulder replacement surgery has advanced over 50 years, with multiple prosthesis designs available.
  • Unconstrained prostheses demonstrate high survival rates (97% at 10 years) in patients with intact rotator cuffs.
  • Proximal humerus fractures require focus on greater tuberosity healing for successful arthroplasty outcomes.

Purpose of the Study:

  • To review the outcomes of different shoulder prosthesis designs.
  • To evaluate the effectiveness of reverse shoulder prostheses in complex cases.
  • To identify key factors for successful greater tuberosity union in shoulder arthroplasty.

Main Methods:

  • Review of prosthesis survival rates for unconstrained and reverse shoulder designs.

Related Experiment Videos

Last Updated: Jun 7, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

  • Analysis of factors influencing greater tuberosity healing in fracture cases.
  • Examination of indications and outcomes for reverse shoulder arthroplasty.

    • Main Results:

    • Unconstrained prostheses achieve 97% 10-year survival with intact rotator cuffs.
    • Reverse shoulder prostheses show 91% 10-year survival overall and 94% for osteoarthritis with head migration.
    • Optimal prosthesis selection, secure fixation, and immobilization are crucial for tuberosity union.

    Conclusions:

    • Unconstrained prostheses are reliable for intact rotator cuffs.
    • Reverse shoulder prostheses are a valuable option for complex shoulder conditions, including severe osteoarthritis and fractures.
    • Careful surgical technique and patient selection are vital for optimal outcomes in shoulder replacement.