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Related Experiment Video

Updated: May 18, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

Shoulder arthrodesis with plate fixation: Functional outcome analysis.

R R Richards1, D Beaton, A R Hudson

  • 1From the Upper Extremity Reconstructive Service, St. Michael's Hospital, Canada; University of Toronto, Toronto, Ontario, Canada.

Journal of Shoulder and Elbow Surgery
|September 11, 2012
PubMed
Summary

Shoulder arthrodesis using a single plate achieved successful fusion in most patients, particularly those with brachial plexus injury. Patient satisfaction varied by diagnosis, with multidirectional instability patients reporting persistent issues.

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Area of Science:

  • Orthopedic Surgery
  • Musculoskeletal Research
  • Surgical Techniques

Background:

  • Shoulder arthrodesis is a surgical procedure to fuse the shoulder joint, often indicated for severe pain, instability, or functional loss.
  • Single-plate fixation offers a method for achieving arthrodesis, but outcomes can vary based on patient diagnosis and functional status.

Purpose of the Study:

  • To evaluate the efficacy and patient-reported outcomes of single-plate shoulder arthrodesis.
  • To assess the influence of preoperative diagnosis on functional outcomes and patient satisfaction following shoulder fusion.

Main Methods:

  • Retrospective review of 57 patients undergoing shoulder arthrodesis with a single 10-hole plate.
  • Technique involved glenohumeral and acromiohumeral arthrodesis in a standardized position (30° abduction, 30° internal rotation, 30° flexion).

Related Experiment Videos

Last Updated: May 18, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

  • Patient function assessed via activities of daily living (ADL), subjective satisfaction, and pain levels.

    • Main Results:

    • High fusion rate (54/57 shoulders) within 10° of the desired position; 14% complication rate.
    • Highest patient satisfaction reported for brachial plexus injury, osteoarthritis, and failed total shoulder arthroplasty.
    • Persistent instability noted in 4/6 multidirectional instability patients despite solid fusion; significant impact of diagnosis and hand function on ADL scores.

    Conclusions:

    • Single-plate shoulder arthrodesis is an effective fusion technique with a low complication rate for select indications.
    • Preoperative diagnosis, hand function, and work status are critical determinants of functional outcomes and patient satisfaction.
    • Multidirectional shoulder instability remains a challenge, with some patients experiencing persistent instability post-fusion.