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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
A review of shoulder replacement surgery
R J Wand1, K E A Dear, E Bigsby
1University of Bristol. rw7706@bristol.ac.uk
Journal of Perioperative Practice
|January 15, 2013
Summary
Shoulder replacement surgery, including hemiarthroplasty, total shoulder replacement, and reverse shoulder replacement, effectively treats arthritis and fractures. Most patients experience significant improvements in shoulder pain and function after these procedures.
Area of Science:
- Orthopedic surgery
- Biomedical engineering
- Musculoskeletal research
Background:
- Severe shoulder arthritis and proximal humeral fractures often necessitate surgical intervention.
- Various shoulder replacement prostheses exist, each with specific indications.
- Rotator cuff integrity is a key factor in selecting the appropriate shoulder replacement type.
Purpose of the Study:
- To review the available types of shoulder replacement surgery.
- To outline the indications for each type of shoulder replacement.
- To summarize the outcomes of shoulder replacement procedures.
Main Methods:
- Review of current literature on shoulder replacement surgery.
- Analysis of indications for hemiarthroplasty (HAS), total shoulder replacement (TSR), and reverse shoulder replacement (RSR).
- Evaluation of patient outcomes, focusing on pain reduction and functional improvement.
Main Results:
- HAS and TSR are suitable for patients with intact rotator cuffs.
- RSR is indicated for older patients with rotator cuff deficiency.
- Outcomes are generally favorable, with significant pain relief and enhanced shoulder function reported.
Conclusions:
- Shoulder replacement surgery offers effective solutions for debilitating shoulder conditions.
- Patient-specific factors, particularly rotator cuff status, guide the choice of prosthesis.
- These surgical options lead to substantial improvements in quality of life for most patients.
