Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Shoulder arthrodesis and resection arthroplasty.

R H Cofield

    Instructional Course Lectures
    |January 1, 1985
    PubMed
    Summary

    Shoulder fusion, often using screws and plates, is a successful procedure for paralysis and sepsis, achieving high fusion rates. While it relieves pain for many, functional limitations, especially arm rotation, persist after surgery.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Can a reverse shoulder arthroplasty be used to revise a failed primary reverse shoulder arthroplasty?: Revision reverse shoulder arthroplasty for failed reverse prosthesis.

    The bone & joint journal·2018
    Same author

    Infographic: Replacing failed reverse shoulder arthroplasties as a reliable revision approach.

    The bone & joint journal·2018
    Same author

    Anatomical total shoulder replacement with rotator cuff repair for osteoarthritis of the shoulder.

    The bone & joint journal·2014
    Same author

    Revision of an unstable hemiarthroplasty or anatomical total shoulder replacement using a reverse design prosthesis.

    The bone & joint journal·2013
    Same author

    The editorial process.

    Journal of shoulder and elbow surgery·2012
    Same author

    Review articles.

    Journal of shoulder and elbow surgery·2012

    Area of Science:

    • Orthopedic surgery
    • Skeletal reconstruction
    • Joint fusion techniques

    Background:

    • Indications for shoulder arthrodesis are shifting, with brachial plexus injuries and sepsis-induced cartilage loss becoming primary drivers.
    • Traditional arthrodesis techniques are evolving towards intra-articular fusion, often incorporating the acromion.

    Purpose of the Study:

    • To review current indications and techniques for shoulder arthrodesis.
    • To evaluate the efficacy and outcomes of shoulder fusion compared to resection arthroplasty.

    Main Methods:

    • Analysis of intra-articular fusion methods, screw fixation, and adjunctive plate fixation for shoulder arthrodesis.
    • Review of optimal arm positioning for shoulder fusion (abduction, flexion, internal rotation).
    • Evaluation of outcomes for resection arthroplasty, including stability, active abduction, and pain relief.

    Main Results:

    • Shoulder fusion is consistently achieved in 90-95% of patients, with screw fixation being highly effective.
    • Internal fixation with a plate may reduce the need for prolonged post-operative cast immobilization.
    • Resection arthroplasty is now primarily a salvage procedure for infected implants or failed total shoulder arthroplasty, with variable pain relief and limited active abduction.

    Conclusions:

    • Shoulder arthrodesis is a reliable procedure for specific indications, offering consistent fusion rates and pain relief, though functional limitations remain.
    • Resection arthroplasty serves a limited role in complex shoulder reconstruction cases.
    • Optimal patient selection and surgical technique are crucial for successful shoulder fusion outcomes.

    Related Experiment Videos