Related Experiment Video
Updated: Jul 24, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
[Implantation of a stem- and cement-free inverted shoulder prosthesis]
H Wille1, M Szakacs2, J Zeichen2
1Klinik für Unfallchirurgie und Orthopädie, spezielle Unfallchirurgie, Johannes Wesling Klinikum Minden, Hans Nolte Str. 1, 32429, Minden, Deutschland. Hendrik.wille@muehlenkreiskliniken.de.
Objective:
Safe and bone-sparing implantation of a stem- and cement-free reversed shoulder prosthesis.
Indications:
Shoulder arthritis with rotator cuff degeneration, symptomatic rotator cuff arthropathy with no further therapy, posttraumatic arthritis, rheumatoid arthritis, humeral head necrosis, revision surgery after implantation of a surface prosthesis.
Contraindications:
Infection, axillary nerve lesion, deltoid muscle insufficiency, insufficient central glenoid bone substance for glenoid screw fixation.
Surgical Technique:
Implantation of the shoulder prosthesis via a standard deltopectoral approach. Dissection and resection of the humeral head. Glenoid preparation, soft tissue release, baseplate and glenosphere placement. Implantation of the humeral shell and inlay.
Postoperative Management:
Short-term immobilization in a Gilchrist bandage. Followed by early functional rehabilitation.
Results:
The surgical technique has so far been used in 42 cases in the author's clinic. Both objectively and subjectively, good postoperative results and a significant reduction in pain were observed in the patients.
