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Are high cutibacterium bacterial loads at the time of revision shoulder arthroplasty associated with more severe clinical signs or symptoms or increased risk of recurrent periprosthetic joint infection?

International orthopaedics·2025
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Avoiding overstuffing: the kinematic total shoulder arthroplasty.

Frederick Matsen Iii1

  • 1Department of Orthopaedic Surgery and Sports Medicine, University of Washington, Seattle, USA. matsen@uw.edu.

International Orthopaedics
|November 5, 2025
PubMed
Summary
This summary is machine-generated.

Overstuffing in shoulder arthroplasty means using too much material, leading to pain and stiffness. This review explains overstuffing and how to prevent it for better patient outcomes.

Keywords:
Anatomic shoulder arthroplastyAnd stabilityIntraoperative laxityKinematic shoulder arthroplastyOverstuffingPreoperative planning

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Musculoskeletal Research

Background:

  • Overstuffing, defined as excessive material in a confined space, is a significant issue in anatomic shoulder arthroplasty.
  • It is a primary cause of postoperative complications including pain, joint stiffness, and limited range of motion.

Purpose of the Study:

  • To review the concept of overstuffing in the context of anatomic shoulder arthroplasty.
  • To identify and discuss methods for avoiding overstuffing during shoulder replacement surgery.

Main Methods:

  • Literature review of existing studies and clinical practices related to shoulder arthroplasty.
  • Analysis of biomechanical principles and surgical techniques impacting implant volume and joint space.

Main Results:

  • Overstuffing can result from component selection, positioning, or bone preparation errors.
  • Consequences include impingement, altered joint mechanics, and polyethylene wear.

Conclusions:

  • Avoiding overstuffing is crucial for successful shoulder arthroplasty outcomes.
  • Careful preoperative planning, precise surgical technique, and appropriate component sizing are essential to prevent this complication.