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Arthroplasty for arthritis and rotator cuff deficiency
1Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
The Orthopedic Clinics of North America
|April 1, 1997
Summary
Massive rotator cuff tears can lead to shoulder arthritis. Proximal humeral replacement arthroplasty effectively restores comfort and function in patients with this condition.
Area of Science:
- Orthopedic Surgery
- Shoulder Biomechanics
Background:
- Massive rotator cuff tendon tears can result in significant glenohumeral instability.
- This instability may initiate and perpetuate glenohumeral and acromiohumeral arthritis, a distinct shoulder pathology.
Purpose of the Study:
- To present the surgical techniques for proximal humeral replacement arthroplasty.
- To evaluate the outcomes of this procedure in patients with massive rotator cuff loss and associated arthritis.
Main Methods:
- Surgical technique description for proximal humeral replacement arthroplasty.
- Clinical outcome assessment focusing on pain relief and functional restoration.
Main Results:
- Proximal humeral replacement arthroplasty is the preferred surgical intervention.
- The procedure provides durable restoration of patient comfort.
- Functional improvement is observed to a lesser extent than comfort restoration.
Conclusions:
- Proximal humeral replacement arthroplasty is an effective treatment for shoulder arthritis secondary to massive rotator cuff tears.
- The surgery offers significant patient satisfaction due to pain relief and improved comfort.