Saturday, November 9, 2013

General comments about shoulder joint replacement for glenohumeral arthritis

Overview of surgical treatment of arthritis

Selecting the type of arthroplasty

Certain points pertain to most types of anatomic glenohumeral arthroplasty

Shoulder arthritis is not an emergency. The patient and the surgeon have the opportunity to consider the alternatives and the timing. We put up two posts to assist in this consideration: When is it time for a shoulder replacement? and Is surgery the right treatment now? The right question to ask. What about the medications the patient is taking before joint replacement?

Before embarking on shoulder replacement, it is important to consider the patient factors that may affect the outcome. One of these is the expectations of the patient.

In addition to the patient factors, the skill and characteristics of the surgeon also have a strong effect on the outcome.

In considering the surgical options, managing the glenoid side of glenohumeral arthritis is key: see glenoid retroversion and the glenoid - the key to shoulder arthroplasty as is the method for restoring roundness to the the humeral head and fixation of the humerus with impaction grafting.

Our surgical technique, step by step
    The exposure and the humeral side of the arthroplasty

After surgery:
Swelling of arm after arthroplasty
What about antibiotics after joint replacement?

Continuous passive motion immediately after surgery. 
The secret of stretching
Exercises 1
Exercises 2
Exercises 3
The stiff shoulder
The secret of stretching
The swimmer's stretch 1
The swimmer's stretch 2
Stretching and the electric toothbrush
Forward lean
Maintaining range of motion
Range of motion exercises
How to stretch and how not to stretch
The value of exercise
Rehabilitation: the traction three Rehabilitation: early strengthening
Rehabilitation tips
Careful of rotator cuff

Propionibacterium and shoulder arthroplasty
It is increasingly recognized that Propionibacterium may become introduced into the wounds of shoulder arthroplasties. Here are some articles we've written on the subject:
Origin of propionibacterium in surgical wounds and evidence-based approach for culturing propionibacterium from surgical sites

Optimization of periprosthetic culture for diagnosis of Propionibacterium acnes prosthetic joint infection

Genome sequence of a novel species, Propionibacterium humerusii

**To see more of the Shoulder Arthritis Book, click here.**