Saturday, November 9, 2013

What are the important surgical options for treating shoulder arthritis?


When is the right time for surgery for shoulder arthritis?

Should I have a ream and run or a total shoulder?

Here are guidelines for optimizing the safety and effectiveness of surgery.

More on making elective surgery safer can be found at this link.

The glenoid is the key to surgical reconstruction of the arthritic shoulder, click here to see why.
Glenoid version and shoulder stability are discussed here. Here is some more information on the Bad Arthritic Triad, click here.

For humeral hemiarthroplasty, CTA prostheses, and total shoulder arthroplasty, we use impaction grafting to secure the humeral component.

Information about the use of eccentric humeral head components to optimize glenohumeral stability can be found here.

A discussion of special considerations for different types of arthritis can be found at this link.

A discussion of factors informing the selection of the humeral component is included in this link and in this link

Here is our method for inserting the humeral component - see this link.

i. General comments
ii. Hemiarthroplasty (including biological resurfacing of the glenoid)
iii. Ream and run
iv. Cuff tear arthropathy arthroplasty
v. Total shoulder
vi. Reverse total shoulder

Individuals often ask whether they should have ream and run or a total. Information on this choice is shown in this link.

For more on things to be considered in the surgical management of arthritis, click on this link.

Here is an interesting link about the different kinds of shoulder joint replacement and their complications.

Some important concepts about rehabilitation after anatomic shoulder joint replacement arthroplasty are presented in this link as well as in this link.


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