Friday, February 5, 2016

Revision shoulder arthroplasty

Revision shoulder arthroplasty: does the stem really matter?

These authors retrospectively reviewed 40 revision shoulder arthroplasties. They did not find significant differences in blood loss, drop in hemoglobin level, need for blood transfusion, or hospitalization time between stemmed and surface replacements.  Reoperation were performed in 3 patients in the surface replacement group.

Comment: Revision arthroplasty is a challenge and the results depend on many factors. These authors point out the difficulties in removing well fixed humeral stems. Our approach to stem removal is shown in this link, including the use of the bodice repair:
In performing our own arthroplasties, we use impaction grafting to preserve bone and facilitate revision (should it become necessary) as shown in this link