The authors describe a step-by-step technique for reverse total shoulder arthroplasty using arthrotomy via the enlarged transacromial superior approach. This technique seems ideal for reinsertion of the tuberosities and to ensure adequate postoperative tensional balance of the infraspinatus and the subscapularis, which is critical for the rotator cuffs to function properly and to achieve optimal arthroplasty stability. Reviewing these different steps helps understanding each rotator cuff individual component's contribution to achieve optimal arthroplasty stability and external rotation with a reverse shoulder arthroplasty.
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| http://dx.doi.org/10.4081/or.2011.e2 | DOI Listing |
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Background: Patient-reported outcome measures are a valuable tool to evaluate an intervention from a patient's perspective. Previous evidence shows that, while resident involvement may increase operative times, it does not affect complications or patient-reported outcomes. This study sought to assess the impact of a new residency program on patient-reported outcome measures, operative time, and complication rates in total shoulder arthroplasty.
View Article and Find Full Text PDFFrom the last 100 to the first 100-outcome after a manufacturer change in reverse fracture arthroplasty.
Eur J Trauma Emerg Surg
January 2025
Department of Orthopaedics and Trauma Surgery, Musculoskeletal University Center Munich (MUM) University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Purpose: If surgery is indicated for elderly patients suffering a proximal humerus fracture, reverse fracture arthroplasty became the preferred type of treatment due to its good and reliable outcomes over the last decade. Surgeons could choose from a wide range of implants and up to now there was no evaluation, if a change of the manufacturer affects patients` outcome.
Methods: The last 100 patients before and the first 100 after manufacturer change in reverse fracture arthroplasty were evaluated at a level one trauma center, all treated by only 3 senior shoulder surgeons.
Healthcare Resource Utilization in the Two Years Prior to Total Shoulder Arthroplasty.
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Department of Orthopaedics, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA.
Background: Reverse (RTSA) and anatomic total shoulder arthroplasty (ATSA) are the gold standard surgical treatments for symptomatic glenohumeral osteoarthritis (OA). Typically, these procedures are pursued after exhausting medical management and non-arthroplasty procedures. There is little reliable evidence focused on non-arthroplasty treatments for glenohumeral OA, although their use is widespread.
View Article and Find Full Text PDFOutcomes of Augmented versus Standard Baseplates in Reverse Shoulder Arthroplasty.
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Palm Beach Shoulder Service HCA Florida Atlantis Orthopedics, Palm Beach, FL, USA; JFK/University of Miami Department of Orthopedics, Lake Worth, FL, USA. Electronic address:
Background: Glenoid bone loss presents a complex challenge in the management of patients with glenohumeral osteoarthritis (GHOA) undergoing Reverse Shoulder Arthroplasty (RSA). Eccentric reaming and bone grafting have been utilized to address this issue but are associated with their own set of challenges. This study explores the effectiveness of augmented glenoid baseplate RSA in addressing glenoid bone loss.
View Article and Find Full Text PDFCT imaging findings in symptomatic patients with and without revision surgery after reverse shoulder arthroplasty.
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Department of Radiology, Balgrist University Hospital, Faculty of Medicine, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.
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Materials And Methods: In this retrospective study, two radiologists assessed CT imaging findings in symptomatic patients with RSA over 5 years, including material fracture and loosening of the peg, baseplate, screws, and humeral stem, screw positioning, prosthesis dislocation, glenoid notching, fractures, and deltoid muscle quality. The primary outcome parameter was RS.
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