Reverse Shoulder Arthroplasty

The definitive book on reverse shoulder arthroplasty from leading orthopaedic shoulder surgeons

This masterful book from top experts provides clinical insights on reverse shoulder arthroplasty gleaned from hands-on refinement of shoulder replacement techniques. Years of significant biomechanical and clinical research yielded invaluable knowledge that led to important improvements in functional outcome and implant durability. Among these refinements were stronger polyethylene derivatives, better ingrowth technology, and improved connection devices. As the durability and longevity of implant technology increased, younger active patients became suitable candidates for this procedure. In fact, RSA has played a pivotal role in making shoulder arthroplasty the fastest growing implant technology.

In the first two sections, the authors take the reader through the history and evolution of RSA, followed by step-by-step surgical techniques for specific injuries and conditions. The next three sections discuss past and recent outcomes, complications, and rehabilitation. The last section covers special considerations including patient specific instrumentation, convertible humeral and glenoid components, and the future potential of stemless humeral technology.

Key Features

• The latest trends in patient-specific components, guide systems, and instrument design
• The use of RSA for rotator cuff repair, shoulder arthritis, and acute and complex fractures
• In-depth discussion of techniques to improve deltoid function, avoid impingement, and increase implant longevity
• Clinical pearls on how to recognize and handle complications that occur: instability, infection, scapular notching, component loosening, glenoid and humeral bone loss, and RSA failure

• High quality videos and 300 superb illustrations further delineate techniques
  This book is a practical resource that enables learning complex procedures, putting them into practice, and handling complications should they arise. It is an essential tool for all orthopaedic surgeons who treat shoulder conditions.

  Klappentext

  This masterful book from top experts provides clinical insights on reverse shoulder arthroplasty gleaned from hands-on refinement of shoulder replacement techniques. Years of significant biomechanical and clinical research yielded invaluable knowledge that led to important improvements in functional outcome and implant durability. Among these refinements were stronger polyethylene derivatives, better ingrowth technology, and improved connection devices. As the durability and longevity of implant technology increased, younger active patients became suitable candidates for this procedure. In fact, RSA has played a pivotal role in making shoulder arthroplasty the fastest growing implant technology. In the first two sections, the authors take the reader through the history and evolution of RSA, followed by step-by-step surgical techniques for specific injuries and conditions. The next three sections discuss past and recent outcomes, complications, and rehabilitation. The last section covers special considerations including patient specific instrumentation, convertible humeral and glenoid components, and the future potential of stemless humeral technology. Key Features The latest trends in patient-specific components, guide systems, and instrument design The use of RSA for rotator cuff repair, shoulder arthritis, and acute and complex fractures In-depth discussion of techniques to improve deltoid function, avoid impingement, and increase implant longevity Clinical pearls on how to recognize and handle complications that occur: instability, infection, scapular notching, component loosening, glenoid and humeral bone loss, and RSA failure High quality videos and 300 superb illustrations further delineate techniques This book is a practical resource that enables learning complex procedures, putting them into practice, and handling complications should they arise. It is an essential tool for all orthopaedic surgeons who treat shoulder conditions.

  Inhalt

  The Basics

  1. History of Reverse Shoulder Arthroplasty
  2. Reverse Total Shoulder Arthroplasty: Biomechanics and Design Challenges
  3. Evolution of Glenosphere and Baseplate Technology in Reverse Total Shoulder Arthroplasty
  4. Evolution of Humeral Component Technology in Reverse Shoulder Arthroplasty
  5. Emerging Indications for Reverse Total Shoulder Arthroplasty
     Surgical Techniques
  6. PreoperativeWork-up and Surgical Approaches for Reverse Shoulder Arthroplasty
  7. Debate: Approaches to Reverse Shoulder Arthroplasty: Deltopectoral Approach versus Superior Approach
  8. Indications and Techniques of BIO-RSA for Cuff Tear Arthropathy, Including Associated Soft Tissue Transfers for Loss of External Rotation
  9. Debate: I Always Repair the Subscapularis Tendon If Possible versus the Subscapularis Tendon: A Vestigial Structure Following Reverse Total Shoulder Arthroplasty?
  10. Reverse Shoulder Arthroplasty for Acute Fracture: Indications and Technique
  11. Reverse Shoulder Arthroplasty for Fracture Sequelae: Indications and Technique
  12. Debate: Hemiarthroplasty or Reverse Shoulder Arthroplasty for Proximal Acute Complex Humeral Fractures
  13. Reverse Shoulder Arthroplasty for Massive Anterosuperior Rotator Cuff Failure
  14. Reverse Shoulder Arthroplasty for Osteoarthritis withWalch B2 Glenoid: Indications and Specific Technical Considerations
  15. Reverse Shoulder Arthroplasty in Revision Shoulder Arthroplasty: What I Look for and How I Do It
      Results of Reverse Shoulder Arthroplasty
  16. Historic and Recent Results of Reverse Shoulder Arthroplasty
      Complications of Reverse Shoulder Arthroplasty
  17. Instability after Reverse Total Shoulder Arthroplasty: Evaluation and Treatment
  18. Infection after Reverse Shoulder Arthroplasty:Workup, Diagnosis, and Treatment
  19. Scapular Notching: Is It a Problem? How DoWe Prevent It?
  20. Component Loosening: What Can Be Done to Prevent and Treat It
      Rehabilitation
  21. Reverse Total Shoulder Arthroplasty Rehabilitation and Activities
      Special Considerations
  22. Patient-Specific Instruments and Implants in Reverse Shoulder Arthroplasty
  23. Debate: Patient-Specific Instrumentation Is Necessary versus It Is Not Necessary in All Cases
  24. How I Deal with Humeral Bone Loss in Reverse Shoulder Arthroplasty
  25. Dealing with Glenoid Bone Loss in Reverse Shoulder Arthroplasty
  26. Convertible Humeral Components in Reverse Shoulder Arthroplasty
  27. Stemless Humeral Technology in Reverse Shoulder Arthroplasty: Is It the Next Frontier?
  28. The Use of Convertible Glenoid Component Makes Revision to Reverse Total Shoulder Arthroplasty Easier
  29. What Can Be Done When a Reverse Shoulder Arthroplasty Fails?