Shoulder Arthroplasty

Success in shoulder arthroplasty surgery is not necessarily dependent only on the principle of construction of a prosthetic device nor the way this device is implanted or fixed to the bony interface, but more so by the understanding and handling of the soft tissues surrounding the articulation. Based on their tremendous experience in the basic anatomy and its relation to function the editors of this book were able to develop a prosthetic device which could take into account individual anatomical variation in each patient, making successful outcome of surgery much more predictable. This must-read for any shoulder surgeon not only informs the reader of the current state of the art but also enlightens him with an understanding of what advancements can be achieved with innovative thinking in the field of orthopaedic surgery. Front Matter....Pages I-XXII Front Matter....Pages 1-1 Shoulder Replacement: Historical Perspectives....Pages 3-9 Front Matter....Pages 11-11 Biomechanics of the Shoulder....Pages 13-22 Kinematics of Anterior Elevation in the Normal Shoulder....Pages 23-27 Kinematics of Shoulder Replacement....Pages 29-36 Front Matter....Pages 37-37 Clinical Evaluation Prior to Shoulder Arthroplasty....Pages 39-45 Imaging Prior to Shoulder Arthroplasty....Pages 47-50 Anaesthesia and Analgesia for Shoulder Arthroplasty....Pages 51-66 Front Matter....Pages 67-67 Anatomical Study of the Proximal Humerus: Surgical Technique Considerations and Prosthetic Design Rationale....Pages 69-82 Prosthetic Adaptability: A New Concept in Shoulder Arthroplasty....Pages 83-93 The Surgical Approaches for Shoulder Arthroplasty....Pages 95-99 Technical Problems Encountered with Subscapularis and the Superior Cuff in Shoulder Arthroplasty....Pages 101-104 The Surgical Anatomy and Osteotomy Technique for the Humeral Head....Pages 105-123 Front Matter....Pages 125-125 Normal and Pathological Anatomy of the Glenoid: Effects on the Design, Preparation, and Fixation of the Glenoid Component....Pages 127-140 Primary Fixation of Glenoid Implants: An In Vitro Study....Pages 141-146 Technique of Glenoid Resurfacing in Shoulder Arthroplasty....Pages 147-161 Cemented Glenoid Component: Results in Osteoarthritis and Rheumatoid Arthritis....Pages 163-171 Results of a New Uncemented Glenoid Component....Pages 173-176 Glenoid Resurfacing in Shoulder Arthroplasty: Pro’s and Con’s....Pages 177-181 Front Matter....Pages 183-183 The Aequalis Shoulder System....Pages 185-189 An Overview of the Series....Pages 191-192 Front Matter....Pages 193-193 Primary Gleno-humeral Osteoarthritis: Clinical and Radiographic Classification....Pages 195-201 Results of Shoulder Arthroplasty in Primary Gleno-humeral Osteoarthritis....Pages 203-210 Front Matter....Pages 211-211 The Role of Medical Synovectomy in Treatment of the Rheumatoid Shoulder....Pages 213-220 Rheumatoid Arthritis of the Shoulder: Radiological Presentation and Results of Arthroplasty....Pages 221-230 Front Matter....Pages 231-231 Conservative Treatment of Atraumatic Avascular Necrosis of the Humeral Head....Pages 233-241 Atraumatic Avascular Necrosis of the Humeral Head: Clinical and Radiographic Classification....Pages 243-250 Results of Shoulder Arthroplasty for Atraumatic Avascular Necrosis of the Humeral Head....Pages 251-257 Front Matter....Pages 259-259 Osteoarthritis with Massive Rotator Cuff-Tear: The Limitation of its Current Definitions....Pages 261-265 Rheumatological Management of Osteoarthritis with Massive Cuff-Tear....Pages 267-270 Osteoarthritis with Massive Cuff-Tear: Results of an Unconstrained Shoulder Arthroplasty....Pages 271-275 Front Matter....Pages 277-277 Anatomical and Pathological Classification of Proximal Humeral Fractures....Pages 279-288 Therapeutic Indications in Fractures of the Proximal Humerus....Pages 289-295 Shoulder Arthroplasty for Proximal Humeral Fractures: Problems and Solutions....Pages 297-314 Preoperative Planning and the Use of the Fracture Jig....Pages 315-321 Tuberosity Osteosynthesis in Shoulder Arthroplasty....Pages 323-329 Results of Shoulder Arthroplasty in Acute Fractures of the Proximal Humerus....Pages 331-345 Front Matter....Pages 347-347 Sequelae of Fractures of the Proximal Humerus: Surgical Classification and Limits of Shoulder Arthroplasty....Pages 349-358 Sequelae of Fractures of the Proximal Humerus: Results of Shoulder Arthroplasty without Greater Tuberosity Osteotomy....Pages 359-369 Sequelae of Fractures of the Proximal Humerus: Results of Shoulder Arthroplasty with Greater Tuberosity Osteotomy....Pages 371-379 Front Matter....Pages 381-381 Rehabilitation Following Shoulder Arthroplasty: Experience at a Rehabilitation Centre....Pages 383-389 Front Matter....Pages 381-381 Rehabilitation Following Shoulder Arthroplasty for Osteoarthritis with Massive Cuff-Tear....Pages 391-393 Rehabilitation Following Shoulder Arthroplasty for Fracture....Pages 395-402 Front Matter....Pages 403-403 Intra- and Postoperative Complications of Shoulder Arthroplasty....Pages 405-417 Reoperation After Shoulder Arthroplasty....Pages 419-424 Shoulder Arthroplasty After Failed Surgery for Gleno-humeral Instability or Rotator Cuff Disorders....Pages 425-430 Front Matter....Pages 431-431 Shoulder Arthropathy and Shoulder Arthroplasty: An Overview....Pages 433-438 Back Matter....Pages 439-444 Success in shoulder arthroplastic surgery is not necessarily dependent only on the principle of construction of a prosthetic device, nor on the way this device is implanted or fixed to the bony interface, but more so on the understanding and handling of the soft tissues surrounding the articulation. Based on their experience in basic anatomy and function, the editors of this book were able to develop a prosthetic device which can take into account individual anatomical variations in each patient, making a successful outcome of surgery much more predictable. This must-have for any shoulder surgeon not only informs on the current state-of-the-art, but also provides an understanding of what advances can be achieved with innovative thinking in the field of orthopaedic surgery.