Exposing the glenoid in shoulder arthroplasty

EFORT Open Reviews

article

Laurent Nové-Josserand¹ 

[1] Hôpital Privé Jean Memoz, Centre Orthopédique Santy

关键词: geriatric;    peri-operative;   

DOI  :  10.1302/2058-5241.4.180057

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Total shoulder arthroplasty is a reliable procedure with better outcomes than hemi-arthroplasty in terms of pain, subjective results, quality of life, strength and range of motion, even in the long term.1 Glenoid exposure is the main difficulty involved and glenoid loosening remains a major problem for anatomical prostheses, whose survival rate has been assessed as 89% at ten years and 70% at twenty years.2 These are the reasons why hemi-arthroplasty has often been preferred to treat osteoarthritis and explains why total arthroplasty is contraindicated in patients with a high risk of glenoid loosening: i.e. those at risk of early loosening because of rotator cuff tear; young, active patients with a risk of early wear from overuse; or those whose glenoid bone stock is too poor to secure the prosthesis fixation. Glenoid exposure is also required for reverse shoulder arthroplasty and glenoid-associated complications are not uncommon, often because of poor implantation due to inadequate surgical exposure.

【 授权许可】

CC BY|CC BY-NC|CC BY-NC-ND