Total shoulder arthroplasty:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1998
|
| Schriftenreihe: | The orthopedic clinics of North America
29,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 377 - 568 zahlr. Ill., graph. Darst. |
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| 650 | 4 | |a Arthroplasty, Replacement | |
| 650 | 4 | |a Artificial shoulder joints | |
| 650 | 4 | |a Shoulder Joint |x surgery | |
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Datensatz im Suchindex
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| adam_text | TOTAL SHOULDER ARTHROPLASTY
CONTENTS
Preface xi
Richard J. Friedman
Total Shoulder Arthroplasty: Factors Influencing Prosthetic Design 377
Joseph P. Iannotti and Gerald R. Williams
The goals of prosthetic reconstruction of the shoulder are to re establish
the normal articular anatomy, and to restore the normal soft tissue balance
of the static and dynamic stabilizers of the glenohumeral joint. When these
surgical goals are achieved, the normal kinematics and function of the
joint should be restored. This article presents some of the more significant
anatomic and biomechanical factors that are important in the design of
shoulder prosthetics and surgical reconstruction of the glenohumeral joint.
Humeral Technique in Total Shoulder Arthroplasty 393
Richard J. Friedman
Humeral head replacement arthroplasty has been performed for more than
40 years. As the technique has been refined and advances have been made
in joint arthroplasty of the lower extremity, the indications and success of
shoulder arthroplasty have greatly improved. The humeral component in
a shoulder arthroplasty can be implanted with either cement or press fit
fixation. Both techniques are precise and demand meticulous attention to
detail to achieve optimum results for the patient. Press fit fixation, with or
without porous coating for biologic ingrowth, can be considered for a
patient with good bone stock, if it is felt that a stable interface can be
obtained. In patients with abnormal bone, such as those with rheumatoid
arthritis who are on corticosteroids and those with osteoporosis, the use
of cement can provide stable long term fixation.
Glenoid Replacement in Total Shoulder Arthroplasty 403
Clemente Ibarra, David M. Dines, and John A. McLaughlin
The outcome of total shoulder arthroplasty is largely based on the quality
of glenoid component fixation, which, in turn, is related to the amount
and quality of bone stock, glenohumeral stability, and rotator cuff function.
THE ORTHOPEDIC CLINICS OF NORTH AMERICA VOLUME 29 • NUMBER 3 • JULY 1998 vii
This article discusses the anatomic and pathologic indications for glenoid
replacement, surgical techniques, and results.
Soft Tissue Balancing in Total Shoulder Arthroplasty 415
Clemente Ibarra and Edward V. Craig
When a total shoulder arthroplasty is performed, restoration of the anat¬
omy to near normal is important in order to achieve a stable implant. So
as not to sacrifice stability, it is not uncommon for soft tissues to be either
over tightened or insufficiently released. This article analyzes the various
factors to consider in order to obtain appropriate soft tissue balancing for
a successful total shoulder arthroplasty.
Indications, Technique, and Results of Total Shoulder Arthroplasty
in Osteoarthritis 423
John M. Fenlin, Jr, and Barbara G. Frieman
Osteoarthritis is a slowly progressive disease of one or more joints that
appears to primarily affect articular cartilage. Any joint affected by osteo¬
arthritis develops cartilage thinning and, ultimately, patches of complete
cartilage loss. The main symptom of osteoarthritis in the glenohumeral
joint is diffuse, achy, and insidiously progressive pain. Total shoulder
arthroplasty has become the standard treatment for advanced osteoarthri¬
tis of the glenohumeral joint.
Indications, Technique, and Results of Total Shoulder Arthroplasty
in Rheumatoid Arthritis 435
Barry J. Waldman and Mark P. Figgie
Unconstrained total shoulder arthroplasty is a highly effective and success¬
ful operation in the patient with rheumatoid arthritis. Reliable pain relief
can be obtained, often with an improvement in range of motion and func¬
tion of the entire extremity. Rheumatoid patients may present with difficult
soft tissue and bony deficiencies, but careful planning and intraoperative
procedures help to maximize the outcome and minimize the possible
complications.
Indications, Technique, and Results of Shoulder Arthroplasty in
Osteonecrosis 445
Steven J. Hattrup
The most common causes of osteonecrosis of the humeral head are trauma
and corticosteroid use. The mechanisms appear to be an alteration in fat
metabolism by steroids or direct vascular injury by trauma. Many patients
have satisfactory outcomes without the need for replacement surgery;
however, a history of trauma, advanced stage, or increased extent of head
involvement all serve to increase the incidence of surgery. If replacement
surgery is necessary, the results are superior in steroid induced os¬
teonecrosis compared to post traumatic osteonecrosis.
Arthritis of Dislocation 453
John J. Brems
Arthritis of dislocation appears to be a specific type of shoulder arthritis
associated with previously performed surgical repairs for shoulder insta¬
bility. A number of factors have been identified that are seemingly caus¬
ative for this condition. The physician must recognize and characterize the
direction and degree of instability unique to each individual patient, must
Viii CONTENTS
minimize the use of hardware, and, when determining stabilization tech¬
niques, must identify the need for soft tissue balancing.
Shoulder Hemiarthroplasty for Proximal Humeral Fractures 467
Langdon A. Hartsock, William J. Estes, Craig A. Murray, and
Richard J. Friedman
Most proximal humeral fractures present acutely, either as an isolated
fracture or from multiple trauma. Although the definitive diagnosis is
made with proper radiographs, it is important to take a thorough history
and perform a complete physical exam. Careful patient assessment and
meticulous surgical technique are essential to prevent complications.
Shoulder hemiarthroplasty is a well accepted surgical procedure for the
treatment of subtypes of proximal humeral fractures.
Hemiarthroplasty for Glenohumeral Arthritis with Massive Rotator
Cuff Tears 477
Joe DiGiovanni, Guido Marra, Jin Young Park, and Louis U. Bigliani
Rotator cuff deficiency with associated glenohumeral arthritis poses a
formidable clinical challenge. Humeral head replacement with mainte¬
nance of the coracoacromial arch is the current treatment of choice. Prop¬
erly performed arthroplasty can provide adequate pain relief and modest
gains in motion.
Total Shoulder Arthroplasty Versus Hemiarthroplasty: Current Trends 491
Kevin L. Smith and Frederick A. Matsen III
Currently, a debate exists regarding the indications for hemiarthroplasty
and total shoulder arthroplasty. A number of factors are important in
making this decision. The article discusses some of the variables related
to choosing the appropriate procedure for every patient. The authors also
discuss their approach to various arthritic conditions of the shoulder, the
rationale behind their approach, and their results. Future work will be
necessary before more definitive recommendations can be made, and they
may well be different for each individual surgeon.
Avoiding Pitfalls and Complications in Total Shoulder Arthroplasty 507
Frances Cuomo and Anthony Checroun
To further minimize complications in the currently available arthroplasties
and to improve results, the surgeon must understand all aspects of gleno¬
humeral joint replacement. Many of the important variables for successful
results are under the surgeon s control and are discussed in this article.
Revision of Failed Total Shoulder Arthroplasty 519
Steve A. Petersen and Richard J. Hawkins
Revision shoulder arthroplasty remains the supreme challenge for an expe¬
rienced shoulder surgeon. Glenoid arthritis, glenoid component loosening,
and glenohumeral instability are common causes resulting in arthroplasty
revision. Revision surgery is often complicated by excessive scar, rotator
cuff and deltoid insufficiency, and deficiencies of glenoid and proximal
humeral bone stock, all contributing to unpredictable clinical results. Expe¬
rience with revision arthroplasty remains limited, offering predictable re¬
lief with function that is dependent on the preoperative condition of the
pericapsular tissues, rotator cuff, and deltoid.
CONTENTS IX
Postoperative Rehabilitation Following Total Shoulder Arthroplasty 535
Debora D. Brown and Richard J. Friedman
This article provides a rehabilitation program following total shoulder
arthroplasty. Preoperative assessments and postoperative management,
including information on immobilization, modalities, and exercises are
discussed. The exercises are specific and strive for full available range of
motion prior to aggressive strengthening.
Assessment of Outcome in Shoulder Arthroplasty 549
John E. Kuhn and Ralph B. Blasier
This article discusses outcome measures for the patient requiring shoulder
arthroplasty and the weaknesses and strengths of various assessment tools
in current use. The optimal method to measure the outcome of patients
with shoulder arthroplasty is yet to be defined; however, the ideal assess¬
ment should include measures of general health, a shoulder specific assess¬
ment, and an assessment that is specific to the disease state for which
shoulder arthroplasty is indicated. The authors also provide appendices
with their recommended calculations for the evaluation of the shoulder
arthroplasty patient.
Index 565
Subscription Information Inside back cover
Erratum
In the April 1998 issue of The Orthopedic Clinics of North America, the volume
number on the spine was erroneously printed as 28:2. The volume number
should have been printed as 29:2 as it is throughout the rest of the issue.
X CONTENTS
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| spelling | Total shoulder arthroplasty Richard J. Friedman guest ed. Philadelphia [u.a.] Saunders 1998 X S., S. 377 - 568 zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier The orthopedic clinics of North America 29,3 Arthroplastie gtt Schouders gtt Arthroplasty, Replacement Artificial shoulder joints Shoulder Joint surgery Shoulder joint Surgery Arthroplastik (DE-588)4204008-5 gnd rswk-swf Schultergelenkkrankheit (DE-588)4124153-8 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Schultergelenkkrankheit (DE-588)4124153-8 s Arthroplastik (DE-588)4204008-5 s DE-604 Friedman, Richard J. Sonstige oth The orthopedic clinics of North America 29,3 (DE-604)BV000001089 29,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008189635&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| topic | Arthroplastie gtt Schouders gtt Arthroplasty, Replacement Artificial shoulder joints Shoulder Joint surgery Shoulder joint Surgery Arthroplastik (DE-588)4204008-5 gnd Schultergelenkkrankheit (DE-588)4124153-8 gnd |
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