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Anatomic Shoulder Arthroplasty: Technical Considerations
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Keywords: Glenohumeral arthritis, Glenoid bone loss, Lesser tuberosity osteotomy, Midsubstance tenotomy, Reverse total shoulder arthroplasty, Subscapularis peel, Subscapularis-preserving, Total shoulder arthroplasty, Type B2 glenoid. Graphic depicting the Friedman red , scapula body yellow and intermediate blue line methods of determining scapular version.
Validity of different methods in two-dimensional computed tomography scans. J Shoulder Elbow Surg ;19 [ 8 ] Image depicting a type B2 glenoid A With three reference lines described by Walch: B The paleoglenoid, which represents the native glenoid version, C Intermediate glenoid, and D The neoglenoid, representing the new version of the glenoid. Approaches 3. Deltopectoral Approach The standard approach for surgical exposure during shoulder arthroplasty is the deltopectoral approach [ 22 , 23 ]. Subscapularis-Preserving Approach This approach begins with a vertical incision beginning just anterior to the posterior margin of the acromioclavicular joint, followed by a superficial dissection down to deltoid fascia, with full-thickness skin flaps developed on both sides of the incision to allow for access to the anterior, and posterior borders of the acromion [ 43 ].
Anteromedial Approach The anteromedial approach to the shoulder dates back to the early 20 th century [ 45 ], but it was only later described in the context of shoulder arthroplasty by Neer et al.
Illustration depicting steps in glenoid bone grafting. A Glenoid with significant posterior erosion.
B Preparation of the anterior glenoid. C Bone graft placement in deficient area, temporarily held in place with drills. D Replacement of the drills with 3. Bone grafting for glenoid deficiency in total shoulder replacement. Total shoulder arthroplasty with the Neer prosthesis. J Bone Joint Surg Am ; 66 6 : CrossRef PubMed. Processing Time: Average publication time of 18 days between final acceptance of revised manuscript and its publication. View Editorial Board. Articles Abstracts Issues. Join Our Editorial Board News release date: March 29, Description: The Open Orthopaedics Journal is an Open Access online journal, which publishes research articles, reviews, letters, case reports and guest-edited single topic issues in all areas of experimental and clinical research and surgery in orthopaedics.
Centre Antipoison-Centre de Pharmacovigilance, France.
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UCB S. Westat, USA. University of Oxford, UK. Almac Sciences, Northern Ireland. Delft University of Technology, The Netherlands. Sapienza - University of Rome, Italy. Paris University, France. Instituto de Agroquimica y Tecnologia de Alimentos, Spain.
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- REVERSE SHOULDER ARTHROPLASTY‚ Biomechanics‚ clinical techniques & current technologies;
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- Anatomic Shoulder Arthroplasty: Technical Considerations.
- Combinatorial Methods in Topology and Algebra?
University Clinic of Navarre, Spain. University of Vienna, Austria. Chiba University, Japan. National Central University, Taiwan. Cofield RH. Functional outcome after shoulder arthroplasty for primary osteoarthritis: A multicenter study. Increasing incidence of shoulder arthroplasty in the United States.
J Bone Joint Surg Am ; 93 24 : Prevention of complications in shoulder arthroplasty: understanding options and critical steps. Instr Course Lect ; Shoulder arthroplasty: Evolving techniques and indications.. Joint, bone, spine : Revue du rhumatisme ; 77 6 : Glenoid bone loss in primary total shoulder arthroplasty: evaluation and management. J Am Acad Orthop Surg ; 20 9 : Survivorship of the humeral component in shoulder arthroplasty.
J shoulder elbow surg Am Shoulder Elbow Surg ; 19 1 : Complications of total shoulder arthroplasty. J Bone Joint Surg Am ; 88 10 : Surgical approach and techniques for total shoulder arthroplasty: Tips and tricks. Measurement of glenoid version: conventional radiographs versus computed tomography scans. J shoulder elbow surg Am Shoulder Elbow Surg ; 12 5 : Glenoid version: how to measure it? J shoulder elbow surg Am Shoulder Elbow Surg ; 19 8 : Randelli M, Gambrioli PL. Glenohumeral osteometry by computed tomography in normal and unstable shoulders.
Clin Orthop Relat Res ; : Neer CS II. Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am ; 56 1 : Influence of preoperative factors on outcome of shoulder arthroplasty for glenohumeral osteoarthritis. J bone jt surg Am Vol ; 85 2 : Static posterior subluxation of the humeral head: an unrecognized entity responsible for glenohumeral osteoarthritis in the young adult.
J shoulder elbow surg Am Shoulder Elbow Surg ; 11 4 : Edge displacement and deformation of glenoid components in response to eccentric loading. The effect of preparation of the glenoid bone. J Bone Joint Surg Am ; 74 4 : Static posterior humeral head subluxation and total shoulder arthroplasty.