An update on reverse total shoulder arthroplasty: current indications, new designs, same old problems.
acromion fracture
arthroplasty
design
indications
reverse
shoulder
subscapularis repair
Journal
EFORT open reviews
ISSN: 2058-5241
Titre abrégé: EFORT Open Rev
Pays: England
ID NLM: 101695674
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
entrez:
12
4
2021
pubmed:
13
4
2021
medline:
13
4
2021
Statut:
epublish
Résumé
Reverse total shoulder arthroplasty (RTSA) was originally developed because of unsatisfactory results with anatomic shoulder arthroplasty options for the majority of degenerative shoulder conditions and fractures.After initial concerns about RTSA longevity, indications were extended to primary osteoarthritis with glenoid deficiency, massive cuff tears in younger patients, fracture, tumour and failed anatomic total shoulder replacement.Traditional RTSA by Grammont has undergone a number of iterations such as glenoid lateralization, reduced neck-shaft angle, modular, stemless components and onlay systems.The incidence of complications such as dislocation, notching and acromial fractures has also evolved.Computer navigation, 3D planning and patient-specific implantation have been in use for several years and mixed-reality guided implantation is currently being trialled.Controversies in RTSA include lateralization, stemless humeral components, subscapularis repair and treatment of acromial fractures. Cite this article:
Identifiants
pubmed: 33841918
doi: 10.1302/2058-5241.6.200085
pii: 10.1302_2058-5241.6.200085
pmc: PMC8025709
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
189-201Informations de copyright
© 2021 The author(s).
Déclaration de conflit d'intérêts
ICMJE Conflict of interest statement: GW reports consulting fees, Support for travel to meetings for study or other purposes and royalties from Wright, related to the submitted work. The other authors declare no conflict of interest relevant to this work.
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