Written by the world's leading shoulder surgeons, this volume offers much-needed guidance on managing complex and revision problems that cannot be solved by standard treatment formulas. The authors present successful approaches with illustrative case examples, emphasizing avoidance of common pitfalls and management of complications. This edition has a greater focus on arthroscopic procedures and includes full-color arthroscopic images. New chapters cover arthroscopic rotator cuff reconstruction, idiopathic and diabetic stiff shoulder, alternatives to arthroplasty, and the failed arthroplasty. The thoroughly revised fractures section includes new information on two-, three-, and four-part fractures and AC/SC fractures. This edition contains over 800 illustrations.
Here is a technique intensive textbook of shoulder arthroplasty detailing how to handle all relevant aspects of shoulder replacement surgery. Distinguished shoulder surgeons Gary M. Gartsman—author of the well-received Shoulder Arthroscopy—and T. Bradley Edwards provide step-by-step details for each category of shoulder arthroplasty, covering indications and contraindications, pre-operative planning and imaging, results and complications, and more. Copious color intraoperative photographs and illustrations make this book one that all shoulder surgeons need to have at hand! Presents the personal techniques of two master surgeons to give you the benefit of an authoritative approach to challenging surgeries as well as a consistent tone throughout the book. Covers pre-operative planning and surgical techniques in meticulous detail, including Glenoid Component, Reduction/Deltoid Tensioning, Humeral Surface Replacement, and Biological Glenoid Resurfacing. Emphasizes results, complications, and the important topic of post-operative orthosis and rehabilitation to provide a timely focus on outcomes, a rapidly growing trend in orthopaedic surgery. Features intraoperative photographs accompanied by line drawings for added clarification of the procedures. Organizes material in a consistent, structured format for easier use of the text as a technical reference.
Written by an international group of renowned shoulder surgeons, this book is the most comprehensive, current reference devoted to revision and complex shoulder arthroplasty. The first section thoroughly explains the circumstances under which implants can fail and the details involved in assessing the problems in failed shoulder arthroplasty. The second section describes techniques for revision shoulder arthroplasty, including techniques for both anatomic reconstruction and reverse arthroplasty and the role of arthroscopy in revision surgery. The third section focuses on specific issues for various specialized types of shoulder reconstruction requiring prosthetic arthroplasty. More than 400 illustrations complement the text.
This masterful book from top experts provides clinical insights on reverse shoulder arthroplasty gleaned from hands-on refinement of shoulder replacement techniques. Years of significant biomechanical and clinical research yielded invaluable knowledge that led to important improvements in functional outcome and implant durability. Among these refinements were stronger polyethylene derivatives, better ingrowth technology, and improved connection devices. As the durability and longevity of implant technology increased, younger active patients became suitable candidates for this procedure. In fact, RSA has played a pivotal role in making shoulder arthroplasty the fastest growing implant technology. In the first two sections, the authors take the reader through the history and evolution of RSA, followed by step-by-step surgical techniques for specific injuries and conditions. The next three sections discuss past and recent outcomes, complications, and rehabilitation. The last section covers special considerations including patient specific instrumentation, convertible humeral and glenoid components, and the future potential of stemless humeral technology. Key Features The latest trends in patient-specific components, guide systems, and instrument design The use of RSA for rotator cuff repair, shoulder arthritis, and acute and complex fractures In-depth discussion of techniques to improve deltoid function, avoid impingement, and increase implant longevity Clinical pearls on how to recognize and handle complications that occur: instability, infection, scapular notching, component loosening, glenoid and humeral bone loss, and RSA failure High quality videos and 300 superb illustrations further delineate techniques This book is a practical resource that enables learning complex procedures, putting them into practice, and handling complications should they arise. It is an essential tool for all orthopaedic surgeons who treat shoulder conditions.
This textbook provides the most up-to-date information on shoulder surgery along with practical approaches for patient evaluation and treatments options. The book is divided into key sections, providing coverage on Soft Tissue Disorders of the Shoulder, Arthritis of the Shoulder, The Paediatric Shoulder and other miscellaneous topics relevant to treating this area. Its strong clinical focus will help residents and medical students to manage patients in a practical way, based on the most recent scientific evidence and the most effective surgical and non-surgical techniques. Thus, it will become a valuable reference and resource for young doctors and students looking to increase their professional skills and knowledge when treating shoulder injuries and disorders in clinical practice.
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.
Presenting a logical, comprehensive approach to the patient with a massive rotator cuff tear, this book begins with the pathoanatomy and diagnostic work-up for this common injury, including imaging. Both non-operative and operative treatment options for massive tears follow, including arthroscopy, the use of biologics and patches, tendon transfers, and hemiarthroplasty and reverse total shoulder arthroplasty. A practical treatment algorithm for clinicians treating patients with massive rotator cuff tears is also included. Each chapter opens with pearls and pitfalls covering the main key points for quick reference. The overarching theme of this book is that patients with similar imaging findings may demonstrate very different clinical presentations, and the final treatment recommendation should be made based on their complaints and expectations. As such, it will be an excellent resource for orthopedic surgeons, sports medicine and shoulder physicians, physiatrists, physical medicine and rehab specialists, and occupational therapists.
State-of-the art techniques for shoulder replacement surgery Shoulder Arthroplasty: Complex Issues in the Primary and Revision Setting assembles the clinical knowledge of leading orthopedic surgeons treating patients with arthritic shoulders. The book presents practical approaches to surgically managing each type of arthritis, the challenges of revision surgery, and related complications during and following surgery. Chapters provide thorough descriptions of the physical examination, imaging, diagnosis, indications, surgical treatment, nonoperative treatments, therapeutic options, and outcomes. Features: Comprehensive discussion addressing everything from the latest techniques for arthroplasty to alternatives to total shoulder replacement Recommendations about how to avoid and manage common complications including infection, nonunion, malunion, instability, aseptic loosening, and soft tissue complications such as rotator cuff tears, impingement syndromes, and lesions Important coverage on the treatment of young arthritic patients This book is an essential reference for orthopedic surgeons, general surgeons, and residents in these specialties.
Evidence-Based Orthopedics is an up-to-date review of the best evidence for the diagnosis, management, and treatment of orthopedic conditions. Covering orthopedic surgery as well as pre- and post-operative complications, this comprehensive guide provides recommendations for implementing evidence-based practice in the clinical setting. Chapters written by leading clinicians and researchers in the field are supported by tables of evidence that summarize systematic reviews and randomized controlled trials. In areas where evidence is insufficient to recommend a practice, summaries of the available research are provided to assist in decision-making. This fully revised new edition reflects the most recent evidence using the approved evidence-based medicine (EBM) guidelines and methodology. The text now places greater emphasis on GRADE—a transparent framework for developing and presenting summaries of evidence—to allow readers to easily evaluate the quality of evidence and the strength of recommendations. The second edition offers a streamlined presentation and an improved standardized format emphasizing how evidence in each chapter directly affects clinical decisions. Incorporating a vast amount of new evidence, Evidence-Based Orthopedics: Features thoroughly revised and updated content, including a new chapter on pediatric orthopedics and new X-ray images Provides the evidence base for orthopedic surgery as well as pediatric orthopedics and orthopedic conditions requiring medical treatment Covers the different methods for most orthopedic surgical procedures, such as hip replacements, arthroscopy, and knee replacements Helps surgeons and orthopedic specialists achieve a uniform optimum standard through a condition-based approach Aligns with internationally accepted guidelines and best health economic principles Evidence-Based Orthopedics is an invaluable resource for orthopedic specialists, surgeons, trauma surgeons, trainees, and medical students.
This practical text presents the most up-to-date information on the evaluation and management of all aspects of complex and revision shoulder arthroplasty, divided into three thematic section. Chapters in part I focus on the diagnosis and management of complex primary shoulder arthroplasty, including evaluation of humeral and glenoid bone deformity, computer-assisted surgical planning, stemless arthroplasty, anatomic and reverse TSA for severe glenoid erosion, post-traumatic sequalae and deltoid deficiency. The next section describes the diagnosis and management of failed replacements, including hemiarthroplasty, anatomic and reverse total shoulder arthroplasty. These chapters will focus on the initial evaluation and management, including imaging, laboratory work-up and the role of biopsies, covering the diagnosis and revision of a failed hemiarthroplasty; diagnosis and revision of a failed total shoulder arthroplasty; diagnosis and management of the failed reverse shoulder arthroplasty; management of the unstable TSA or RSA; diagnosis and management of the infected arthroplasty; treatment of periprosthetic fractures; salvage options (resection and arthrodesis) for failed arthroplasty. Part III presents specific surgical techniques utilized during revision shoulder arthroplasty, including surgical exposure, removal techniques for failed humeral components, revision of glenoid and humeral defects with bone grafts and augments, and the role of arthroscopic procedures. Utilizing the best clinical evidence, Complex and Revision Shoulder Arthroplasty is an excellent resource for orthopedic and shoulder surgeons, residents and fellows, as well as sports medicine specialists and related professionals.
