肩关节置换精讲.pptVIP

Shoulder Arthroplasty;Lesions of the shoulder requiring arthroplasty are much less common than lesions involving the weight-bearing joints of the body, such as the hip and knee. ;;The Shoulder;Indications for Shoulder Arthroplasty;Hemiarthroplasty;Surgical Approach;A little history;1974- Neer II Prosthesis. Modified Neer I to conform to a glenoid component. Courtesy of Smith Nephew;1970’s - constrained components were popular, but follow-up reports demonstrated high rates of loosening, particularly of the glenoid component. ;;Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study.;Other Problems with Metal-Backed Glenoid Components;Humeral Components;Cemented vs Press-fit Humeral Components;The Need for Modularity;The Need for Modularity;Other Anatomic Variables to Consider;Contraindications to Shoulder Arthroplasty;Osteoarthritis;Hemi vs Total Shoulder;Recommendation based on Experience;Recommendations based on Evidence;Recommendations based on Evidence;A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. A systematic review and meta-analysis.;Recommendations based on Evidence;Technical Issues to Consider;Rheumatoid Arthritis;Rheumatoid Arthritis;;Rheumatoid Arthritis;Rotator Cuff Arthropathy;Rotator Cuff Arthropathy;Surgical Options;Outcomes of Hemiarthroplasty;Outcomes of Hemiarthroplasty;Reverse Total Shoulder Arthroplasty;Outcomes of the Reverse Total Shoulder;Outcomes of the Reverse TSA (Delta III prosthesis);Reverse Total Shoulder Arthroplasty is Hard to Revise;Osteonecrosis;Osteonecrosis;Post-Traumatic Arthritis;Choice of Prosthesis;Complications;Complications;Complications;Complications;Complications;Complications;Complications;Ultimate Bail -Outs