Watch Jeff’s Story On Total Shoulder Resurfacing



Reversed Prosthesis a reverse shoulder arthroplasty involves placing the ball component on the glenoid (glenosphere) and the cup component on the humerus; this is opposite of the normal anatomy, but helps to stabilize the shoulder.

Watch Charles’ Story On Total Shoulder Resurfacing

Resurfacing appears to be a viable option for shoulder replacement, especially in young patients.

Watch David’s Story On Total Shoulder Resurfacing

3. Singh JA, Sperling JW, Cofield RH. Revision surgery following total shoulder arthroplasty: analysis of 2588 shoulders over three decades (1976 to 2008). J Bone Joint Surg Br 2011;93:1513-7.

- 97% 10 year survival Coonrad-Morrey prosthesis

2. Gartsman GM, Roddey TS, Hammerman SM. Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis. J Bone Joint Surg Am 2000;82:26-34.

Humeral / ulna and radius prosthesis inserted

- advantage is can be same prosthesis as in reverse

Since Neer’s early work in the 1950s shoulder arthroplasty has evolved as a treatment option for various glenohumeral joint disorders. Both hemiarthroplasty and total shoulder prostheses have associated problems. This has led to further work with regards to potential resurfacing, with the aim of accurately restoring native proximal humeral anatomy while preserving bone stock for later procedures if required. Hemiarthroplasty remains a valuable treatment option in the low demand patient or in the trauma setting. Additional work is required to further define the role of humeral resurfacing, with the potential for it to become the gold standard for younger patients with isolated humeral head arthritis.

A: Tip of prosthesis with proximal extension

Hip resurfacing arthroplasty is a type of hip replacement that replaces the arthritic surface of the joint but removes far less bone than the traditional total hip replacement. Because the hip resurfacing removes less bone, it may be preferable for younger patients that are expected to need a second, or revision, hip replacement surgery as they grow older and wear out the original artificial hip replacement.

- replant far superior to prosthesis as lose sensation and power grasp

- insert prosthesis proximal then distally

Each year he evaluates more than one thousand new patients and performs over 400 arthroscopic, reconstructive, joint replacement, and trauma surgeries for a broad spectrum of shoulder and elbow disorders (). Most commonly, he treats patients for rotator cuff disorders (impingement syndrome and tears), shoulder dislocations and instability, labral tears, arthritis, fractures and sports injuries, using minimally invasive arthroscopic techniques and both standard and reverse total shoulder replacement. Dr. Green is an attending surgeon at Rhode Island Hospital and The Miriam Hospital in Providence, Rhode Island, and a consultant at the Providence V.A. Medical Center. To learn more about Dr. Green and his approach to treating patients, .

- C5 to SSN for shoulder abduction

Usually direct force onto adducted shoulder joint

Introduction: 2-4 years results with different design of reversed shoulder prosthesis are reported. Stemless prosthesis with metaphyseal fixation. New design principles were introduced to overcome pitfalls & problems encountered with reversed arthroplasty.

- inherent stability allows prosthesis to work even if only part of deltoid functions

- 3 revisions: 2 for infection and 1 for periprosthetic fracture

Outcomes of surface replacement arthroplasty have been comparable with those of arthroplasties with a stemmed prosthesis in numerous short and mid-term follow-up studies.