Instability and the Anatomic Total Shoulder Arthroplasty.
| Autor: | Seidl AJ; From the Department of Orthopedic Surgery, University of Colorado., Daniels SD |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of the American Academy of Orthopaedic Surgeons [J Am Acad Orthop Surg] 2024 Sep 05. Date of Electronic Publication: 2024 Sep 05. |
| DOI: | 10.5435/JAAOS-D-23-01072 |
| Abstrakt: | Instability of the anatomic total shoulder arthroplasty is a challenging problem. With an incidence of 1% to 5% reported in the literature, it is critical for shoulder surgeons to understand and be capable of addressing this complication. Etiology is multifactorial and related to soft-tissue imbalance, osseous pathology, implant malposition, or more commonly, a combination of these various causes. Historically, high rates of failure have been reported after revision procedures, prompting a movement toward the more inherently stable reverse shoulder arthroplasty as a reliable form of management. However, this may not be the ideal solution for all patients, particularly the young and active population. Consequently, the purpose of this article was to provide a review of the literature on the management of postoperative instability and intraoperative strategies to prevent this complication during the index procedure. (Copyright © 2024 by the American Academy of Orthopaedic Surgeons.) |
| Databáze: | MEDLINE |
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