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Book Details
Abstract
Focusing on all key aspects of shoulder replacement surgery and emphasizing on the latest techniques and tools, Shoulder Arthroplasty, 2nd Edition, brings you expert procedural approaches from two master surgeons in the field: Drs. T. Bradley Edwards and Brent J. Morris. Extensively illustrated, this technique-intensive reference provides step-by-step guidance on the most effective approaches to patients in everyday practice, including the variations and complications that surgeons invariably encounter. Focused, concise coverage includes indications and contraindications, preoperative planning and imaging, results and complications, and more.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Inside Front Cover | ifc1 | ||
| Shoulder Arthroplasty | i | ||
| Copyright Page | ii | ||
| Dedication | iii | ||
| Preface | v | ||
| Table Of Contents | vii | ||
| Video Contents | ix | ||
| Ryan journal Ad | x | ||
| I The Basics | 1 | ||
| 1 Evolution of shoulder arthroplasty | 1 | ||
| Abstract | 1.e1 | ||
| Keywords | 1.e1 | ||
| First Shoulder Arthroplasty | 1 | ||
| First-Generation Shoulder Arthroplasty | 1 | ||
| Second-Generation Shoulder Arthroplasty | 1 | ||
| Third-Generation Shoulder Arthroplasty | 1 | ||
| Short-Stem and Stemless Shoulder Arthroplasty | 2 | ||
| Glenoid Resurfacing | 2 | ||
| Arthroplasty for Fracture | 4 | ||
| Constrained and Semiconstrained Shoulder Arthroplasty | 6 | ||
| Convertible Shoulder Arthroplasty | 6 | ||
| References | 7 | ||
| 2 Becoming a shoulder arthroplasty surgeon | 8 | ||
| Abstract: | 8.e1 | ||
| Keywords | 8.e1 | ||
| Anatomy | 8 | ||
| Cutaneous | 8 | ||
| Subcutaneous | 8 | ||
| Coracoid/Conjoined Tendon | 8 | ||
| Neurovascular Structures | 8 | ||
| Subscapularis, Rotator Interval, and Biceps | 13 | ||
| Glenohumeral Ligaments and Capsule | 13 | ||
| Rotator Cuff | 13 | ||
| Osseous Structures | 13 | ||
| Implants and Techniques | 13 | ||
| Resources for Becoming a Shoulder Arthroplasty Surgeon | 15 | ||
| Reference | 15 | ||
| 3 Operating room setup | 16 | ||
| Abstract | 16.e1 | ||
| Keywords | 16.e1 | ||
| Operating Room Layout | 16 | ||
| Staff Positioning | 16 | ||
| Overhead Lighting | 16 | ||
| Surgical Instrumentation | 16 | ||
| 4 Anesthesia, patient positioning, and patient preparation | 29 | ||
| Abstract | 29.e1 | ||
| Keywords | 29.e1 | ||
| Anesthesia | 29 | ||
| Patient Positioning | 29 | ||
| Surgical Preparation and Draping | 29 | ||
| Acknowledgments | 34 | ||
| 5 Long head of the biceps tendon | 35 | ||
| Abstract | 35.e1 | ||
| Keywords | 35.e1 | ||
| Technique for Handling the Long Head of the Biceps Tendon | 35 | ||
| References | 38 | ||
| II Unconstrained Shoulder Arthroplasty for Chronic Disease | 39 | ||
| 6 Indications and contraindications | 39 | ||
| Abstract | 39.e1 | ||
| Keywords | 39.e1 | ||
| Hemiarthroplasty Versus Total Shoulder Arthroplasty: Indications for Glenoid Resurfacing | 39 | ||
| Primary Osteoarthritis | 39 | ||
| Clinical Findings | 39 | ||
| Imaging Findings | 40 | ||
| Special Considerations | 40 | ||
| Rheumatoid Arthritis | 41 | ||
| Clinical Findings | 41 | ||
| Imaging Findings | 41 | ||
| Special Considerations | 41 | ||
| Other Inflammatory Arthropathies | 42 | ||
| Humeral Head Osteonecrosis | 42 | ||
| Clinical Findings | 42 | ||
| Imaging Findings | 42 | ||
| Special Considerations | 42 | ||
| Instability Arthropathy | 43 | ||
| Clinical Findings | 43 | ||
| Imaging Findings | 43 | ||
| Special Considerations | 43 | ||
| Posttraumatic Arthritis | 44 | ||
| Clinical Findings | 46 | ||
| Imaging Findings | 46 | ||
| Special Considerations | 46 | ||
| Fixed Glenohumeral Dislocation | 46 | ||
| Rotator Cuff Tear Arthropathy (Glenohumeral Osteoarthritis With a Massive Rotator Cuff Tear) | 46 | ||
| Postinfectious Arthropathy | 47 | ||
| Clinical Findings | 48 | ||
| Imaging Findings | 48 | ||
| Special Considerations | 48 | ||
| Glenohumeral Chondrolysis | 49 | ||
| Clinical Findings | 49 | ||
| Imaging Findings | 49 | ||
| Special Considerations | 49 | ||
| Glenohumeral Arthritis Associated With Neurologic Pathology | 50 | ||
| Glenohumeral Arthritis Associated With Previous Radiation Therapy | 50 | ||
| Glenohumeral Arthritis Associated With Skeletal Dysplasia | 50 | ||
| Tumor | 50 | ||
| Contraindications to Unconstrained Shoulder Arthroplasty | 51 | ||
| References | 52 | ||
| 7 Preoperative planning and imaging | 53 | ||
| Abstract | 53.e1 | ||
| Keywords | 53.e1 | ||
| Clinical History and Examination | 53 | ||
| Radiography | 54 | ||
| Secondary Imaging | 60 | ||
| Preoperative Planning Software and Patient-Specific Instrumentation | 61 | ||
| References | 65 | ||
| 8 Surgical approach | 66 | ||
| Abstract | 72.e1 | ||
| Keywords | 72.e1 | ||
| 9 Subscapularis | 73 | ||
| Abstract | 73.e1 | ||
| Keywords | 73.e1 | ||
| Technique for Handling the Subscapularis | 73 | ||
| 10 Glenoid exposure | 86 | ||
| Abstract: | 86.e1 | ||
| Keywords | 86.e1 | ||
| Technique for Glenoid Exposure | 86 | ||
| Anterior Release | 86 | ||
| Inferior Release | 86 | ||
| Posterior Release | 86 | ||
| 11 Humeral component | 89 | ||
| Abstract | 89.e1 | ||
| Keywords | 89.e1 | ||
| Technique for Insertion of an Uncemented Humeral Component | 89 | ||
| Technique for Insertion of a Cemented Humeral Component | 103 | ||
| References | 105 | ||
| 12 Glenoid component | 106 | ||
| Abstract | 106.e1 | ||
| Keywords | 106.e1 | ||
| Reaming the Glenoid Surface | 106 | ||
| Selecting the Size of the Glenoid Component | 111 | ||
| Selecting the Type of Glenoid Component | 111 | ||
| Preparing the Glenoid Bone | 113 | ||
| Final Implantation of the Glenoid Component | 113 | ||
| References | 117 | ||
| 13 Soft tissue balancing | 118 | ||
| Abstract | 118.e1 | ||
| Keywords | 118.e1 | ||
| Evaluating the Need for Soft Tissue Balancing | 118 | ||
| Performing a Posterior Capsulorrhaphy | 118 | ||
| Performing a Posterior Capsular Release | 118 | ||
| 14 Subscapularis and rotator interval repair | 123 | ||
| Abstract | 123.e1 | ||
| Keywords | 123.e1 | ||
| Technique for Repair of the Subscapularis and Rotator Interval | 123 | ||
| References | 129 | ||
| 15 Wound closure and postoperative orthosis | 130 | ||
| Abstract | 130.e1 | ||
| Keywords | 130.e1 | ||
| Technique for Wound Closure | 130 | ||
| Postoperative Orthosis | 130 | ||
| Reference | 133 | ||
| 16 Results and complications | 134 | ||
| Abstract | 134.e1 | ||
| Keywords | 134.e1 | ||
| Results | 134 | ||
| Intraoperative Complications | 134 | ||
| Humerus | 134 | ||
| Glenoid | 134 | ||
| Rotator Cuff | 134 | ||
| Neurovascular Structures | 137 | ||
| Postoperative Complications | 138 | ||
| Wound Problems | 138 | ||
| Glenoid Problems | 138 | ||
| Humeral Problems | 138 | ||
| Instability | 140 | ||
| Rotator Cuff Problems | 144 | ||
| Stiffness | 144 | ||
| Infection | 145 | ||
| References | 145 | ||
| III Reverse Shoulder Arthroplasty | 147 | ||
| 17 Indications and contraindications | 147 | ||
| Abstract | 147.e1 | ||
| Keywords | 147.e1 | ||
| Rotator Cuff Tear Arthropathy (Glenohumeral Osteoarthritis With Massive Rotator Cuff Tear) | 147 | ||
| Clinical Findings | 147 | ||
| Imaging Findings | 149 | ||
| Special Considerations | 151 | ||
| Rheumatoid Arthritis (Inflammatory Arthropathy) With Massive Rotator Cuff Tear | 151 | ||
| Clinical Findings | 151 | ||
| Imaging Findings | 151 | ||
| Special Considerations | 154 | ||
| Proximal Humeral Nonunion | 154 | ||
| Proximal Humeral Malunion | 154 | ||
| IV Shoulder Arthroplasty for Fracture | 237 | ||
| 26 Indications and contraindications | 237 | ||
| Abstract | 237.e1 | ||
| Keywords | 237.e1 | ||
| Four-Part Proximal Humeral Fractures | 237 | ||
| Three-Part Proximal Humeral Fractures | 237 | ||
| Fracture-Dislocation | 238 | ||
| Head-Splitting Fracture | 238 | ||
| Special Situations | 238 | ||
| Severe Osteopenia | 238 | ||
| Neural Injury | 239 | ||
| Glenoid Issues | 239 | ||
| Rotator Cuff Pathology | 239 | ||
| Contraindications to Shoulder Arthroplasty for Fracture | 239 | ||
| Choosing Unconstrained Humeral Head Replacement or Reverse Shoulder Arthroplasty for Proximal Humeral Fracture | 240 | ||
| References | 241 | ||
| 27 Preoperative planning and imaging | 242 | ||
| Abstract | 242.e1 | ||
| Keywords | 242.e1 | ||
| Clinical History and Examination | 242 | ||
| Radiography | 242 | ||
| Secondary Imaging | 242 | ||
| Prosthetic Positioning for Unconstrained Humeral Head Replacement for Fracture—the Gothic Arch Technique | 242 | ||
| Prosthetic Positioning for Reverse Shoulder Arthroplasty for Fracture With Ancillary Instrumentation | 244 | ||
| References | 248 | ||
| 28 Surgical approach and handling of the tuberosities | 249 | ||
| Abstract: | 249.e1 | ||
| Keywords | 249.e1 | ||
| Surgical Approach | 249 | ||
| Identification and Handling of the Tuberosity | 249 | ||
| 29 Humeral prosthetic positioning | 254 | ||
| Abstract | 254.e1 | ||
| Keywords | 254.e1 | ||
| Unconstrained Humeral Head Replacement for Fracture | 254 | ||
| Identification and Preparation of the Humeral Diaphysis for Unconstrained Humeral Head Replacement for Fracture | 254 | ||
| Selection of the Humeral Implant for Unconstrained Humeral Head Replacement for Fracture | 254 | ||
| Prosthetic Positioning for Unconstrained Humeral Head Replacement for Fracture—the Gothic Arch Technique | 254 | ||
| Preparation of Bone Graft for Unconstrained Humeral Head Replacement for Fracture | 260 | ||
| Implantation of the Humeral Component for Unconstrained Humeral Head Replacement for Fracture | 261 | ||
| Reverse Shoulder Arthroplasty for Fracture | 263 | ||
| Identification and Preparation of the Humeral Diaphysis for Reverse Shoulder Arthroplasty for Fracture | 263 | ||
| Selection of the Humeral Implant and Prosthetic Positioning for Reverse Shoulder Arthroplasty for Fracture | 263 | ||
| Preparation of Bone Graft for Reverse Shoulder Arthroplasty for Fracture | 264 | ||
| Implantation of the Humeral Component for Reverse Shoulder Arthroplasty for Fracture | 264 | ||
| References | 267 | ||
| 30 Tuberosity reduction and fixation | 268 | ||
| Abstract | 268.e1 | ||
| Keywords | 268.e1 | ||
| Technique for Reduction and Fixation of the Tuberosities | 268 | ||
| References | 282 | ||
| 31 Wound closure and postoperative orthosis | 283 | ||
| Abstract | 283.e1 | ||
| Keywords | 283.e1 | ||
| Technique for Wound Closure | 283 | ||
| Postoperative Orthosis | 283 | ||
| 32 Results and complications | 286 | ||
| Abstract | 286.e1 | ||
| Keywords | 286.e1 | ||
| Results | 286 | ||
| Intraoperative Complications | 286 | ||
| Neurovascular Structures | 286 | ||
| Humeral Shaft Fracture | 286 | ||
| Glenoid Fracture | 286 | ||
| Postoperative Complications | 287 | ||
| Tuberosity Complications | 287 | ||
| Wound Problems | 288 | ||
| Glenoid Problems | 288 | ||
| Humeral Diaphysis Problems | 289 | ||
| Instability | 289 | ||
| Stiffness | 289 | ||
| Scapular Notching | 289 | ||
| Infection | 289 | ||
| References | 291 | ||
| V Alternatives to Conventional Shoulder Arthroplasty | 293 | ||
| 33 Stemless shoulder arthroplasty | 293 | ||
| Abstract | 293.e1 | ||
| Keywords | 293.e1 | ||
| Indications and Contraindications for Stemless Unconstrained Total Shoulder Arthroplasty | 294 | ||
| Technique for Stemless Unconstrained Total Shoulder Arthroplasty | 294 | ||
| References | 307 | ||
| 34 Biologic alternatives to shoulder arthroplasty | 308 | ||
| Abstract: | 308.e1 | ||
| Keywords | 308.e1 | ||
| Biologic Humeral Resurfacing | 308 | ||
| Technique for Biologic Resurfacing | 308 | ||
| Biologic Glenoid Resurfacing | 312 | ||
| Indications and Contraindications | 312 | ||
| Technique for Biologic Glenoid Resurfacing | 313 | ||
| Autogenous Fascia Lata Harvest | 313 | ||
| Implantation of the Fascia Lata Autograft | 313 | ||
| Reference | 321 | ||
| VI Revision Shoulder Arthroplasty | 323 | ||
| 35 Indications and contraindications | 323 | ||
| Abstract | 323.e1 | ||
| Keywords | 323.e1 | ||
| Problems Related to the Glenoid | 323 | ||
| Glenoid Erosion | 323 | ||
| Glenoid Component Failure | 323 | ||
| Reverse Glenoid Component | 326 | ||
| Problems Related to the Humerus | 328 | ||
| Unconstrained Humeral Components | 328 | ||
| Reverse Humeral Components | 329 | ||
| Problems Related to Soft Tissue | 329 | ||
| Subscapularis Problems | 332 | ||
| Other Rotator Cuff Problems | 332 | ||
| Instability | 332 | ||
| Infection | 332 | ||
| Special Situation—Tuberosity Problems After Unconstrained Arthroplasty for Fracture | 334 | ||
| Periprosthetic Fracture | 334 | ||
| Contraindications to Revision Shoulder Arthroplasty | 336 | ||
| Reference | 336 | ||
| 36 Preoperative planning, imaging, and special tests | 337 | ||
| Abstract | 337.e1 | ||
| Keywords | 337.e1 | ||
| Clinical History and Examination | 337 | ||
| Radiography | 337 | ||
| Secondary Imaging | 339 | ||
| Special Tests | 344 | ||
| Reference | 345 | ||
| 37 Surgical approach | 346 | ||
| Abstract | 346.e1 | ||
| Keywords | 346.e1 | ||
| Technique for the Deltopectoral Approach | 346 | ||
| Technique for Extension of the Deltopectoral Approach Into an Anterolateral Approach to the Humeral Diaphysis | 354 | ||
| 38 Humeral stem removal and glenoid exposure | 360 | ||
| Abstract | 360.e1 | ||
| Keywords | 360.e1 | ||
| Technique for Humeral Stem Removal | 360 | ||
| Humeral Osteotomy | 367 | ||
| Cement Removal | 373 | ||
| Technique for Glenoid Exposure | 373 | ||
| Special Situations | 374 | ||
| Periprosthetic Fracture | 374 | ||
| Infection | 374 | ||
| References | 379 | ||
| 39 Humeral component | 380 | ||
| Abstract | 380.e1 | ||
| Keywords | 380.e1 | ||
| Technique for Preparation of the Proximal Humerus | 380 | ||
| Unconstrained Humeral Stem | 380 | ||
| Reverse-Design Humeral Stem | 380 | ||
| Allograft Reconstruction of the Proximal Humerus | 387 | ||
| Technique for Insertion of a Revision Humeral Stem | 390 | ||
| Special Situations | 406 | ||
| Periprosthetic Fracture | 406 | ||
| Convertible Humeral Stems (Video 39.1) | 410 | ||
| Reference | 412 | ||
| 40 Glenoid component | 413 | ||
| Abstract | 413.e1 | ||
| Keywords | 413.e1 | ||
| Glenoid Revision Not Requiring a Bone Graft | 413 | ||
| Unconstrained Shoulder Arthroplasty Cases Not Requiring a Glenoid Bone Graft | 413 | ||
| Reverse Shoulder Arthroplasty Cases Not Requiring a Glenoid Bone Graft | 413 | ||
| Glenoid Revision Requiring a Bone Graft | 413 | ||
| Unconstrained Shoulder Arthroplasty Cases Requiring a Glenoid Bone Graft | 417 | ||
| Contained Osseous Deficit | 420 | ||
| Uncontained (Anterior or Posterior) Osseous Deficit | 420 | ||
| Uncontained Combined (Anterior and Posterior) Osseous Deficit | 420 | ||
| Reverse Shoulder Arthroplasty Cases Requiring a Glenoid Bone Graft | 428 | ||
| Technique for Harvest of Autogenous Iliac Crest Bone Graft | 439 | ||
| References | 447 | ||
| 41 Wound closure and postoperative orthosis | 448 | ||
| Abstract | 448.e1 | ||
| Keywords | 448.e1 | ||
| Technique for Wound Closure | 448 | ||
| Postoperative Orthosis | 448 | ||
| 42 Results and complications | 450 | ||
| Abstract | 450.e1 | ||
| Keywords | 450.e1 | ||
| Results | 450 | ||
| Intraoperative Complications | 450 | ||
| Humerus | 450 | ||
| Glenoid | 450 | ||
| Rotator Cuff | 452 | ||
| Neurovascular Structures | 452 | ||
| Postoperative Complications | 453 | ||
| Wound Problems | 453 | ||
| Glenoid Problems | 453 | ||
| Humeral Problems | 453 | ||
| Instability | 455 | ||
| Instability After Unconstrained Revision Shoulder Arthroplasty | 455 | ||
| Instability After Revision Surgery With a Reverse Shoulder Prosthesis | 455 | ||
| Rotator Cuff Problems | 456 | ||
| Stiffness | 456 | ||
| Infection | 458 | ||
| Acromial Fractures | 458 | ||
| Scapular Body and Scapular Spine Fractures | 459 | ||
| Scapular Notching | 459 | ||
| References | 460 | ||
| VII Postoperative Rehabilitation | 461 | ||
| 43 Rehabilitation after shoulder arthroplasty | 461 | ||
| Abstract | 461.e1 | ||
| Keywords | 461.e1 | ||
| Principles of Hydrotherapy | 461 | ||
| Rehabilitation Protocol | 461 | ||
| Return to Activity | 464 | ||
| Reference | 464 | ||
| VIII The Future | 465 | ||
| 44 Future directions in shoulder arthroplasty | 465 | ||
| Abstract | 465.e1 | ||
| Keywords | 465.e1 | ||
| Patient-Specific Virtual Surgery and Patient-Specific Instrumentation | 465 | ||
| Recognition of the Dynamic Role of the Scapula in Shoulder Arthroplasty | 465 | ||
| Alternative Bearing Surfaces | 466 | ||
| Total Shoulder Arthroplasty Technology on the Horizon—Glenoid Design and Convertibility | 468 | ||
| Reverse Shoulder Arthroplasty Technology on the Horizon | 468 | ||
| References | 469 | ||
| Index | 470 | ||
| A | 470 | ||
| B | 470 | ||
| C | 471 | ||
| D | 471 | ||
| E | 472 | ||
| F | 472 | ||
| G | 472 | ||
| H | 474 | ||
| I | 476 | ||
| J | 476 | ||
| L | 476 | ||
| M | 477 | ||
| N | 477 | ||
| O | 477 | ||
| P | 477 | ||
| R | 478 | ||
| S | 480 | ||
| T | 481 | ||
| U | 481 | ||
| V | 482 | ||
| W | 482 | ||
| Inside Back Cover | ibc1 |