Shoulder replacement is a surgical procedure in which all or part of the glenohumeral joint is replaced by a prosthetic implant. Such joint replacement surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage.[1]
Shoulder replacement surgery is an option for treatment of severe arthritis of the shoulder joint. Arthritis is a condition that affects the cartilage of the joints. As the cartilage lining wears away, the protective lining between the bones is lost. When this happens, painful bone-on-bone arthritis develops. Severe shoulder arthritis is quite painful, and can cause restriction of motion. While this may be tolerated with some medications and lifestyle adjustments, there may come a time when surgical treatment is necessary.
Most shoulder replacements last longer than 10 years. A global study found that patients can expect large and long-lasting improvements in pain, strength, range of movement, and their ability to complete everyday tasks.[2][3]
There are a few major approaches to access the shoulder joint. The first is the deltopectoral approach, which saves the deltoid, but requires the subscapularis to be cut.[4] The second is the transdeltoid approach, which provides a straight on approach at the glenoid. However, during this approach the deltoid is put at risk for potential damage.[4]
^American Academy of Orthopaedic Surgeons. "Shoulder Joint Replacement" (Web Article). Retrieved 22 October 2007.
^"Most shoulder replacements last longer than a decade". NIHR Evidence. 2021-04-30. doi:10.3310/alert_46075. S2CID 242994004. Retrieved 2022-07-06.
^Evans JP, Evans JT, Craig RS, Mohammad HR, Sayers A, Blom AW, Whitehouse MR, Rees JL (September 2020). "How long does a shoulder replacement last? A systematic review and meta-analysis of case series and national registry reports with more than 10 years of follow-up". The Lancet Rheumatology. 2 (9): e539–e548. doi:10.1016/S2665-9913(20)30226-5. hdl:10871/123324. PMID 38273618. S2CID 225252643.
^ abCite error: The named reference Nerot 2014 S181–S190 was invoked but never defined (see the help page).
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