Reverse shoulder arthroplasty can therefore be read either from start to finish, allowing orthopedic surgeons to appreciate the various perspectives offered, or by selecting specific topics of interest much like a howto manual of either a particular device design or the treatment of a specific pathology. Biomechanic principles of reverse shoulder prosthesis. Prosthesis design and placement in reverse total shoulder. Rehabilitation protocol for reverse shoulder arthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a reverse shoulder arthroplasty.
Since its description by paul grammont from dijon, france, several tens of thousands of reverse total shoulder arthroplasties rtsa have been performed for diverse conditions. Feeley, md department of orthopaedic surgery, university of california at san francisco, san francisco, ca, usa reverse total shoulder arthroplasty is an effective procedure for treatment of glenohumeral joint. The patient version of the shoulder arthroplasty gives you an idea of what to expect from surgery until discharge. Rehabilitation guidelines for shoulder arthroplasty and reverse. Reverse shoulder arthroplasty biomechanics, clinical techniques. Effect of humeral component version on outcomes in reverse. Reverse shoulder arthroplasty for trauma when, where, and how. In case of humeral defect and in young patients, the muscletendon transfer may be fixed onto a humeral bone allograft. The shoulder is a ball and socket joint that enables you to raise, twist, bend and move your arms forward, to the sides and behind you. Reverse shoulder arthroplasty biomechanics, clinical. Despite the increasing numbers of reverse total shoulder arthroplasty rtsa procedures, the longterm results have been rarely reported.
Reversed total shoulder arthroplasty is a popular treatment in rotator cuff arthropathy and in displaced proximal humeral fractures in elderly. In 2016, 29 models of commercially available designs express this popularity. The purpose of this work is to show a detailed videodemonstration of the surgical technique at university of florida for this complex pathology. By current concepts in joint replacement featuring david m. Reverse total shoulder arthroplasty is a very interesting new addition to what we do in shoulder replacement just as if the patient has had a knee replacement, which people are familiar with, or a hip replacement. Shoulder arthroplasty and reverse ball and socket arthroplasty limitations. In a reverse shoulder replacement the structure of your shoulder. Pulley exercises hang your pulleys over a door and face the door. Surgical video that shows a reverse total shoulder arthroplasty using the equinoxe shoulder system. Malunion or nonunion of the tuberosities does not affect the functional result after reverse total shoulder arthroplasty as much as it. Reverse total shoulder arthroplasty rtsa is designed for the treatment of glenohumeral gh arthritis when it is associated with irreparable rotator cuff tears,complex fractures, severe glenoid deformity from dysplasia or wear, or for a revision of a previously failed conventional total shoulder arthroplasty tsa. Read online reverse total shoulder arthroplasty with latissimus dorsi. The management of irreparable rotator cuff tears associated with osteoarthritis of the glenohumeral joint has long been challenging.
Reverse total shoulder replacement johns hopkins shoulder. Home exercise program after reverse total shoulder. Biomechanical studies of these components confirmed that increasing humeral retroversion increases impingement free. Most people experience improved shoulder function after this surgery. Download reverse total shoulder arthroplasty with latissimus dorsi. A patients guide to reverse shoulder arthroplasty introduction. Everse shoulder arthroplasty gonzalo samitier md, phd hfhs sports medicine fellow 2. Biomechanics of reverse total shoulder arthroplasty. Rocking horse phenomenon rocking horse phenomenon 5. We previously reported early outcomes of a cohort of patients treated with a grammontstyle rtsa.
Alterations have been made over the years to the standard reverse total shoulder arthroplasty rtsa prosthetic components in an effort to decrease adverse events. On the top of the long bone humerus is a round head which fits snugly into a cup shaped space glenoid in the shoulder. All books are in clear copy here, and all files are secure so dont worry about it. Pdf since the introduction of reverse total shoulder arthroplasty rtsa in 1987 in europe and. Mar 30, 2011 the indication for reverse shoulder arthroplasty rsa is most commonly rotator cuff disease in association with glenohumeral arthritis. A practical approach pdf this masterful book from top experts provides clinical insights on reverse shoulder arthroplasty gleaned from handson refinement of shoulder replacement techniques. Reverse total shoulder arthroplasty rsa was designed to provide pain relief and improve shoulder function in patients with severe rotator cuff tear arthropathy. Department of rehabilitation services reverse total shoulder.
Comparison of reverse total shoulder arthroplasty outcomes. Some surgeons recommend a superior approach when open surgery is used for rotator cuff repair, while others prefer an anterior deltopectoral approach, which saves the deltoid. Keywords reverse shoulder arthroplasty, proximal humerus fracture. This study describes all the different design parameters available on the market. Prosthetic differences are found for the baseplate, glenosphere, polyethylene, and humeral. Short stem reverse total shoulder arthroplasty periprosthetic.
Home exercise program after reverse total shoulder arthroplasty most patients using a home exercise program should perform their exercises 34 times per day, performing three sets of ten repetitions. Bas p hartel, tjarco dw alta, miguel e sewnath, w jaap willems submitted for journal publication 91 chapter 6 kinematic and clinical evaluation of shoulder function after. Stanford libraries official online search tool for books, media, journals, databases, government documents and more. Years of significant biomechanical and clinical research yielded invaluable knowledge that led to important improvements in. Reverse total shoulder replacement is a complex procedure and is warranted by certain conditions.
Springer nature is making sarscov2 and covid19 research free. The arm and shoulder are prepped and draped free figure 1. Focusing on all key aspects of shoulder replacement surgery and emphasizing the latest techniques and tools, shoulder arthroplasty, 2nd edition, brings you expert procedural approaches from two master surgeons in the field. Comprehensive reverse shoulder system zimmer biomet. Reverse or inverse total shoulder arthroplasty rtsa is designed specifically for the treatment of glenohumeral gh arthritis when it is associated with irreparable rotator cuff damage, complex fractures as well as for a revision of a previously failed conventional total shoulder arthroplasty tsa in which the rotator cuff tendons are deficient. Longterm outcomes of reverse total shoulder arthroplasty. Focusing exclusively on reverse shoulder arthroplasty rsa techniques and devices. Your shoulder is a ball and sockettype joint made up of two main parts. Since its introduction, an improved understanding of the biomechanics of rotator cuff deficiency and reverse shoulder arthroplasty has facilitated the development of modern reverse arthroplasty designs. Reverse shoulder arthroplasty for the treatment of proximal. Reverse total shoulder arthroplasty rtsa has been used in the united states since 2003 to treat a variety of shoulder conditions, with good to excellent results in the vast majority of patients. Painfree submax isometrics for shoulder flexion, abduction, extension and external.
The book begins with a history of rsa followed by a thorough overview of the basic science and biomechanics of the shoulder. The reverse total shoulder arthroplasty was introduced to treat the rotator cuffdeficient shoulder. Rehabilitation protocol for reverse shoulder arthroplasty. The intent of this protocol is to provide the physical therapist with a guidelinetreatment protocol for the postoperative rehabilitation management for a patient who has undergone a reverse total shoulder arthroplasty rtsa. Jul 24, 2017 alterations have been made over the years to the standard reverse total shoulder arthroplasty rtsa prosthetic components in an effort to decrease adverse events.
In a reverse total shoulder replacement, the socket and metal ball are switched. Dec 12, 2016 reverse shoulder arthroplasty for trauma when, where, and how. Reverse shoulder arthroplasty rsa has seen a significant increase in utilization. Reverse total shoulder arthroplasty rtsa was initially intended to treat osteoarthritis of. Reverse total shoulder arthroplasty technical notes and. It is by no means intended to be a substitute for a physical. Complications and revision of reverse total shoulder arthroplasty. Biomechanics of reverse total shoulder arthroplasty jonathan l. Reverse total shoulder arthroplasty with lynn crosby, md. While this procedure has been known to reduce pain, improve strength and increase range of motion in. Rsa has now become the most common type of shoulder arthroplasty used in the revision setting, accounting for 51% of cases.
Reverse total shoulder arthroplasty with lynn crosby, md on vimeo. Complications with reverse total shoulder arthroplasty and. Comprehensive reverse shoulder system surgical technique. Reverse total shoulder arthroplasty techniques and pitfalls. The head of the upper arm bone humerus is the ball and a circular depression glenoid in the shoulder bone scapula is the socket.
As an adjunct, the video is accompanied with 2 years follow up results as well as our specific staged rehabilitation program. Nowadays, reverse total shoulder arthroplasty rtsa is the treatment of choice for rotator cuff tear arthropathy cta. Reverse shoulder arthroplasty for nontraumatic problems. A technique for humeral prosthesis placement in reverse total. Focusing exclusively on reverse shoulder arthroplasty rsa techniques and devices, this plentifully illustrated text covers all aspects of this important and innovative treatment for shoulder pain and dysfunction. The purpose of this analysis is to identify the complications of this procedure in the literature and in clinical practice. Pdf reverse total shoulder arthroplasty rtsa was designed to provide pain relief, improve functional results, and reduce the. Total shoulder arthroplasty tsa anatomical, reverse or both is an increasingly popular. Shoulder joint replacement surgery also called shoulder arthroplasty can effectively ease pain from shoulder arthritis. The trust provides free monthly health talks on a variety of medical conditions and treatments.
Reverse total shoulder arthroplasty robert rolf md and tim elser pt, dhsc, atc, ocs indications reverse total shoulder replacement is indicated for use in grossly rotator cuff deficient joints with severe arthropathy, or for use when a previous joint replacement has failed with a grossly rotator cuff deficient joint. Pdf download for a technique for humeral prosthesis placement in. Reverse shoulder arthroplasty the shoulder is a ball and socket joint that enables you to raise, twist, bend and move your arms forward, to the sides and behind you. Reverse shoulder arthroplasty protocol with subscapularis release see last page for patients with special considerations related to surgical approach and procedure week one weeks two to three initial evaluation evaluate posture and position of the shoulder girdle inspect for signs of infection, and ensure integrity of the incision.
Rehabilitation guidelines for standard reverse total. Reverse total shoulder arthroplasty what is reverse total shoulder arthroplasy rtsa. Reverse shoulder arthroplasty for trauma when, where, and. Pdf reverse total shoulder arthroplasty techniques and. Pdf reverse total shoulder arthroplastybiomechanics and. The major difference between a standard shoulder replacement and a reverse procedure is that in a reverse shoulder replacement the ball and socket parts of the shoulder joint switch sides. Specific interventions should be based on the needs of the individual and should consider exam findings.
A conventional shoulder replacement device mimics the normal anatomy of the shoulder. Reverse shoulder arthroplasty for the treatment of complex fractures of the proximal part of the humerus appears to have good results at short and intermediateterm followup. This handbook fully investigates reverse shoulder arthroplasty rsa, presenting all. When arthritis affects the shoulder it can cause the lining of these joint surfaces to.