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The Evolution of Reverse Total Shoulder Arthroplasty-From the First Steps to Novel Implant Designs and Surgical Techniques.

Frank, Julia K, Siegert, Paul, Plachel, Fabian, Heuberer, Philipp R, Huber, Stephanie und Schanda, Jakob E (2022) The Evolution of Reverse Total Shoulder Arthroplasty-From the First Steps to Novel Implant Designs and Surgical Techniques. Journal of clinical medicine, 11 (6). ISSN 2077-0383

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PURPOSE OF REVIEW The purpose of this review is to summarize recent literature regarding the latest design modifications and biomechanical evolutions of reverse total shoulder arthroplasty and their impact on postoperative outcomes. RECENT FINDINGS Over the past decade, worldwide implantation rates of reverse total shoulder arthroplasty have drastically increased for various shoulder pathologies. While Paul Grammont's design principles first published in 1985 for reverse total shoulder arthroplasty remained unchanged, several adjustments were made to address postoperative clinical and biomechanical challenges such as implant glenoid loosening, scapular notching, or limited range of motion in order to maximize functional outcomes and increase the longevity of reverse total shoulder arthroplasty. However, the adequate and stable fixation of prosthetic components can be challenging, especially in massive osteoarthritis with concomitant bone loss. To overcome such issues, surgical navigation and patient-specific instruments may be a viable tool to improve accurate prosthetic component positioning. Nevertheless, larger clinical series on the accuracy and possible complications of this novel technique are still missing.
Typ des Eintrags: Fachpublikation (peer reviewed)
Themengebiete: QS Anatomie
WE Skelett, Muskulatur
Bereiche: Herz-Jesu Krankenhaus > II. Orthopädische Abteilung
Benutzer: Jasmin Mittendorfer
Hinterlegungsdatum: 25 Apr 2023 07:03
Letzte Änderung: 25 Apr 2023 07:03
URI: https://eprints.vinzenzgruppe.at/id/eprint/9926

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