The Current State of Total Shoulder Arthroplasty

Oh,  Joo Han; Song,  Byung Wook

doi:2011.14.2.253

Clin Shoulder Elb > Volume 14(2); 2011 > Article

Review

Clinics in Shoulder and Elbow 2011;14(2):253-261.
DOI: https://doi.org/10.5397/CiSE.2011.14.2.253 Published online December 31, 2011.

The Current State of Total Shoulder Arthroplasty

Joo Han Oh, Byung Wook Song

Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Korea. wookari@empal.com

견관절 전치환술의 현재

오주한·송병욱

서울대학교 의과대학 정형외과학교실, 분당서울대학교병원 관절센터

Abstract

PURPOSE
The purpose of the present article is to help orthopedic surgeons better understand the basic principles of unconstrained total shoulder arthroplasty, and to help them perform the best surgical technique for reconstruction. MATERIALS AND METHODS: In this article, we reviewed in depth current biomechanics, indications & contraindications, surgical techniques, complications and outcomes of unconstrained total shoulder arthroplasty. Additionally, we discussed current issues relevant to total shoulder arthroplasty such as whether a keeled or a pegged glenoid should be used.
RESULTS
AND CONCLUSION: A thorough understanding of the biomechanics of total shoulder arthroplasty, and the technical details and problems in implantation, are critical to provide the best functional outcome and to avoid the risk of complications.

Key Words: Total shoulder arthroplasty; Current concept