Reverse Total Shoulder Arthroplasty: Techniques and Pitfalls

Chung,  Seok Won; Kim,  Joon Yub; Oh,  Joo Han

doi:2011.14.1.125

Clin Shoulder Elb > Volume 14(1); 2011 > Article

Review

Clinics in Shoulder and Elbow 2011;14(1):125-133.
DOI: https://doi.org/10.5397/CiSE.2011.14.1.125 Published online June 30, 2011.

Reverse Total Shoulder Arthroplasty: Techniques and Pitfalls

Seok Won Chung, Joon Yub Kim, Joo Han Oh

Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Korea. ohjh1@snu.ac.kr

역행성 견관절 전치환술 - 수술 기법 및 주의점 -

정석원·김준엽·오주한

서울대학교 의과대학 정형외과학교실, 분당서울대학교병원 관절센터

Abstract

PURPOSE
The purpose of the present article is to help orthopedic surgeons better understand the function and performance of reverse total shoulder arthroplasty, and also to help them perform the most proper surgical technique for reconstruction. MATERIALS AND METHODS: In this article, the specific technical aspects and pitfalls of reverse total shoulder arthroplasty were reviewed in depth. Additionally, the current issues relevant to the reverse total shoulder arthroplasty such as scapular notching and restoration of active external rotation were discussed.
RESULTS
AND CONCLUSION: An understanding of the biomechanics of reverse total shoulder arthroplasty and the technical details and pitfalls of its implantation are critical in order to provide the best functional outcome without increasing the risk of complications.

Key Words: Reverse total shoulder arthroplasty; Operative technique; Pitfalls