الفهرس | Only 14 pages are availabe for public view |
Abstract Shoulder replacement arthroplasty is a surgical procedure that entails replacing the articulating surfaces of the shoulder joint with artificial implants in order to decrease pain and regain function. Three main types of shoulder arthroplasty exist: hemiarthroplasty, total shoulder arthroplasty and reverse shoulder arthroplasty.Total shoulder arthroplasty is preferentially performed over hemiarthroplasty when the glenoid integrity has been affected along with the humeral head. Shoulder replacement is an option for patients with uncontrolled shoulder pain and functional limitations when conservative options do not provide improvements or pain relief. The patients who most often have shoulder replacement are those who have osteoarthritis, rheumatoid arthritis,post-traumatic arthritis,severe humeral head fractures,instability arthropathy and osteonecrosis. Contraindications to a patient receiving shoulder replacement include acute infection, charcot‟s arthropathy or destruction to the deltoid or rotator cuff musculature. Just like any other surgery, shoulder replacement comes with potential post operative complications. The most common are prosthetic loosening, glenohumeral instability, periprosthetic fracture, rotator cuff tears, infection and neural injury. Shoulder replacement surgery offers a good prognosis.Most patients experience a decrease in pain and stiffness, improved motion and strength, enhanced function and overall better quality of life after their procedure. |