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Shoulder replacement is a surgical procedure in which all or part of the glenohumeral joint is replaced by a prosthetic implant. Such joint replacement surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage. [1] Shoulder replacement surgery is an option for treatment of severe arthritis of the shoulder joint.
A dislocated shoulder can be treated with: Arthroscopic repairs; repair of the Glenoid labrum (anterior or posterior) [1] In some cases, arthroscopic surgery is not enough to fix the injured shoulder. When the shoulder dislocates too many times and is worn down, the ball and socket are not lined up correctly.
As reverse shoulder replacement has become more popular, the indications have expanded to include shoulder “pseudoparalysis” due to massive rotator cuff tears, shoulder fractures, severe bone loss on the scapula or humerus precluding the use of standard implants and failed prior shoulder replacement procedures. [6]
For shoulder replacement, there are a few major approaches to access the shoulder joint. The first is the deltopectoral approach, which saves the deltoid, but requires the supraspinatus to be cut. [2] The second is the transdeltoid approach, which provides a straight on approach at the glenoid.
For the last 45 years, [when?] the most successful and common form of arthroplasty is the surgical replacement of arthritic or destructive or necrotic joint or joint surface with a prosthesis. [ medical citation needed ] For example, a hip joint that is affected by osteoarthritis may be replaced entirely ( total hip arthroplasty ) with a ...
This technique is known as AMIC (Autologous Matrix-Induced Chondrogenesis) and was first published in 2003. [ 1 ] Microfracture techniques show new potential, as animal studies indicate that microfracture-activated skeletal stem-cells form articular cartilage , instead of fibrous tissue, when co-delivered with a combination of BMP2 and VEGF ...
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