Bookedited by R. Kölbel, B. Helbig, and W. Blauth.
Summary: This volume contains the proceedings of the Symposion on Shoulder Joint Replace ment held at the Kieler Yacht Club in conjunction with the 35th Annual Meeting of the Northwest German Orthopaedic Surgeons at Kiel in 1985. Since the advent of suitable implant materials hemiarthroplasty of the shoulder was explored in the 1950s; total shoulder joint replacement was first reported in 1971. As interest in solutions to problems of the shoulder is growing, it appeared timely to present to interested clinicians the possibilities and limitations of a procedure as seen after nearly two decades of trials and experience. This volume is meant to give a comprehensive overview of the bases, the development, the alternatives, the state ofthe art and, an outlook on some future trends. The number of patients with problems warranting shoulder arthroplasty is relatively small. We consider this a blessing. This may be the reason why the number of surgeons who ventured in this field has remained small, even after implants became available - testimony of an awareness, that shoulder surgery is difficult. The editors consider themselves fortunate to have been able to call on a number of those individuals, who were involved in first trials and in their evaluation. The editors are especially indebted to those from overseas who took it upon themselves to come, share their experience and join in the discussion.
Contents:
History
The History of Shoulder Joint Replacement
Basic Principles
Developmental History and Comparative Anatomy of the Shoulder
Kinesiology of the Shoulder Joint
Biomechanics and Pathomechanics of the Shoulder Joint with Reference to Prosthetic Joint Replacement
Alternative Procedures and Indications
Results of Resection Arthroplasty and the Benjamin Double Osteotomy
Indications, Technique, and Results of Shoulder Arthrodesis
Selection of Patients for Shoulder Replacement
Technique
Total Shoulder Replacement
Operative Technique, Postoperative Care, and Functional Assessment
Discussion
Long-Term Results
Results of Hemiarthroplasty and Total Shoulder Replacement
More than Ten Years' Experience with Unconstrained Shoulder Replacement
Discussion
Total Shoulder Replacement: Long-Term Results
Shoulder Replacement in Rheumatoid Arthritis
Total Shoulder Replacement in Rheumatoid Arthritis
Discussion
Shoulder Replacement Arthroplasty
Discussion
Comments on Joint Replacement in Rheumatoid Arthritis
Discussion
Shoulder Replacement in Posttraumatic Conditions, Osteoarthritis, and Arthropathies
Indications and Considerations of Shoulder Replacement in Posttraumatic Conditions
Discussion
On the Treatment of Comminuted Fracture-Dislocations of the Proximal Humerus: Internal Fixation or Prosthetic Replacement
Discussion
Polyacetal Resin Shoulder Prostheses for Posttraumatic Conditions and Osteoarthritis
Discussion
Shoulder Replacement: Prognosis Related to Diagnosis
Discussion
Shoulder Replacement for Bone Tumors
Surgical Resection of Malignant Bone Tumors of the Shoulder Region
Indications and Results
Discussion
Functional Results after Prosthetic Replacement of the Proximal Humerus
Tumor Prosthesis for the Shoulder
Discussion
Stabilization of Shoulders with Bone and Muscle Defects
Recent Developments in Shoulder Replacement and Early Results
Radiographic and Clinical Assessment of the Macnab-English Porous-Coated Total Shoulder Replacement
Discussion
Total Shoulder Arthroplasty with Bone Ingrowth Fixation
Discussion
Reconstruction of the Glenoid in Total Shoulder Arthroplasty
Discussion.