Shoulder Replacement: Symposium on Shoulder Joint Replacement : 35th Annual Meeting : Papers

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 proce- dure 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 rela- tively 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.

Table of 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.- Author Index 217.