By Gerald R. Williams Jr. MD, Ken Yamaguchi MD, Matthew L. Ramsey MD, Leesa M. Galatz MD
Written via the world's premiere shoulder and elbow surgeons, this quantity is the main complete, present reference on shoulder and elbow arthroplasty. The publication presents cutting-edge info on implant layout and designated guidelines—including therapy algorithms—on particular arthroplasty strategies for arthritis, fractures, continual dislocations, and different issues. greater than four hundred illustrations supplement the text.
Each major section—shoulder arthroplasty and elbow arthroplasty—has 3 subsections: implant issues, technical issues, and disease-specific concerns. Disease-specific chapters conceal surgical anatomy, pathophysiology, preoperative assessment, symptoms for surgical procedure, implant offerings, surgical strategies, and postoperative rehabilitation. additionally incorporated are chapters on problems, revision arthroplasty, arthroplasty with bone loss and limb salvage, and choices to substitute arthroplasty. each bankruptcy encompasses a "Chapter-at-a-Glance" precis for simple evaluate of the bankruptcy content.
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Inferiorly the upper insertion of the pectoralis major into the humerus can be released (1 or 2 centimeters) to facilitate better exposure of the inferior aspect of the glenohumeral joint. The pectoralis tendon is usually not repaired at the completion of the operation. Laterally the deep surface of the deltoid is freed from the underlying tissues and from the humerus while putting the arm in abduction and internal rotation. Medially the conjoint tendon is freed from the underlying subscapularis and retracted using a Richardson-type retractor.
A: Locating the “hinge point”: the highest point of the cut (12 o’clock), posterior to the groove. B: Broaching the medullary canal with the cylindrical broaches of increasing diameter. The final broach determines the diameter of the neck guide and of the stem. qxd 11/19/04 12:22 PM Page 33 Chapter 3: Humeral Replacement diameter of the inclination-retroversion guide and the diameter of the humeral stem. REPRODUCING THE BONY ANATOMY Prosthetic adaptability allows individual inclination and retroversion to be matched and also any mediolateral or anteroposterior offset to be covered.
American Shoulder and Elbow Society, 15th Open Meeting. Anaheim, CA, 1999. 18. Ianotti JP, Gabriel JP, Schneck SL, et al. The normal glenohumeral relationships. J Bone Joint Surg 1992;74A:491–500. 19. Karduna AR, Williams GR, Williams JL, et al. Glenohumeral joint translations before and after total shoulder arthroplasty. A study in cadavera. J Bone Joint Surg Am 1997;79(8):1166–1174. 20. Matsen FA, Lippitt SB, Sidles JA, et al. In: Matsen FA, Lippitt SB, Sidles JA, et al. Practical Evaluation and Management of the Shoulder.