Indications, Technique, and Results of Shoulder Arthrodesis

Abstract

Although the shoulder joint is affected in more than 50% of patients hospitalized for chronic rheumatoid arthritis at the Rheumatism Foundation Hospital in Heinola, Finland, this joint has traditionally been somewhat neglected. Surgery has not offered any clear solutions. In the past 10 years, with refinements in replacement arthroplasty, the topic has again become a focus of attention. Arthrodesis has become less popular, and today soe enthusiasts of shoulder replacement are asking whether an indication for arthrodesis still exists at all. We know, however, that all shoulder prostheses cannot function indefinitely, and that this limits their application in younger patients. Also, we must remember that arthrodesis can be very difficult if not impossible following the removal of a prosthesis.