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Revision Total Shoulder Arthroplasty

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Anatomic Shoulder Arthroplasty

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Abstract

Shoulder arthroplasty is an established successful treatment with increasing numbers of primary procedures being performed each year. There is also an increasing revision surgery burden linked to this and for a number of reasons. A comprehensive and logical approach, to the assessment of a patient for consideration of revision shoulder surgery, is provided. The evidence base for indications for revision surgery and expected outcomes has been comprehensively reviewed to aid surgical decision-making by the surgeon and patient.

Invaluable technical tips are presented, and described, to enable the revision surgeon to form an effective operative strategy to address those challenges commonly faced in the operating room. Specific issues related to the surgical exposure, including soft tissue releases and component removal, are covered in an accessible and reproducible format. Up-to-date evidence, from the literature, and the authors’ own experience in techniques for dealing with complex issues, such as bone loss from the proximal humerus and glenoid, are imparted. The increasing use of reverse geometry total shoulder replacement as a key tool in revision shoulder surgery is also highlighted.

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Author information

Authors and Affiliations

  1. Department of Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire NHS Trust, Clifford Bridge Rd, Coventry, CV2 2DX, UK

    Tom Lawrence MD, MSc, FRCS (T&O)

  2. Department of Trauma and Orthopaedics, Calderdale & Huddersfield NHS Trust, Huddersfield Royal Infirmary, Huddersfield, West Yorkshire, HD3 3EA, UK

    Neil Pennington MBChB(Hons), MSc, FRCS(Tr&Orth)

  3. Department of Orthopedic Surgery, Mayo clinic, 200 First Street, SW, Rochester, MN, 55905, USA

    John Sperling MD, MBA

Authors
  1. Tom Lawrence MD, MSc, FRCS (T&O)
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  2. Neil Pennington MBChB(Hons), MSc, FRCS(Tr&Orth)
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  3. John Sperling MD, MBA
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Corresponding author

Correspondence to John Sperling MD, MBA .

Editor information

Editors and Affiliations

  1. Department of Orthopaedics & Rehabilitation, Chief, Shoulder and Elbow Surgery, Penn State Hershey Medical Center, Hershey, Pennsylvania, USA

    April D. Armstrong

  2. MedStar Union Memorial Hospital/MedStar Orthopaedics, Chief, Shoulder and Elbow Surgery, Director, Shoulder and Elbow Fellowship and Research, Baltimore, Maryland, USA

    Anand M. Murthi

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Lawrence, T., Pennington, N., Sperling, J. (2016). Revision Total Shoulder Arthroplasty. In: Armstrong, A., Murthi, A. (eds) Anatomic Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-29164-2_10

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  • DOI: https://doi.org/10.1007/978-3-319-29164-2_10

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