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Objective <p>Safe and bone-sparing implantation of a&#xa0;stem- and cement-free reversed shoulder prosthesis.</p> Indications <p>Shoulder arthritis with rotator cuff degeneration, symptomatic rotator cuff arthropathy with no further therapy, posttraumatic arthritis, rheumatoid arthritis, humeral head necrosis, revision surgery after implantation of a&#xa0;surface prosthesis.</p> Contraindications <p>Infection, axillary nerve lesion, deltoid muscle insufficiency, insufficient central glenoid bone substance for glenoid screw fixation.</p> Surgical technique <p>Implantation of the shoulder prosthesis via a&#xa0;standard deltopectoral approach. Dissection and resection of the humeral head. Glenoid preparation, soft tissue release, baseplate and glenosphere placement. Implantation of the humeral shell and inlay.</p> Postoperative management <p>Short-term immobilization in a&#xa0;Gilchrist bandage. Followed by early functional rehabilitation.</p> Results <p>The surgical technique has so far been used in 42&#xa0;cases in the author’s clinic. Both objectively and subjectively, good postoperative results and a&#xa0;significant reduction in pain were observed in the patients.</p>

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Implantation einer inversen schaft- und zementfreien Schulterendoprothese

  • 期刊论文

  • 发表日期：

    2025年3月12日

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  • H. Wille,
  • M. Szakacs,
  • J. Zeichen

摘要

Objective

Safe and bone-sparing implantation of a stem- and cement-free reversed shoulder prosthesis.

Indications

Shoulder arthritis with rotator cuff degeneration, symptomatic rotator cuff arthropathy with no further therapy, posttraumatic arthritis, rheumatoid arthritis, humeral head necrosis, revision surgery after implantation of a surface prosthesis.

Contraindications

Infection, axillary nerve lesion, deltoid muscle insufficiency, insufficient central glenoid bone substance for glenoid screw fixation.

Surgical technique

Implantation of the shoulder prosthesis via a standard deltopectoral approach. Dissection and resection of the humeral head. Glenoid preparation, soft tissue release, baseplate and glenosphere placement. Implantation of the humeral shell and inlay.

Postoperative management

Short-term immobilization in a Gilchrist bandage. Followed by early functional rehabilitation.

Results

The surgical technique has so far been used in 42 cases in the author’s clinic. Both objectively and subjectively, good postoperative results and a significant reduction in pain were observed in the patients.