Complex and Revision Shoulder Arthroplasty: An Evidence-Based Approach to Evaluation and Management PDF
Preview Complex and Revision Shoulder Arthroplasty: An Evidence-Based Approach to Evaluation and Management
Complex and Revision Shoulder Arthroplasty An Evidence-Based Approach to Evaluation and Management Robert Z. Tashjian Editor 123 Complex and Revision Shoulder Arthroplasty Robert Z. Tashjian Editor Complex and Revision Shoulder Arthroplasty An Evidence-Based Approach to Evaluation and Management Editor Robert Z. Tashjian Department of Orthopedics University of Utah Salt Lake City, UT USA ISBN 978-3-030-02755-1 ISBN 978-3-030-02756-8 (eBook) https://doi.org/10.1007/978-3-030-02756-8 Library of Congress Control Number: 2018965740 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Preface Shoulder arthroplasty has evolved dramatically over the past 50 years and with this evolution so has our ability to treat increasingly complex pathology. Similarly, the tools that the shoulder arthroplasty surgeon can utilize to treat the complex list of problems have also expanded. Choosing the “right size hammer for the correct size nail” and using it appropriately and safely has now become one of the most challenging aspects of shoulder arthroplasty. Lack of knowledge of options or the correct usage of the increasing array of arthroplasty options can have a detrimental effect on the increasing numbers of patients that can be helped by a shoulder replacement. As the numbers of primary shoulder arthroplasties increase, so will the number of revision arthroplasties. The introduction of the reverse shoulder arthroplasty in the United States in the early 2000s has dramatically increased the overall num- ber of primary shoulder arthroplasties performed per year, and as a result revision arthroplasty has also risen dramatically. Strategies and surgical tech- niques to manage complicated revisions are available in the literature but are not available in one location requiring surgeons to search articles and videos to find appropriate techniques to address some of these most challenging cases. The goal of this book is to put the most up-to-date information on a variety of complicated topics of shoulder arthroplasty in one location. I am grateful to have recruited a group of experts in the field of shoulder arthroplasty to put together a series of manuscripts outlining the most current treatment strategies for the most complicated situations requiring a primary or revision shoulder arthroplasty. The initial chapters of the book focus on the diagnosis and management of complex primary shoulder arthroplasty includ- ing the treatment of severe humeral and glenoid bone loss, the use of com- puter-assisted planning and patient-specific instrumentation, stemless implants in severe deformity and post-traumatic arthritis. The second section focuses on revision arthroplasty strategies including the workup of a painful arthroplasty, treatment of a failed hemiarthroplasty, anatomic and reverse total shoulder arthroplasty as well as the management of infected or unstable implants. The final section focuses on revision arthroplasty surgical tech- niques including initial surgical approach, bone grafting techniques, humeral removal techniques and the utility of arthroscopy with failed implants. The authors have synthesized a tremendous amount of material to make clear rec- ommendations regarding the best strategies based upon data as well as includ- ing their own personal “pearls of wisdom” as they are all experts in the field. I want to thank each author individually for the time and effort taken to v vi Preface complete this project. I hope the readers will find this book a primary resource of information for managing these complicated and challenging problems. There are many resources available for strategies to use shoulder arthro- plasty to treat simple cases of osteoarthritis, proximal humeral fractures or rotator cuff arthropathy but very few that take the next step. This book is an attempt to take that next step providing an educational foundation for the complex and revision cases. We are complimenting the education in this book with an annual shoulder arthroplasty meeting that will expand on all of the topics in this book including live surgery and video instruction. The first Advanced Shoulder ArthroPlasty (ASAP) Meeting (https://asapmeeting.org) will be held in Park City, Utah, on January 10–12, 2019 and will be held annually or biennially complementing the material in this book. We hope you will decide to attend the meeting or future meetings to further your education, thereby improving the care provided by you to your patients. Salt Lake City, UT, USA Robert Z. Tashjian, MD Contents Part I C omplex Primary Shoulder Arthroplasty: Diagnosis and Management 1 Evaluation of Humeral and Glenoid Bone Deformity in Glenohumeral Arthritis .............................. 3 Brian F. Grogan and Charles M. Jobin 2 Computer-Assisted Planning and Patient-Specific Instrumentation (PSI) in Shoulder Arthroplasty .......... 15 Dragomir Mijic and Jonathan Levy 3 Stemless Shoulder Arthroplasty in Treating Severe Deformity .................................... 27 Bandar Assiry, Mitch Armstrong, and Ryan T. Bicknell 4 Anatomic Shoulder Arthroplasty in the Setting of Glenoid Bony Erosion (Walch B2-, B3-, and C-Type Glenoids) ..... 37 Jay D. Keener 5 Severe Glenoid Erosion (B2, B3, C, E2, E3) Treated with RSA ................................... 59 Francesco Ascione and Howard D. Routman 6 Treatment of Post-traumatic Sequelae with Shoulder Arthroplasty ....................................... 75 Christopher Chuinard 7 Treatment of Deltoid Deficiency and Paralysis in Shoulder Arthroplasty ....................................... 105 Julia Lee and Bassem Elhassan Part II R evision Shoulder Arthroplasty: Diagnosis and Management 8 General Approach to the Painful Shoulder Arthroplasty ... 115 Vahid Entezari and Surena Namdari 9 Management of the Failed Hemiarthroplasty ............ 129 Manesha Lankachandra and Anand M. Murthi vii viii Contents 10 Management of the Failed Anatomic Total Shoulder Arthroplasty ............................... 135 John Wu, Catherine M. Rapp, Edward J. Shields, and J. Michael Wiater 11 Management of Failed Reverse Shoulder Arthroplasty .... 157 Eric Michael Padegimas and Joseph Albert Abboud 12 Diagnosis and Management of the Infected Shoulder Arthroplasty ............................... 167 Ryan L. Eschbaugh, Joseph P. Iannotti, and Eric T. Ricchetti 13 Diagnosis, Management, and Prevention of the Unstable Shoulder Arthroplasty ....................... 187 Alexander Martusiewicz and Aaron Chamberlain 14 Treatment of Periprosthetic Fractures of the Shoulder .... 199 Benjamin J. Lindbloom, Michael C. Cusick, and Mark A. Mighell 15 Salvage Options for Failed Arthroplasty: Arthrodesis and Resection ............................ 205 Jason Scalise Part III Revision Shoulder Arthroplasty Techniques 16 Surgical Exposure in Revision Shoulder Arthroplasty ..... 215 Jason S. Klein and Charles L. Getz 17 Management of Large Glenoid Defects: Bone Grafts and Augmented Components .......................... 225 Peter N. Chalmers 18 Management of Large Humeral Defects: Bone Grafts and Augmented Components .......................... 237 William R. Aibinder and Joaquin Sanchez-Sotelo 19 Humeral Windows, Osteotomies, and Episiotomies ....... 251 Michael Charles and Gregory P. Nicholson 20 Arthroscopic Treatment of the Failed Shoulder Arthroplasty ............................... 259 Ian A. Power and Thomas W. Throckmorton Index .................................................. 267 Contributors Joseph Albert Abboud, MD The Rothman Institute-Thomas Jefferson University Hospital, Department of Orthopaedics, Philadelphia, PA, USA William R. Aibinder Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA Mitch Armstrong Department of Surgery, Queen’s University, Kingston Health Sciences Centre, Kingston, ON, Canada Francesco Ascione Orthopedic Department, Campolongo Hospital, Salerno, Italy Orthopedic and Traumatolgy Division, Madonna del Buon Consiglio Fatebenefratelli Hospital, Naples, Italy Bandar Assiry Department of Surgery, Queen’s University, Kingston Health Sciences Centre, Kingston, ON, Canada Ryan T. Bicknell, MD Departments of Surgery and Mechanical and Materials Engineering, Queen’s University, Kingston Health Sciences Centre, Kingston, ON, Canada Peter N. Chalmers, MD Shoulder and Elbow Surgery, Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA Aaron Chamberlain, MD Department of Orthopedic Surgery, Washington University, St. Louis, MO, USA Michael Charles Shoulder/Elbow Surgery and Sports Medicine, Orthopaedic Surgery, UCSF Fresno, Fresno, CA, USA Christopher Chuinard, MD Great Lakes Orthopaedic Center, Traverse City, MI, USA Michael C. Cusick Department of Orthopedic Surgery, McGovern Medical School, The University of Texas Health Science Center, Houston, TX, USA Bassem Elhassan, MD Mayo Clinic, Rochester, MN, USA Vahid Entezari Department of Orthopaedic Surgery, Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA Ryan L. Eschbaugh Orthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, USA ix x Contributors Charles L. Getz, MD Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA, USA Brian F. Grogan Shoulder, Elbow, and Sports Medicine, Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, New York, NY, USA Joseph P. Iannotti, MD, PhD Orthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, USA Charles M. Jobin, MD Columbia University, Center for Shoulder Elbow and Sports Medicine, New York, NY, USA Jay D. Keener, MD Shoulder and Elbow Service, Washington University, St. Louis, MO, USA Jason S. Klein Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA, USA Manesha Lankachandra Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA Julia Lee Mayo Clinic, Rochester, MN, USA Jonathan Levy, MD Orthopedic Surgery, Holy Cross Orthopedic Institute, Fort Lauderdale, FL, USA Benjamin J. Lindbloom Shoulder and Elbow Service, Florida Orthopaedic Institute, Tampa, FL, USA Alexander Martusiewicz Department of Orthopedic Surgery, Washington University, St. Louis, MO, USA J. Michael Wiater, MD Department of Orthopaedic Surgery, Beaumont Health System, Royal Oak, MI, USA Mark A. Mighell, MD Shoulder and Elbow Service, Florida Orthopaedic Institute, Tampa, FL, USA Dragomir Mijic Orthopedic Surgery, The Center for Bone and Joint Disease, Brooksville, FL, USA Anand M. Murthi, MD Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA Surena Namdari, MD Department of Orthopaedic Surgery, Rothman Institute at Thomas Jefferson University, Philadelphia, PA, USA Gregory P. Nicholson, MD Department of Orthopedic Surgery, Rush University Medical Center, Chicago, IL, USA Eric Michael Padegimas The Rothman Institute-Thomas Jefferson University Hospital, Department of Orthopaedics, Philadelphia, PA, USA Ian A. Power University of Tennessee-Campbell Clinic, Department of Orthopaedic Surgery & Biomedical Engineering, Memphis, TN, USA
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