The Reconstruction Masterclass: Shoulder Arthroplasty: Complex Issues
A primary total shoulder arthroplasty in an older patient with osteoarthritis and an intact rotator cuff is a highly successful, reliable operation. However, when the surgeon is faced with massive glenoid bone loss, severe proximal humerus deformity, or a catastrophic failure of a previous implant, standard techniques fail. Shoulder Arthroplasty: Complex Issues in the Primary and Revision Setting is a fiercely specialized, brutally realistic surgical atlas designed specifically for the elite shoulder surgeon. This volume provides the exact blueprints required to salvage the most devastated shoulders.
Mastering Glenoid Bone Loss
The core philosophy of this text is mechanical foundation. The authors aggressively detail the management of the eroded glenoid (e.g., the Walch B2 or B3 glenoid). It dictates exactly how to utilize patient-specific instrumentation (PSI), 3D-printed metal augments, and structural bone grafting to rebuild the socket so the plastic implant doesn’t instantly loosen and fail.
Navigating the Reverse and the Revision
The book provides a masterclass in the Reverse Total Shoulder Arthroplasty (RTSA). It dictates the exact biomechanical pathways for utilizing the RTSA not just for cuff tear arthropathy, but as a salvage tool for failed massive fracture fixations and tumors. It exhaustively details the harrowing process of revising a well-fixed, infected humeral stem, providing step-by-step instructions on performing an extended humeral osteotomy.
Frequently Asked Questions (FAQs)
Is this a book for a junior resident learning how to do their first shoulder replacement?
No. It assumes mastery of basic arthroplasty. It is designed to teach you how to handle the 5% of cases that are absolute nightmares.
Who is the primary audience?
It is the mandatory surgical atlas for Orthopedic Shoulder and Elbow Specialists, Arthroplasty Fellowship Trained Surgeons, and Senior Traumatologists.
