Ream and Run non-prosthetic glenoid arthroplasty for shoulder arthritis: Regenerative cementless surgery designed for individuals desiring higher levels of activity than recommended for traditional total joint replacement.
Edited By: Winston J. Warme, MD, Frederick A. Matsen III, M.D.
Last updated Monday, June 23, 2008
Figure 9 - Axillary incision Preparing for surgeryWhat type of preparation needs to take place before non-prosthetic glenoid arthroplasty for arthritis of the shoulder? Shoulder hemiarthroplasty with non-prosthetic glenoid arthroplasty
is considered for young and physically active individuals in whom
arthritis interferes with shoulder function.
The success of surgery depends on a partnership between the patient
and the experienced shoulder surgeon. Patients should optimize their
health so that they will be in the best possible condition for this
procedure. Smoking should be stopped a month before surgery and not
resumed for at least three months afterwards. Any heart, lung, kidney,
bladder, tooth, or gum problems should be managed before surgery. Any
infection may be a reason to delay the operation. The shoulder surgeon
needs to be aware of all health issues, including allergies and the
non-prescription and prescription medications being taken. Some of
these may need to be modified or stopped. For instance, aspirin and
anti-inflammatory medication may affect the way the blood clots. Since
blood transfusion may be necessary, patients may choose to have a blood
bank draw and store their own blood.
Figure 9 shows the incision used for a shoulder replacement. This area of skin must be clean and free from sores and scratches.
Before surgery, patients should consider the limitations,
alternatives and risks of surgery. Patients should also recognize that
the result of surgery depends in large part on their efforts in
rehabilitation after surgery.
The patient needs to plan on being less functional than usual for
six to twelve weeks after the procedure. Driving, shopping and
performing usual work or chores may be difficult during this time.
Plans for necessary assistance need to be made before surgery. For
individuals who live alone or those without readily available help,
arrangements for home help should be made well in advance. What about the timing of non-prosthetic glenoid arthroplasty for arthritis of the shoulder? How long can it be safely delayed? Shoulder hemiarthroplasty with non-prosthetic glenoid arthroplasty
can be delayed until the time that is best for the patient's overall
well being. However, in cases of rheumatoid or other types of
inflammatory arthritis, excessive delays can result in the loss of bone
and tendon tissue. These losses can compromise the quality of the
surgery and its result.
How can the costs of non-prosthetic glenoid arthroplasty for arthritis of the shoulder be anticipated? The surgeon's office should provide a reasonable estimate of:
- the surgeon's fee, and
- the hospital fee.
Who should perform non-prosthetic glenoid arthroplasty for arthritis of the shoulder and where? Shoulder hemiarthroplasty with non-prosthetic glenoid arthroplasty is a
technically demanding procedure that should be performed by an
experienced surgeon in a medical center accustomed to performing
shoulder joint replacements at least several times a month. Patients
should inquire as to the number of shoulder replacement procedures that
the surgeon performs each year and the number of these procedures
performed in the medical center each year.How can surgeons experienced in non-prosthetic glenoid arthroplasty for arthritis of the shoulder be found? Because only a few thousand shoulder replacement procedures are
performed in the United States each year, it is unlikely that every
community has an experienced shoulder arthroplasty surgeon who performs
many of these procedures each year. The number of surgeons performing
non-prosthetic glenoid arthroplasty as described here is small.
Surgeons specializing in shoulder joint replacement may be located
through university schools of medicine, county medical societies, or
state orthopaedic societies. Other resources include local
rheumatologists or professional societies such as the American Shoulder and Elbow Surgeons Society.
In what type of facility is non-prosthetic glenoid arthroplasty for arthritis of the shoulder usually done? Shoulder replacement arthroplasty is usually performed in a major
medical center that performs these procedures on a regular basis. These
centers have surgical teams and facilities specially designed for this
type of surgery. They also have nurses and therapists who are
accustomed to assisting patients in their recover from shoulder
replacement surgery.Surgery for Arthritis of the Shoulder at the University of Washington If you are interested in making an appointment to discuss this procedure, you can request an appointment using our online referrals website. To request a referral online, please click here. You can also call 206-598-7416 to make an appointment.
How useful was this page or article?
|
|