Cuff tear arthropathy - CTA - prosthesis for shoulder arthritis: Surgery with a cementless CTA prosthesis can lessen pain and improve function in shoulders with the combination of arthritis and rotator cuff tears.
Edited By: Winston J. Warme, MD, Frederick A. Matsen III, M.D.
Last updated Monday, October 09, 2006
Considering surgeryWhat kinds of surgery are recommended for rotator cuff tear arthropathy (arthritis with a massive rotator cuff tear)? Three types of surgery can be helpful in the management of rotator cuff
tear arthropathy (shoulder arthritis associated with massive rotator
cuff defects). The surgical procedures can range from a simple
smoothing of the roughened bone [Figure 15] to a resurfacing of the
humeral head with a smooth prosthesis , such as a CTA head, fixed to
the shaft of the arm bone (humerus) [Figure 16]. If the joint is
unstable, a reversed prosthesis, such as the reverse Delta [Figure 17] may be needed.Who should consider shoulder joint replacement surgery with a rotator cuff tear arthropathy (cta) prosthesis for rotator cuff tear arthropathy (arthritis with a massive rotator cuff tear) and in what cases? Individuals with rotator cuff tear arthropathy should consider joint
replacement surgery with a cuff tear arthropathy head prosthesis when:
- the arthritis is a major problem for the individual,
- the individual is sufficiently healthy to undergo the procedure,
- the individual understands and accepts the risks and alternatives,
- there is sufficient bone and tendon to permit the surgery, and
- the surgeon is experienced in shoulder replacement surgery with a rotator cuff tear arthropathy (CTA) prosthesis.
Shoulder replacement surgery with a rotator cuff tear arthropathy
head prosthesis is most effective when the individual follows a simple
exercise program after surgery. Thus, the individual ??s motivation and
dedication are important elements of the partnership.
What happens if nothing is done for rotator cuff tear arthropathy (arthritis with a massive rotator cuff tear) (best case/worst case scenarios)? The rate of progression of rotator cuff tear arthropathy (shoulder
arthritis with a massive rotator cuff defect) is usually slow, thus
surgery is not urgent.What options exist for surgery for rotator cuff tear arthropathy (arthritis with a massive rotator cuff tear)? Three types of surgery can be helpful in the management of rotator cuff
tear arthropathy (shoulder arthritis associated with massive rotator
cuff defects). The surgical procedures can range from a simple
smoothing of the roughened bone to a resurfacing of the humeral head
with a smooth prosthesis, such as a CTA head, fixed to the shaft of the
arm bone (humerus). If the joint is unstable, a reversed prosthesis, such as the reverse Delta may be needed.When performed by an experienced surgeon, how effective is shoulder joint replacement surgery with a rotator cuff tear arthropathy (cta) prosthesis for rotator cuff tear arthropathy (arthritis with a massive rotator cuff tear) likely to be and how long will the benefit last? In the hands of an experienced surgeon, shoulder arthroplasty with a
rotator cuff tear arthropathy prosthesis can be helpful in restoring
comfort and function to the shoulder of a well-motivated individual.
The greatest benefits are often the ability to sleep on the affected
shoulder and the ability to perform simple activities of daily living.
As long as the shoulder is cared for properly and subsequent injuries
are avoided, the benefit can last for years.
How urgent is shoulder joint replacement surgery with a rotator cuff tear arthropathy (cta) prosthesis for rotator cuff tear arthropathy (arthritis with a massive rotator cuff tear)? In that rotator cuff tear arthropathy progresses slowly,
consideration of surgery is not urgent. Before surgery is undertaken,
the individual needs to be in optimal health, understand and accept the
risks and alternatives of surgery, and understand the postoperative
rehabilitation program.
Only if there is concern about the possibility of infection in a
swollen, warm and red shoulder does urgent surgery demand consideration. What are the most frequent and most serious risks of shoulder joint replacement surgery with a rotator cuff tear arthropathy (cta) prosthesis for rotator cuff tear arthropathy (arthritis with a massive rotator cuff tear)? How common are they? Like all surgical procedures, shoulder replacement surgery for
rotator cuff tear arthropathy carries risks that are important for the
individual to consider. The risks of this surgery include but are not
limited to the following: infection (which can be sufficiently serious
to require revision surgery, including removal of the prosthesis),
injury to nerves and blood vessels, fracture, stiffness or instability
of the joint, loosening of the prosthesis, pain, failure of tendon or
muscle attachment, and the need for additional surgeries ? any or all
of which may result in major loss of function to the arm. There are
also risks of anesthesia and blood transfusion (although transfusions
are not usually necessary). An experienced shoulder joint replacement
team will use special techniques to minimize these risks, but cannot
totally eliminate them.
If risks occur during or after shoulder joint replacement surgery with a rotator cuff tear arthropathy (cta) prosthesis for rotator cuff tear arthropathy (arthritis with a massive rotator cuff tear) how are they managed? Many of the risks of shoulder replacement surgery can be effectively
managed if they are promptly identified and treated. Infections may
require a wash out in the operating room--occasionally removal of the
prosthesis is necessary. Blood vessel or nerve injury may require
repair. Fracture may require surgical fixation. Stiffness or
instability may require exercises or additional surgery. Loosening of
the prosthesis may require surgical revision. If the individual has
questions or concerns about the course after surgery, the surgeon
should be informed as soon as possible.Surgery for Rotator cuff tear arthropathy (arthritis with a massive rotator cuff tear) 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.
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