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Instr Course Lect. 2011;60:99-104.

Shoulder arthroplasty for the young, active patient.

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Department of Orthopedic Surgery, University of Texas Health Science Center, San Antonio, TX, USA.


Patients younger than 55 years with degenerative conditions of the glenohumeral joint represent a unique population that can be treated with shoulder arthroplasty. Certain challenges related to this cohort may include greater patient expectations, higher functional demands, soft-tissue contracture from previous surgery, and glenoid bone loss. Surgical treatment options include unconstrained total shoulder arthroplasty; hemiarthroplasty; humeral head resurfacing alone; hemiarthroplasty with concentric reaming of the glenoid; and hemiarthroplasty with adjunctive biologic glenoid resurfacing with autogenous fascia lata, Achilles tendon allograft, or meniscal allograft.

[Indexed for MEDLINE]

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