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Mini-incision Shoulder Arthroplasty

  • Sara L. Edwards
  • Theodore A. Blaine
  • John-Erik Bell
  • Louis U. Bigliani
Chapter

Abstract

Minimal disruption of soft tissue and a potential for a faster recovery are very attractive benefits of minimally invasive surgery (MIS). MIS, however, must meet the same standards and offer the same successful outcomes as traditional operations performed through larger skin incisions. While mini-incision hip and knee replacement surgery have become accepted techniques, there are no reports to date on mini-incision shoulder arthroplasty (MISA). The goals of MISA are to decrease trauma to surrounding soft tissues, accelerate postoperative rehabilitation, and decrease operative blood loss and complications. Currently, there are two techniques available to achieve the necessary exposure to perform MISA: (1) a concealed axillary incision or (2) a mini-deltopectoral incision. The use of these techniques is based upon the pathology, the severity of disease, the instrumentation, and the surgeon’s experience.

Keywords

Humeral Head Minimally Invasive Surgery Shoulder Arthroplasty Total Shoulder Arthroplasty Coracoid Process 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Jain NB, Hocker S, Pietrobon R, et al. Total arthroplasty versus hemiarthroplasty for glenohumeral osteoarthritis: role of provider volume. J Shoulder Elbow Surg. 2005 Jul-Aug;14(4):361–7.CrossRefPubMedGoogle Scholar
  2. 2.
    Rickert M, Loew M. Hemiarthroplasty or total shoulder replacement in glenohumeral osteoarthritis? Orthopade. 2007 Nov;36(11): 1013–6CrossRefPubMedGoogle Scholar
  3. 3.
    Haines JF, Trail IA, Nuttall D, Birch A, Barrow A. The results of arthroplasty in osteoarthritis of the shoulder. J Bone Joint Surg Br. 2006 Apr;88(4):496–501CrossRefPubMedGoogle Scholar
  4. 4.
    Blaine TA, et al. American Shoulder and Elbow Surgeons Focus Conference, November 13–16, 2003.Google Scholar
  5. 5.
    Iannotti JP, Spencer EE, Winter U, Deffenbaugh D, Williams G. Prosthetic positioning in total shoulder arthroplasty. J Shoulder Elbow Surg. 2005 Jan-Feb;14(1 Suppl S):111S–121S.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Sara L. Edwards
    • 1
  • Theodore A. Blaine
    • 1
  • John-Erik Bell
    • 1
  • Louis U. Bigliani
    • 1
  1. 1.Columbia University, Center for Shoulder, Elbow and Sports MedicineNew YorkUSA

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