Hemiarthroplasty was once considered the gold standard arthroplasty option in the setting of rotator cuff-deficient shoulders and cuff tear arthropathy (CTA). Many of the indications for this operation have been replaced by reverse arthroplasty. Although hemiarthroplasty is becoming rarely indicated in cuff-deficient shoulders, it can still be considered in the younger patient with preoperative with active forward elevation past 90°, an intact coracoacromial arch, no anterosuperior escape or high-riding humeral head, and perhaps a rotator cuff that may be amenable to a partial or complete repair. Most importantly, if a hemiarthroplasty is going to be used in CTA, it is critical to have a preoperative discussion outlining the limitations of the hemiarthroplasty and the potential for limited improvement in function and pain that could result in reverse arthroplasty conversion at some point in the future.
KeywordsRotator Cuff Shoulder Arthroplasty Great Tuberosity Reverse Shoulder Arthroplasty Reverse Total Shoulder Arthroplasty