IC 205-2022: Shoulder Arthritis In Young Active Patients - What Are The Best Options?-Shoulder Arthritis In Young Active Patients

Video Transcription

Video Summary

In this video, the speaker, who works with DJO, argues in favor of shoulder arthroplasty. They criticize the decision-making process and refer to it as bad decision-making. They mention studies that show negative impacts of prior arthroscopy, such as higher re-operation and infection rates, and lower outcomes from ultimate arthroplasty. The speaker emphasizes the importance of not wasting patients' time and quality of life by opting for non-arthroplasty options that may not last long. They discuss preoperative factors that negatively influence non-arthroplasty options, including limited joint space, limited range of motion, and refractory night pain. The speaker suggests that metal and plastic is not as good as natural joints and advises against compromising on the best operation, which is total shoulder arthroplasty. They mention different arthroplasty options, with total shoulder arthroplasty being the preferred choice for return to sport and work. They caution against doing a hemiarthroplasty with the intention of revising it to a total shoulder later, as it may lead to unsatisfactory results and compromise the patient's ability to undergo the best operation. The speaker also mentions the importance of patient selection, avoiding certain activities that may strain implants, and considering glenoid morphological changes when deciding when to perform arthroplasty. Overall, they emphasize the need to consider the implications of decisions and have candid discussions with patients about their options and expectations.

Asset Caption

Samuel Taylor, MD

Keywords

shoulder arthroplasty

decision-making process

negative impacts

non-arthroplasty options

total shoulder arthroplasty