IC 305-2023: Shoulder Arthritis In Young Active Patients - What Are The Best Options?-IC 305 - Shoulder Arthritis In Young Active Patients

IC 305 - Shoulder Arthritis In Young Active Patients - What Are The Best Options? (3/4)

Video Transcription

Video Summary

In this video, the speaker discusses the topic of arthroplasty, particularly focusing on shoulder arthroplasty. They mention that the 10-year survival rate of this procedure is 63%, which raises concerns. The speaker emphasizes the importance of discussing expectations with patients and highlights the need for individuals to be fully informed about the potential outcomes of the surgery. They also mention that non-arthroplasty surgeries prior to shoulder arthroplasty can lead to lower outcomes, re-operation rates, and higher infection rates. The speaker recommends aiming for at least 10 years of success with non-arthroplasty options before considering arthroplasty. They explain that metal and plastic implants have higher survival rates at 20 years compared to non-arthroplasty options. The speaker expresses a preference for total shoulder arthroplasty and advises against compromising the best operation due to fear or the patient being too young. Patient selection, appropriate indications, and post-surgery care are emphasized as important factors for the success of arthroplasty. The speaker concludes that anatomic total shoulder arthroplasty can provide the longest-lasting benefits compared to other options.

Asset Caption

Samuel Taylor, MD

Keywords

arthroplasty

shoulder arthroplasty

10-year survival rate

patient expectations

non-arthroplasty surgeries