Glenohumeral arthrodesis for recurrent types II and III shoulder instability

Indication, Technique and Long-term Results after Shoulder Arthrodesis Performed with Plate Fixation

“…In their study on shoulder instability in epileptic patients, Tharangajah et al recorded an improvement from 37 to 42 %. In a study on patients with atraumatic structural or nonstructural instability, they recorded an improvement from 22 to 73 % [5,20].…”

Clinical & Surgical Outcomes of Shoulder Arthrodesis: A Cohort of Seven Cases from the South Metropolitan Health Service of Western Australia

“…Thangarajah, et al evaluated a cohort of eight patients who underwent shoulder arthrodesis for pain and dysfunction secondary to recurrent instability [1]. Instability scores and subjective shoulder value improved.…”

“…It is performed for a wide range of clinical presentations including brachial plexus injury (traumatic or iatrogenic), recurrent shoulder instability, failed shoulder arthroplasty, and tumour cases. Patients have often had multiple previous surgeries, with arthrodesis employed as a salvage procedure [1,2]. Most cohorts report good outcomes for patients at long term follow-up despite a high incidence of complications and re-operation rates.…”

Glenohumeral arthrodesis

“…Various fixation techniques have been described for glenohumeral arthrodesis, including plates, screws alone, combined plate and screw fixation, and external fixation 5,6,33 . Plate options include reconstruction plates or dynamic or locked compression plates 2,10,12,14,19,23,24,[26][27][28][29][30] . The plate is contoured to fit the underlying bone and then temporarily affixed to the scapula, acromion, and humerus.…”

“…Both extra-articular and intra-articular techniques have been described, with most surgeons currently performing intra-articular or combined procedures through open or arthroscopic approaches 16,[22][23][24][25]27 . Fixation methods include external fixators, simple screws, and plate-screw constructs 2,10,12,14,19,26,[28][29][30]32 . Despite improvements in materials and techniques, glenohumeral arthrodesis is associated with complication rates as high as 43% 13,23,24,32 .…”