David M. Dines

Reverse Shoulder Arthroplasty

David M. Dines

This masterful book from top experts provides clinical insights on reverse shoulder arthroplasty gleaned from hands-on refinement of shoulder replacement techniques. Years of significant biomechanical and clinical research yielded invaluable knowledge that led to important improvements in functional outcome and implant durability. Among these refinements were stronger polyethylene derivatives, better ingrowth technology, and improved connection devices. As the durability and longevity of implant technology increased, younger active patients became suitable candidates for this procedure. In fact, RSA has played a pivotal role in making shoulder arthroplasty the fastest growing implant technology. In the first two sections, the authors take the reader through the history and evolution of RSA, followed by step-by-step surgical techniques for specific injuries and conditions. The next three sections discuss past and recent outcomes, complications, and rehabilitation. The last section covers special considerations including patient specific instrumentation, convertible humeral and glenoid components, and the future potential of stemless humeral technology. Key Features The latest trends in patient-specific components, guide systems, and instrument designThe use of RSA for rotator cuff repair, shoulder arthritis, and acute and complex fracturesIn-depth discussion of techniques to improve deltoid function, avoid impingement, and increase implant longevityClinical pearls on how to recognize and handle complications that occur: instability, infection, scapular notching, component loosening, glenoid and humeral bone loss, and RSA failureHigh quality videos and 300 superb illustrations further delineate techniquesThis book is a practical resource that enables learning complex procedures, putting them into practice, and handling complications should they arise. It is an essential tool for all orthopaedic surgeons who treat shoulder conditions.

Shoulder Surgery

David M. Dines

The ultimate how-to resource on shoulder surgery from internationally renowned experts Shoulder problems related to degenerative conditions, sports injuries, or trauma comprise a significant percentage of orthopaedic surgery practice. Shoulder Surgery: Tricks of the Trade reflects collective expertise from Joshua Dines, David Dines and Lawrence Gulotta, renowned orthopaedic surgeons at the prestigious Hospital for Special Surgery in New York, and an impressive cadre of contributors. The unique resource features practical advice from recognized experts, presenting surgical essentials in an easy-to-learn and reproducible manner. Seventy-three chapters present key aspects of shoulder surgery procedures — from subacromial decompression and acromioplasty — to pectoralis major repair. Each succinct chapter includes step-by-step procedural guidance, indications, management of complications, and other invaluable pearls, tips, and tricks of the trade. Repair and reconstructive approaches for calcific tendinitis; rotator cuff, SLAP, labral, and glenohumeral ligament injuries; osteoarthritis; and moreShoulder replacement procedures including partial humeral head, stemless anatomic, and the use of an augmented polyethylene glenoid component for posterior glenoid wearA full continuum of arthroplasty topics, from basics such as patient positioning and retractory placement — to state-of-the-art techniques to resolve complications and failed surgeriesHigh quality surgical videos detail the latest arthroscopic approaches, such as patch augmentation of rotator cuff repair and fracture fixation This is the most user-friendly orthopaedic shoulder surgery guide available today and a must-have quick reference for all orthopaedic residents, fellows, and surgeons who treat patients with shoulder conditions.