Levine William N, Ahmad Christopher S, Bigliani Louis U, Jobin Charles M, Knudsen Michael L, Luzzi Andrew J
Department of Orthopedic Surgery, Columbia University Irving Medical Center - New York Presbyterian Hospital, New York, NY, USA.
JSES Int. 2024 Apr 25;9(3):934-943. doi: 10.1016/j.jseint.2024.04.007. eCollection 2025 May.
The first documented shoulder arthroplasty was performed in 1893. Since that time, the field of shoulder arthroplasty has experienced multiple stages of growth. In the 1950s, Dr. Charles S. Neer catapulted the field forward with his work in hemiarthroplasty and anatomic total shoulder arthroplasty (aTSA), creating the gold standard aTSA template upon which future iterations would occur. While early reverse total shoulder arthroplasty (rTSA) designs were not successful, the Grammont-style rTSA, introduced in the 1980s, turned rTSA into a viable treatment option. Since their initial conception, the original Neer-style aTSA and Grammont-style rTSA designs have been subject to multiple modifications in attempts to solve residual imperfections, such as glenoid loosening and failure in aTSA and scapular notching and external rotation deficits in rTSA, among others. The future of shoulder arthroplasty is exciting, with the potential to integrate multiple advanced technologies that could improve preoperative planning, intraoperative execution, and, ultimately, patient outcomes.
有记录的首例肩关节置换手术于1893年进行。自那时起，肩关节置换领域经历了多个发展阶段。20世纪50年代，查尔斯·S·尼尔博士通过他在半关节置换术和解剖型全肩关节置换术（aTSA）方面的工作推动了该领域的发展，创建了未来迭代将基于其上的aTSA金标准模板。虽然早期的反式全肩关节置换术（rTSA）设计并不成功，但20世纪80年代引入的Grammont式rTSA使rTSA成为一种可行的治疗选择。自最初构思以来，原始的尼尔式aTSA和Grammont式rTSA设计已经历了多次修改，试图解决诸如aTSA中的关节盂松动和失败以及rTSA中的肩胛切迹和外旋缺陷等残留缺陷。肩关节置换的未来令人兴奋，有可能整合多种先进技术，这些技术可以改善术前规划、术中执行，并最终改善患者的治疗效果。
