Cofield R H
Mayo Clin Proc. 1979 Aug;54(8):500-6.
The experience with total shoulder replacement has led to a greater understanding of the large spectrum of pathology which is associated with glenohumeral cartilage loss. For the majority of patients, a simple "resurfacing" prosthesis with muscle repair is the best choice. With this type of implant, pain relief is consistent (92% in 50 shoulders), mechanical failures are rare (2%), and, with repair of all muscles, an opportunity is provided for maximal return of function.
全肩关节置换的经验使人们对与盂肱关节软骨损伤相关的广泛病理状况有了更深入的了解。对于大多数患者而言，采用肌肉修复的简单“表面置换”假体是最佳选择。使用这种类型的植入物，疼痛缓解效果稳定（50例肩关节中92%），机械故障罕见（2%），并且在修复所有肌肉后，为功能的最大程度恢复提供了机会。
