AANA19 Shoulder Access Pass-Loco! TSA is the Only Answer-Dr. Anthony A. Romeo, M.D.

Loco! TSA is the Only Answer-Dr. Anthony A. Romeo, M.D.

Video Transcription

Video Summary

The speaker discusses shoulder arthritis management, emphasizing its uniqueness compared to hip and knee arthritis, with non-operative treatments as first-line options. Arthroscopic surgeries have limited success, especially in severe cases. Total shoulder arthroplasty (TSA) is favored for younger patients with moderate to severe arthritis due to better long-term outcomes, despite higher revision rates. Biological resurfacing techniques show poor results. Advances in implants and surgical planning now allow outpatient TSA with faster recovery and return to sports and work, including heavy physical activities. The speaker advocates for personalized care enabling patients to resume desired activities, highlighting TSA as the most definitive treatment currently available.

Keywords

shoulder arthritis

non-operative treatments

total shoulder arthroplasty

arthroscopic surgery

biological resurfacing