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Abstract

BACKGROUND:

Shoulder joint replacement is dependent on the reconstruction of the proximal humerus anatomical structure, at present, there are a wide variety of artificial shoulder prosthesis, which greatly vary in the efficacy.

OBJECTIVE:

To summarize the application progress of artificial shoulder prosthesis in the repair of shoulder joint injury.

METHODS:

A computer-based online retrieval was performed by the first author among Wanfang database, China National Knowledge Infrastructure (CNKI) database and PubMed database between 1999 and 2012, using the key words of “shoulder joint, prosthesis” in Chinese and “shoulder joint, artificial false body” in English. Articles addressing the type, design, application and complication of shoulder joint prosthesis were included, as well as those regarding the role of shoulder joint prosthesis in the repair of shoulder joint injury were selected. A total of 86 articles were screened out according to inclusion and exclusion criteria, and 25 articles of them were involved in the analysis.

RESULTS AND CONCLUSION:

UNIVERS3-D and Aequalis fracture shoulder prosthesis are the commonly used, because of good clinical efficacy, little complications and low revision rate after the replacement, and good biocompatibility. Delta reverse replacement of shoulder joint prosthesis shows a high revision rate and poor biocompatibility as a result of scapular notching and dislocation. Therefore, proper selection of cases, understanding of the anatomy of shoulder joint and the special reconstruction technology of shoulder joint, as well as a careful replacement scheme can reduce the replacement complications of artificial shoulder prosthesis, thereby improving the biocompatibility between the prosthesis and the host.

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