I may not have posted in almost 5 years but the business of shoulder surgery hasn't stopped moving forward and neither have I. My belief is that I should never stop striving for improvement in my practice of shoulder surgery for the sake of my patients. As a result, I continue to read about and learn new procedures. I've had some changes to my practice including the addition of JT Matthews, NP over 3 years ago who is an invaluable part of my clinical team. We have also added multiple new procedures, listed here:
1. Scope Assisted Lower Trapezius Transfer
2. Latissimus Dorsi tranfer for subscapularis insufficiency
Combo of 1 and 2 being called a Parachute Procedure for massive irreparable anterior, superior and posterior cuff tears
3. Arthroscopic Pectoralis Minor release for STAM
4. Custom Glenoid baseplates for severe glenoid deformity or revision setting
5. Significant increase in use of BIO-RSA (up to 25-30% of my RSA practice) and occasional use of femoral head allograft for oversized defects, instead of custom baseplate.
6. Utilization of inset glenoid technology in conventional shoulder arthroplasty
7. Arthroscopic Anterior Glenoid Reconstruction for severe anterior glenoid bone loss
8. Improved Blueprint preoperative planning
9. New inlay humeral stem from Stryker/Tornier for more anatomic RSA design
10. Utilizing APC allografts with Lower trapezius transfer for humeral bone loss situations (2 cases coming up this month with this technology)
I am sure there are more that I haven't listed here. The bottom line is that there have been huge advancements in a relatively short period of time and this an exciting time to practice shoulder surgery. If your shoulder surgeon is doing the same surgeries the same exact way he/she was 5-10 years ago, it may be worth taking a second look. I will always have more to learn and improvement to be made, but the first step is recognizing that this art is not perfected.