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  • New, New, New: Innovative Design Orthopaedics -
    IDO Isometer Shoulder Muscle Strength Gauge. [Read more]
  • Interested in the Reading Shoulder fellowship?
    a post-CCT shoulder fellowship for One year. please send CV to Mrs Jan Barker [Read more]
  • Verso Stemless TSA with a new company Innovative Design Orthopaedics (IDO)
  • Coming up courses:
    The "Stephe Copeland" Memorial Reading Shoulde Course 2016, 10th-11th March 2016.

    [Read more]
  • For GPs - New!!! NHS Choose & Book
    The Unit at Berkshire Independent Hospital and Dunedin Hospital is open for NHS patients through Choose & Book (Extended Choice Network).
    Book online
    or contact the secretaries. [Read more]
  • The unit is recognised worldwide, treating patients locally
  • New Survey on usage of shoulder replacement prostheses.
    Take the survey [Read more]
  • Listen to the BBC Radio4 programme - a day in the operating theatre at the Reading Shoulder Unit at the Royal Berkshire Hospital - Case Notes with Dr Mark Porter on Regional anaesthesia for shoulder surgery [Read more]
  • Groundbreaking research from the Reading Shoulder Unit by Prof. Ofer Levy and his team regarding Propionibacterium Acnes and shoulder arthritis. 
    Propionibacterium acnes: an underestimated etiology in the pathogenesis of osteoarthritis?

    This is a very important article in that it suggests the presence of propionibacterium in previously unoperated shoulders with arthritis and furthermore that 'aseptic' failures of shoulder arthroplasty may, in fact, be related to indolent infections with this slow growing organism.
    Read comments by Dr Frederick A. Matsen III, M.D.
    [Read more]
Copeland Shoulder: Summary
Over the past ten years the design of the surface replacement prosthesis has evolved, but the basic concept and design of surface replacement, minimal removal of bone and cementless fixation has remained constant. The indications and surgical technique has been refined during this period. The results of hemiarthroplasty are not to be compared with those of total shoulder replacement. The indications are different. The early results of the Hydroxyapatite coated prosthesis are extremely encouraging with no lucent lines observed.

The surface replacement prosthesis has demonstrated results equal to those of conventional stemmed prostheses suggesting that the humeral component does not need a stem or cement for fixation.

Since stemmed prostheses are subject to inherent complications, the indications for specific types of replacement are changing. The question now is not: what are the indications for surface replacement, but what are the indications for stemmed prostheses?

In our view the only indications for the use of a stemmed prosthesis are in acute four-part fractures and in those patients with severe destruction of the humeral head such that no surface remains to be replaced.
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