Surface replacement: a head is all that’s required—in opposition

Abstract

Abstract Use of a glenoid component will yield a better clinical result than hemiarthroplasty when there is loss of glenoid articular cartilage and there is an intact or small repairable rotator cuff tear, and when there is significant glenoid wear. In addition when there is good bone quality loss of glenoid cartilage total shoulder arthroplasty is preferred. Hemiarthroplasty is preferred in patients with large cuff tears, or in the very young and active patient.