Arthroplasty of the shoulder.

©2006 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.88B5. 16466 $2.00 J Bone Joint Surg [Br] 2006;88-B:562-75. Although the first shoulder arthroplasty was implanted in 1893 by the French surgeon JulesÉmile Péan, 1 the development of the procedure came in the 1950s when Neer 2 described the results using a vitallium prosthesis to treat comminuted fractures of the head of the humerus. About 20 years later, and with the addition of a glenoid component, he described a total shoulder replacement (TSR) for the treatment of osteoarthritis (OA). Since then, there has been a progressive improvement, culminating in the concept of anatomical reconstruction of the proximal humerus in the early 1990s when the size and design of the humeral component were reconsidered. 3-7 Other surgeons have used surfacereplacement implants with good results. 8,9