Advantages |
- Ensure joint stability
- May be used in the presence of ligamentous insufficiency
- May be used in the presence of severe bone loss
- Better range of motion (soft-tissue release and non-anatomic implantation)
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- Less constrained implants may be associated with a lower risk of wear, loosening and osteolysis
- Less bony-invasive, which may be beneficial if revision or resection are required
- Some anatomic humeral components may be used as hemiarthroplasty
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Disadvantages |
- Increased constrained may result in increased tension to the interface and higher risk of mechanical failure secondary to wear and/or loosening
- More extensive canal invasion, potentially complicating revision surgery
- Cannot be used as hemiarthroplasty
- Component linking may make implantation more difficult
- Possible failure of the linking mechanism
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- Most require more accurate component positioning in order to ensure proper articular tracking
- It is possible to subluxate or dislocate the joint
- Difficult to use when there is the need to compensate for bone loss or ligamentous insufficiency
- Limited ability for soft-tissue release or non-anatomic implant positioning in patients with stiffness
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