Surgical procedure | Advantages | Disadvantages |
---|---|---|
Osteoarthritis care | Â | Â |
Low morbidity, low complication rate | Less predictable outcome | |
 | Joint preserving |  |
 | Simple rehabilitation |  |
Humeral head resurfacing with biologic interposition [21–23] | Avoids glenoid prosthesis | Mixed results |
 | Obviates concerns over glenoid loosening over time | Less predictable pain relief |
 | Theoretically, preserves bone stock for future reconstructive options | Revision surgery in event of failure |
Avoids glenoid prosthesis | Less predictable pain relief | |
 | Obviates concerns over glenoid loosening over time | Increased time to maximal improvement |
 | Shorter operation room time | Lower survival rate |
 |  | Risk of glenoid bone loss over time |
 |  | Revision surgery in event of failure |
Predictable pain relief | Risk of glenoid loosening | |
 | Predictable functional improvement |  |
 | Proven longevity |  |
Joint preserving | No long-term outcome result | |
 | Avoids or postpones arthroplasty procedure | Indicated in limited population, that is, young individuals with isolated defects |
Rotator cuff disease care | Â | Â |
Favorable long-term outcome | Long recovery | |
 | Restores normal anatomy | Tendon healing unpredictable |
 | Pain relief |  |
 | Theoretically, protective against further degenerative changes in muscle and tendon |  |
Indicated primarily for irreparable tear | Less predictable results | |
 | Pain relief | Further degenerative changes to bone and soft tissue structures possible |
 | Lower morbidity than muscle transfer or arthroplasty |  |
Muscle transfer [97] | Salvage procedure for irreparable cuff | Limited indications |
 | Potentially restores strength | Mixed results |
 | Pain relief | Long recovery period |
Salvage procedure for irreparable tear | Higher morbidity and complication rate | |
 | Pain relief | Limited indications, that is, older patients |
 | Restores function |  |