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[Music] hi Im grant Garcia orthopedic specialist of Seattle and today I want to talk about a topic called shoulder arthritis or shoulder replacements just like the hip or knee the shoulder wears out the problem is that patients dont walk on it so in general my patients tend to wait longer than the hip or any patients and the other issue is patients tend to wait longer because theyre concerned that theyve heard from their friends or see on the internet that old replacements do quite poorly this is incorrect weve seen excellent data at around 90 to 95 percent good results at 10 years and around 85 to 90 percent good results at 15 years also another complaint I get from patients before the surgery is they were told they would never be able to go back to doing sports this is far from correct Ive lectured all over on though all over the world on this topic and ever in a number of publications and the rate of return of sports after shoulder replacements is upwards of 90% and the most c