Treatment of Glenohumeral Arthritis with a Hemiarthroplasty

Wirth, Michael A.; Tapscott, R. Stacy; Southworth, Carleton; Rockwood Jr., Charles A.
March 2007
Journal of Bone & Joint Surgery, American Volume;Mar2007 Supplement, Vol. 89-A, p10
Academic Journal
BACKGROUND: Glenohumeral hemiarthroplasty is well established as a method to treat glenohumeral arthritis. This study was designed to report longer-term results and to provide a decision model to assist surgeons in achieving successful outcomes. Our selection strategy for hemiarthroplasty included shoulders with (1) a concentric glenoid with eburnated bone, (2) a non-concentric glenoid that could be converted to a smooth concentric surface, and (3) a humeral head centered within the glenoid after soft-tissue balancing. METHODS: Fifty-seven consecutive patients (sixty-four shoulders) who had osteoarthritis of the glenohumeral joint, without advanced disease in the glenoid, were treated with hemiarthroplasty. In each instance, a modular prosthesis was implanted. Clinical assessment was performed preoperatively and at one-year intervals postoperatively for at least five years with use of patient self-assessment instruments, including the American Shoulder and Elbow Surgeons questionnaire, the Simple Shoulder Test, and a visual analog pain scale. A detailed radiographic analysis was performed to determine the presence of glenohumeral subluxation, periprosthetic radiolucency, and glenoid bone loss. RESULTS: Forty-three patients (fifty shoulders) were followed for a minimum of five years (mean, 7.5 years). Of the remaining fourteen patients (fourteen shoulders), ten were lost to follow-up, three had died, and one was excluded. For the Simple Shoulder Test, and for every visual analog scale measure, the results at the final follow-up evaluation were significantly better than the preoperative results (p < 0.0001 for each). The mean Simple Shoulder Test score at the time of the final follow-up was 9.4 positive responses compared with 9.7 positive responses at the two-year evaluation (p = 0.32), and the mean visual analog scale score for pain was 18.6 points compared with 14.9 points at two years (p = 0.45). Radiographic analysis showed the majority of stems had either no lucency or lucencies only near the tip of the stem. Glenoid bone loss and subluxation improved postoperatively, and the resuIts were maintained at the final follow-up evaluation. CONCLUSIONS: Shoulder hemiarthroplasty provides sustained good-to-excellent pain relief and functional improvement at five to ten years postoperatively in carefully selected patients with osteoarthritis.


Related Articles

  • Updated therapy guidelines pinpoint drug use in arthritis.  // Medical Marketing & Media;Nov2000, Vol. 35 Issue 11, p30 

    Reports on updated guidelines for medical management of osteoarthritis of the hip and knee. Effectiveness of prescription drugs; Introduction of additional drug categories.

  • Arthritis: Beating the pain. McCafferty, Keith // Field & Stream;Mar1999, Vol. 103 Issue 11, p32 

    Discusses treatment options for arthritis. Anti-inflammatories; COX-2 inhibitors; Natural supplements that are touted as cartilage rebuilding agents; Sodium hyaluronate for osteoarthritis; Regular exercise; Precautions that hunters can take to avoid arthritic attacks. INSETS: Arthritis...

  • A Promising Thumb Basal Joint Hemiarthroplasty for Treatment of Trapeziometacarpal Osteoarthritis. Pritchett, James; Habryl, Louis // Clinical Orthopaedics & Related Research;Oct2012, Vol. 470 Issue 10, p2756 

    Background: Trapeziometacarpal joint osteoarthritis is a painful, disabling condition that primarily affects women who are postmenopausal. Arthroplasty has been performed to treat this condition; however, subluxation has been a problem with all previous implants. We report the results of...

  • Surgical treatment of basal joint disease of the thumb: comparison between resection-interposition arthroplasty and trapezio-metacarpal arthrodesis. Schröder, J.; Kerkhoffs, G.M.M.J.; Voerman, H.J.; Marti, R.K. // Archives of Orthopaedic & Trauma Surgery;Jan2002, Vol. 122 Issue 1, p35 

    Thirty-six thumbs with symptomatic osteoarthritis of the first carpometacarpal joint were treated either by trapezio-metacarpal arthrodesis (n=18) or resection-tendon-interposition arthroplasty (n=18). The mean follow-up of the 29 patients was 42 months. With the data available, we could not...

  • COOLING THE FIRE. Haveles, Elena Bablenis // Drug Topics;10/2/2000, Vol. 144 Issue 19, p55 

    Provides information on treatment for rheumatoid arthritis (RA) and osteoarthritis (OA). Diagnostic criteria for RA and OA; Complementary therapy; Nondrug therapies; Dietary supplements.

  • Influence of Preoperative Factors on Outcome of Shoulder Arthroplasty for Glenohumeral Osteoarthritis. Iannotti, Joseph P.; Norris, Tom R. // Journal of Bone & Joint Surgery, American Volume;Feb2003, Vol. 85-A Issue 2, p251 

    Background: The results of shoulder arthroplasty for osteoarthritis have been reported to be excellent or good for the majority of patients, but the value of using a glenoid component and the anatomic factors that affect outcome are still debated. The purpose of this study was to evaluate the...

  • NEWSLINE: Duexis Combination Therapy.  // Monthly Prescribing Reference;Jan2012, Vol. 28 Issue 1, pA-6 

    The article reports that Duexis is available as a single, immediate-release tablet for the relief of signs and symptoms of rheumatoid arthritis and osteoarthritis.

  • New choices now available for rheumatoid and osteoarthritis. McCann, Jean // Drug Topics;12/6/99, Vol. 143 Issue 23, p61 

    Reports on the availability of drugs for the treatment of rheumatoid and osteoarthritis in the United States. List of drugs indicated for the treatment of such disease conditions; Effectiveness and common side effects of drugs commonly used in treating the diseases; Malignancies associated with...

  • Celecoxib versus omeprazole and diclofenac in patients with osteoarthritis and rheumatoid arthritis (CONDOR): a randomised trial.  // International Journal of Advances in Rheumatology;2010, Vol. 8 Issue 4, p147 

    The article presents a randomized trial that compares the efficacy of celecoxib, omeprazole and diclofenace in treating osteoarthitis and rheumatoid arthritis of patients.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics