TITLE

Cementless Humeral Resurfacing Arthroplasty in Active Patients Less Than Fifty-five Years of Age

AUTHOR(S)
Bailie, David S.; Llinas, Paulo J.; Ellenbecker, Todd S.
PUB. DATE
January 2008
SOURCE
Journal of Bone & Joint Surgery, American Volume;Jan2008, Vol. 90-A Issue 1, p110
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Cementless humeral resurfacing arthroplasty is a bone-conserving arthroplasty option for patients with glenohumeral arthritis. It has been successful in the older patient population. However, data regarding the results of arthroplasty in younger, more active patients are lacking. We report the two-year results of this procedure in active patients who were less than fifty-five years of age. Methods: We reviewed prospectively collected clinical data on a series of thirty-six patients under fifty-five years of age with end-stage glenohumeral arthrosis, but without osteonecrosis, who had undergone a cementless humeral resurfacing hemiarthroplasty performed by a single surgeon. All patients were followed for a minimum of two years. We assessed pain, function, and patient satisfaction and documented all complications. Radiographs were evaluated for implant loosening. Results: The thirty-six patients had a mean age of 42.3 years and were followed for a mean of 38.1 months. Scores measured with a visual analog pain scale, the Single Assessment Numeric Evaluation (SANE) scale, and the American Shoulder and Elbow Surgeons (ASES) scale all improved significantly from preoperatively to two years postoperatively (p < 0.001). Complications included one traumatic subscapularis rupture at six weeks, three cases of arthrofibrosis, and one deep hematoma. No obvious radiographic evidence of loosening was noted at the time of the latest follow-up. One shoulder was converted to a stemmed total shoulder arthroplasty at twenty-four months because of pain, but the implant was not loose at the revision. The remaining thirty-five patients were satisfied with the outcome at the time of the latest follow-up and had returned to their desired activity. Conclusions: Cementless humeral resurfacing arthroplasty is a viable treatment option for younger, active patients. Early results indicate that the desired function and pain relief can be expected.
ACCESSION #
28817987

 

Related Articles

  • What is your best indication for reverse arthroplasty and why? Willems, W. Joap // Orthopaedics Today Europe;Jul/Aug2011, Vol. 14 Issue 4, p7 

    The article author explains why cuff tear arthropathy (CTA) and massive cuff tears and revisions are the two most important indications for reverse athroplasty.

  • Psoriatic Arthritis and Arthroplasty. Iofin, Ilya; Levine, Brett; Badlani, Neil; Klein, Gregg R.; Jaffe, William L. // Bulletin of the NYU Hospital for Joint Diseases;2008, Vol. 66 Issue 1, p41 

    Psoriatic arthritis is an inflammatory arthropathy associated with the characteristic dermatologic lesions of psoriasis. The diagnosis of psoriatic arthritis is quite difficult, due to the overlap of patients with osteoarthritis (OA) or rheumatoid arthritis (RA) with concomitant non-associated...

  • Elbow fractures/dislocations call for early treatment and accurate reduction. Rapp, Susan M. // Orthopedics Today;Apr2008, Vol. 28 Issue 4, p56 

    The article reports that recognition is key in dealing with supracondylar elbow fractures and elbow-fracture dislocation, said doctor Emil H. Schemitsch during a presentation at the Annual Advances in Arthritis, Arthroplasty and Trauma meeting. Schemitsch said that rigid fixation of coronoid...

  • Ankylose temporo-mandibulaire : résultats du traitement après résection interruptrice. Béogo, Rasmané; Gandéma, Salif; Coulibaly, Toua Antoine; Traoré, Ibraïma; Guyot, Laurent // Médecine Buccale Chirurgie Buccale;2013, Vol. 19 Issue 3, p191 

    Temporomandibular joint ankylosis treatment is challenging given its risks of recurrence and complications. Material and method: This case series aimed to report the results of the treatment of temporomandibular joint ankylosis by gap arthroplasty in 8 patients in the Stomatology and...

  • Silicone-induced foreign-body reaction after first metatarsophalangeal joint arthroplasty for Jaccoud’s arthropathy. Waguri-Nagaya, Yuko; Yamagami, T.; Tsuchiya, A.; Nozaki, M.; Goto, H.; Kobayashi, M.; Aoyama, M.; Tada, T.; Otsuka, T. // Rheumatology International;Sep2009, Vol. 29 Issue 11, p1367 

    We report a case of Jaccoud’s arthropathy with forefoot plantar callosity. The lesser toe metatarsal heads were resected and Swanson’s double-stemmed flexible-hinge implant arthroplasty of the first metatarsophalangeal joint was performed. An osteolytic defect had formed around the...

  • Arthroplasty in Patients with Sequelae of SCFE. Leahy, Maureen // AAOS Now;Jun2012, Vol. 6 Issue 6, p9 

    The article discusses the statement of Dr. Rafael J. Sierra about the sequelae of slipped capital femoral epiphysis (SCFE). Speaking at the Pediatric Orthopaedic Society of North America (POSNA) 2012 Specialty Day, Sierra suggested that most patients with SCFE do well after treatments. However,...

  • Posteromedial compartment cement extrusion after unicompartmental knee arthroplasty treated by arthroscopy: a case report. Weon Yoo Kim; Shafi, Mohamed; Young Yul Kim; Jin Young Kim; Yun Kyoung Cho; Chang Whan Han // Knee Surgery, Sports Traumatology, Arthroscopy;Jan2006, Vol. 14 Issue 1, p46 

    Unicompartmental knee arthroplasty (UKA) with extrusion of cement into the posterior compartment of the knee is uncommon. Various problems after a UKA procedure, such as aseptic loosening, polyethylene wear and progressive arthritis have been reported. This study will report on a patient with...

  • Hip arthroplasty in a patient with congenital pubic diastasis and bladder exstrophy. CAMERA, ANDREA; GRAPPIOLO, GUIDO; SANTORO, GIUSEPPE // Hip International;Apr-Jun2009, Vol. 19 Issue 2, p155 

    We report a total hip arthroplasty performed for arthritis and osteonecrosis in a patient with congenital pubic diastasis and bladder exstrophy. A satisfactory outcome was achieved after appropriate consideration of the technical and biomechanical issues involved.

  • Passive Anterior-Posterior Knee Stability After Unconstrained Unicompartmental Arthroplasty. Imran, Ahmed // Proceedings of the World Congress on Engineering 2011 Volume I;2011, p1276 

    These Passive anterior-posterior (A-P) stability of the knee, measured in terms of joint laxity, is considered important for good clinical outcome following knee arthroplasty. In vitro and in vivo studies measured the laxity at selected joint positions in the intact and replaced knees. However,...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

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

Try another library?
Sign out of this library

Other Topics