TITLE

Shoulder Resurfacing

AUTHOR(S)
Burgess, Derrick L.; McGrath, Mike S.; Bonutti, Peter M.; Marker, David R.; Delanois, Ronald E.; Mont, Michael A.
PUB. DATE
May 2009
SOURCE
Journal of Bone & Joint Surgery, American Volume;May2009, Vol. 91-A Issue 5, p1228
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
...Resurfacing is a type of shoulder arthroplasty that involves replacing the humeral joint surface with a metal covering, or cap, thus preserving the bone of the proximal part of the humerus. If the glenoid is also replaced, a current conventional polyethylene glenoid replacement prosthesis or an interposed soft-tissue graft is used. ...The potential advantages of humeral resurfacing, as compared with conventional shoulder arthroplasty, are: (1) no osteotomy is performed (and thus the head-shaft angle does not have to be addressed); (2) minimal bone resection; (3) a short operative time; (4) a low prevalence of humeral periprosthetic fractures; and (5) ease of revision to a conventional total shoulder replacement, if needed. ...Outcomes of surface replacement arthroplasty have been comparable with those of arthroplasties with a stemmed prosthesis in numerous short and mid-term follow-up studies. ...Future studies are required to assess the long-term outcomes of humeral resurfacing and to evaluate alternative surface bearing materials, especially on the glenoid side. ...Resurfacing appears to be a viable option for shoulder replacement, especially in young patients.
ACCESSION #
39658515

 

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