Format

Send to

Choose Destination
See comment in PubMed Commons below
Orthopade. 2010 Feb;39(2):201-8. doi: 10.1007/s00132-009-1525-4.

[Cementless humeral surface replacement arthroplasty in patients less than 55 years of age].

[Article in German]

Author information

1
Sektion Obere Extremität: Schulter-, Ellenbogen- und Handchirurgie, Stiftung Orthopädische Universitätsklinik, Schlierbacher Landstrasse 200 A, 69118, Heidelberg, Deutschland. Patric.Raiss@ok.uni-heidelberg.de

Abstract

BACKGROUND:

Cementless humeral surface replacement arthroplasty is a viable treatment option for degenerative diseases of the shoulder joint. The aim of this prospective study was to analyse the results of this treatment option in patients younger than 55 years of age with different pathologies of the shoulder.

PATIENTS AND METHODS:

Twenty-three patients (26 implants) treated with cementless humeral surface replacement arthroplasty were included in this study. Mean follow-up was 2.5 years (1-6 years). Ten patients had posttraumatic osteoarthritis, seven had primary osteoarthritis, and six had osteonecrosis. Patients were evaluated using the Constant score, shoulder motion, and subjective satisfaction.

RESULTS:

The mean Constant score increased significantly from 33 points preoperatively (8-69 points) to 61 points postoperatively (25-83 points; p<0.0001), adjusted to age and gender from 38% (8-86%) to 70% (28-114%; p<0.0001). Significant improvement for the whole cohort was found regarding patients' pain, activity, mobility, shoulder flexion and abduction, and internal and external rotation (p<0.001). In one case, reoperation was necessary due to a superficial wound infection, and in another case, implant revision to a total shoulder replacement was performed because of glenoid erosion.

CONCLUSION:

Cementless humeral surface replacement arthroplasty is a viable bone-preserving treatment option for young and active patients. Later conversion to total shoulder replacement is possible. Good clinical results, a low complication rate, and high patient satisfaction were found in the short and mid term. Long-term investigations are necessary to confirm these observations.

PMID:
19768450
DOI:
10.1007/s00132-009-1525-4
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Springer
    Loading ...
    Support Center