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Cementless Metal-Free Ceramic-Coated Shoulder Resurfacing

Shoulder resurfacing is a versatile, bone-conserving procedure to treat arthritis, avascular necrosis, and rotator cuff arthropathy. Shoulder resurfacing is of interest to young patients who are concerned about implant survivorship and those in need of a high level of physical activity. Using a cera...

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Autor principal: Pritchett, James W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10223924/
https://www.ncbi.nlm.nih.gov/pubmed/37240995
http://dx.doi.org/10.3390/jpm13050825
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author Pritchett, James W.
author_facet Pritchett, James W.
author_sort Pritchett, James W.
collection PubMed
description Shoulder resurfacing is a versatile, bone-conserving procedure to treat arthritis, avascular necrosis, and rotator cuff arthropathy. Shoulder resurfacing is of interest to young patients who are concerned about implant survivorship and those in need of a high level of physical activity. Using a ceramic surface reduces wear and metal sensitivity to clinically unimportant levels. Between 1989 and 2018, 586 patients received cementless, ceramic-coated shoulder resurfacing implants for arthritis, avascular necrosis, or rotator cuff arthropathy. They were followed for a mean of 11 years and were assessed using the Simple Shoulder Test (SST) and Patient Acceptable Symptom State (PASS). CT scans were used in 51 hemiarthroplasty patients to assess the glenoid cartilage wear. Seventy-five patients had a stemmed or stemless implant in the contralateral extremity. A total of 94% of patients had excellent or good clinical results and 92% achieved PASS. 6% of patients required a revision. A total of 86% of patients preferred their shoulder resurfacing prosthesis over a stemmed or stemless shoulder replacement. The glenoid cartilage wear at a mean of 10 years was 0.6 mm by a CT scan. There were no instances of implant sensitivity. Only one implant was removed due to a deep infection. Shoulder resurfacing is an exacting procedure. It is clinically successful, with excellent long-term survivorship in young and active patients. The ceramic surface has no metal sensitivity, very low wear, and, therefore, it is successful as a hemiarthroplasty.
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spelling pubmed-102239242023-05-28 Cementless Metal-Free Ceramic-Coated Shoulder Resurfacing Pritchett, James W. J Pers Med Article Shoulder resurfacing is a versatile, bone-conserving procedure to treat arthritis, avascular necrosis, and rotator cuff arthropathy. Shoulder resurfacing is of interest to young patients who are concerned about implant survivorship and those in need of a high level of physical activity. Using a ceramic surface reduces wear and metal sensitivity to clinically unimportant levels. Between 1989 and 2018, 586 patients received cementless, ceramic-coated shoulder resurfacing implants for arthritis, avascular necrosis, or rotator cuff arthropathy. They were followed for a mean of 11 years and were assessed using the Simple Shoulder Test (SST) and Patient Acceptable Symptom State (PASS). CT scans were used in 51 hemiarthroplasty patients to assess the glenoid cartilage wear. Seventy-five patients had a stemmed or stemless implant in the contralateral extremity. A total of 94% of patients had excellent or good clinical results and 92% achieved PASS. 6% of patients required a revision. A total of 86% of patients preferred their shoulder resurfacing prosthesis over a stemmed or stemless shoulder replacement. The glenoid cartilage wear at a mean of 10 years was 0.6 mm by a CT scan. There were no instances of implant sensitivity. Only one implant was removed due to a deep infection. Shoulder resurfacing is an exacting procedure. It is clinically successful, with excellent long-term survivorship in young and active patients. The ceramic surface has no metal sensitivity, very low wear, and, therefore, it is successful as a hemiarthroplasty. MDPI 2023-05-13 /pmc/articles/PMC10223924/ /pubmed/37240995 http://dx.doi.org/10.3390/jpm13050825 Text en © 2023 by the author. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pritchett, James W.
Cementless Metal-Free Ceramic-Coated Shoulder Resurfacing
title Cementless Metal-Free Ceramic-Coated Shoulder Resurfacing
title_full Cementless Metal-Free Ceramic-Coated Shoulder Resurfacing
title_fullStr Cementless Metal-Free Ceramic-Coated Shoulder Resurfacing
title_full_unstemmed Cementless Metal-Free Ceramic-Coated Shoulder Resurfacing
title_short Cementless Metal-Free Ceramic-Coated Shoulder Resurfacing
title_sort cementless metal-free ceramic-coated shoulder resurfacing
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10223924/
https://www.ncbi.nlm.nih.gov/pubmed/37240995
http://dx.doi.org/10.3390/jpm13050825
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