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Outcome and revision rate of uncemented humeral head resurfacing: Mid-term follow-up study
BACKGROUND: Glenohumeral osteoarthritis (OA) is a common cause of pain and disability affecting nearly a third of the world’s population over 60 years of age. As in other joints, shoulder arthroplasty appears to be the most effective treatment. The implant design has evolved during time transitionin...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8223723/ https://www.ncbi.nlm.nih.gov/pubmed/34189078 http://dx.doi.org/10.5312/wjo.v12.i6.403 |
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author | Chillemi, Claudio Paglialunga, Carlo De Giorgi, Greta Proietti, Riccardo Carli, Stefano Damo, Marco |
author_facet | Chillemi, Claudio Paglialunga, Carlo De Giorgi, Greta Proietti, Riccardo Carli, Stefano Damo, Marco |
author_sort | Chillemi, Claudio |
collection | PubMed |
description | BACKGROUND: Glenohumeral osteoarthritis (OA) is a common cause of pain and disability affecting nearly a third of the world’s population over 60 years of age. As in other joints, shoulder arthroplasty appears to be the most effective treatment. The implant design has evolved during time transitioning to shorter humeral stem lengths or even stemless components. AIM: To evaluate the medium-term outcome and survival of a cementless humeral head resurfacing (HHR) in a group of patients affected with OA or avascular necrosis. METHODS: This is a retrospective study of prospectively collected data using HHR in 23 patients (15 female and 8 male) after a 7.4 year follow-up. The collected data included clinical and radiographical evaluation. The Constant score, the visual analogue scale, and a clinical evaluation of range of motion were registered pre- and postoperatively. Fifteen patients affected with OA (2 cases of mild, 6 moderate, and 7 severe) and 10 with avascular necrosis (stage III according to Cruess classification) were enrolled. X-rays were evaluated to detect loosening signs, degenerative changes, and superior humeral head migration. Magnetic resonance preoperatively was also performed to assess the rotator cuff status. Tendon integrity was mandatory to implant the HHR. RESULTS: In total, 19 patients (21 shoulders) completed the follow-up. Data on 4 shoulders, in 4 patients, were lost because of prosthesis failure. The global revision rate was 16%. A statistically significant improvement in the mean Constant score, visual analogue scale, and range of motion have been reported. No signs of loosening were registered, while in 12 cases a glenoid erosion was found. The osteophytes appeared 7 times on the humeral side and 12 on the glenoid. Superior humeral migration was recorded in only 1 case. CONCLUSION: HHR remains a reasonable option in patients with an intact rotator cuff for the treatment of OA and avascular necrosis. |
format | Online Article Text |
id | pubmed-8223723 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-82237232021-06-28 Outcome and revision rate of uncemented humeral head resurfacing: Mid-term follow-up study Chillemi, Claudio Paglialunga, Carlo De Giorgi, Greta Proietti, Riccardo Carli, Stefano Damo, Marco World J Orthop Retrospective Cohort Study BACKGROUND: Glenohumeral osteoarthritis (OA) is a common cause of pain and disability affecting nearly a third of the world’s population over 60 years of age. As in other joints, shoulder arthroplasty appears to be the most effective treatment. The implant design has evolved during time transitioning to shorter humeral stem lengths or even stemless components. AIM: To evaluate the medium-term outcome and survival of a cementless humeral head resurfacing (HHR) in a group of patients affected with OA or avascular necrosis. METHODS: This is a retrospective study of prospectively collected data using HHR in 23 patients (15 female and 8 male) after a 7.4 year follow-up. The collected data included clinical and radiographical evaluation. The Constant score, the visual analogue scale, and a clinical evaluation of range of motion were registered pre- and postoperatively. Fifteen patients affected with OA (2 cases of mild, 6 moderate, and 7 severe) and 10 with avascular necrosis (stage III according to Cruess classification) were enrolled. X-rays were evaluated to detect loosening signs, degenerative changes, and superior humeral head migration. Magnetic resonance preoperatively was also performed to assess the rotator cuff status. Tendon integrity was mandatory to implant the HHR. RESULTS: In total, 19 patients (21 shoulders) completed the follow-up. Data on 4 shoulders, in 4 patients, were lost because of prosthesis failure. The global revision rate was 16%. A statistically significant improvement in the mean Constant score, visual analogue scale, and range of motion have been reported. No signs of loosening were registered, while in 12 cases a glenoid erosion was found. The osteophytes appeared 7 times on the humeral side and 12 on the glenoid. Superior humeral migration was recorded in only 1 case. CONCLUSION: HHR remains a reasonable option in patients with an intact rotator cuff for the treatment of OA and avascular necrosis. Baishideng Publishing Group Inc 2021-06-18 /pmc/articles/PMC8223723/ /pubmed/34189078 http://dx.doi.org/10.5312/wjo.v12.i6.403 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Retrospective Cohort Study Chillemi, Claudio Paglialunga, Carlo De Giorgi, Greta Proietti, Riccardo Carli, Stefano Damo, Marco Outcome and revision rate of uncemented humeral head resurfacing: Mid-term follow-up study |
title | Outcome and revision rate of uncemented humeral head resurfacing: Mid-term follow-up study |
title_full | Outcome and revision rate of uncemented humeral head resurfacing: Mid-term follow-up study |
title_fullStr | Outcome and revision rate of uncemented humeral head resurfacing: Mid-term follow-up study |
title_full_unstemmed | Outcome and revision rate of uncemented humeral head resurfacing: Mid-term follow-up study |
title_short | Outcome and revision rate of uncemented humeral head resurfacing: Mid-term follow-up study |
title_sort | outcome and revision rate of uncemented humeral head resurfacing: mid-term follow-up study |
topic | Retrospective Cohort Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8223723/ https://www.ncbi.nlm.nih.gov/pubmed/34189078 http://dx.doi.org/10.5312/wjo.v12.i6.403 |
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