| Long-term results and patient satisfaction after shoulder resurfacing. | |
| | |
MedLine Citation:
|
PMID: 21106400 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
BACKGROUND: Shoulder resurfacing has regained popularity in recent years. This report presents the long-term (>20 years) results of this procedure with regard to patient satisfaction and implant survival. MATERIALS AND METHODS: We followed up 61 patients who underwent shoulder resurfacing procedures (74 shoulders) for a minimum of 20 years or until death (7 additional patients were lost to follow-up). The mean patient age at the time of surgery was 58 years. There were 41 total resurfacing procedures and 33 hemi-resurfacing procedures. The humeral component consisted of a cup with a short central peg that was placed either with or without cement. The glenoid was resurfaced with a cemented polyethylene or polyurethane component. RESULTS: Patient satisfaction was 95%, and the survivorship of the humeral prostheses was 96%. There were no periprosthetic fractures, dislocations, or infections. Two humeral components were revised to stemmed prostheses (one for loosening and one for unexplained pain), and one was revised from a cementless to a cemented resurfacing prosthesis. Twelve cemented polyethylene glenoid prostheses had radiolucencies, but only three produced symptoms requiring revision surgery; three polyurethane glenoid prostheses showed severe wear radiographically, but none was loose or required revision surgery. There were 7 revision procedures, 6 with good results. CONCLUSIONS: Shoulder resurfacing is a successful procedure for the majority of patients, with high rates of patient satisfaction, long-term survivorship of the humeral prosthesis, and few complications. |
| | |
Authors:
|
James W Pritchett |
Publication Detail:
|
Type: Journal Article Date: 2010-11-24 |
Journal Detail:
|
Title: Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.] Volume: 20 ISSN: 1532-6500 ISO Abbreviation: J Shoulder Elbow Surg Publication Date: 2011 Jul |
Date Detail:
|
Created Date: 2011-06-17 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9206499 Medline TA: J Shoulder Elbow Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 771-7 Citation Subset: IM |
Copyright Information:
|
Copyright © 2011 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved. |
Affiliation:
|
Orthopedics International, Seattle, WA, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: An anatomic study of the coracoid process as it relates to bone transfer procedures.
Next Document: Shoulder exostoses in hereditary multiple exostoses: probability of surgery and malignant change.