Clinical and radiographic mid-term outcomes after shoulder resurfacing in patients aged 50 years old or younger

Abstract

Resurfacing arthroplasty is an effective device in young patients with advanced glenohumeral arthropathy; however, the high rate of postoperative glenoid erosion and the failure of biologic allograft lead us to consider glenoid replacement as the best option to improve clinical outcomes.

Surgical Treatment Options for Glenohumeral Arthritis in Young Patients: A Systematic Review and Meta-analysis

“…arthroscopyjournal.org). 10,13,14,17,38,[41][42][43][44][45][46]48,49,[51][52][53][54][55][57][58][59][60] Final FF was significantly higher after AD (P < .001) and significantly lower after HA (P < .001) than after all other treatments. The improvement in FF was greater after TSA than after AD (P < .001) and greater after AD than after HA (P ¼ .0107).…”

“…Fewer complications also occurred after HA than after TSA (P ¼ .0042). Twenty-eight studies reported the proportion of patients requiring revision surgery, 10,14,16,17,[37][38][39][40][41][43][44][45][46][48][49][50][51][53][54][55][56][57]59,61 which was similar across treatment groups (P ¼ .9023).…”

“…Improvement in pain status, using an aggregate of standardized pain scores, was significantly greater after TSA than after HA (P < .001). Thirteen studies evaluated patient satisfaction, 10,12,14,37,38,40,42,43,45,48,49,52,55 which was similar after HA and TSA (P ¼ .5273).…”

“…Patients were treated with HA (n ¼ 459), TSA Table 1, available at www.arthroscopyjournal.org). 14,16,17,31,37,38,[45][46][47][50][51][52] Studies that used HA or TSA variably used anatomic versus resurfacing prostheses, cemented versus uncemented prostheses, and metal-backed versus polyethylene components. AD consisted of chondral debridement with or without associated procedures such as capsular release, subacromial decompression, loose body removal, and biceps tenodesis.…”

“…Seventeen studies reported VAS pain scores, 10,14,16,17,37,39,41,42,[44][45][46]49,51,53,54,57,59 4 reported Constant pain scores, 47,48,55,56 one reported ASES pain scores, 43 and one reported Neer and Cofield pain scores 31 (Appendix Tables 2 and 3, available at www. arthroscopyjournal.org).…”