Humeral Hemiarthroplasty with Biologic Resurfacing of the Glenoid for Glenohumeral Arthritis

Abstract

Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.

Management of glenohumeral osteoarthritis in the young patient: ask the experts

“…In our experience, which parallels the peer-reviewed literature, isolated hemiarthroplasty without resurfacing the glenoid has a high failure rate due to progressive glenoid erosion. 4 Liem/Kasten: If this case was a post-instability case after 2 operations with subscapularis takedown (1) an open Bankart operation and (2) a capsular shift, would it change your treatment approach?…”

“…Another day was committed to scientific exchange, with a tour of the extensive science lab at the Cleveland Clinic and a great presentation by Dr. Kathleen A. Derwin about the current concepts of the use of augmentation patches in rotator cuff repair. 4. New Orleans, LA: October 10-October 13, 2010…”

Metallosis after hemiarthroplasty as a result of glenoid erosion causing contact with retained metallic suture anchors: a case series

“…6 It is well accepted that with humeral head replacement, glenoid erosion will occur over time. 12,13,16 Glenoid erosion in our series was likely multifactorial, and the exact cause is unknown. Factors that may have put the glenoid at risk include multiple surgeries, infection, and the intraarticular placement of pain pump catheters.…”

“…If a hemiarthroplasty is considered, treatment of the glenoid may consist of doing nothing, simple debridement, microfracture, 3 reaming of the glenoid, 13 or resurfacing with a biologic membrane. 12 There are no published recommendations suggesting routine removal of previously placed hardware during shoulder arthroplasty, and implants are regularly left in place if they are not visible.…”

Biological glenoid resurfacing for glenohumeral osteoarthritis: a systematic review

“…Techniques have been described using autograft anterior capsule, autograft fascia lata, tendoachilles allograft, lateral meniscal allograft, and a variety of commercially available grafts/scaffolds. 3,4,[6][7][8]10,14 No study has specifically evaluated durability of different graft materials, and there is no ''gold standard''. Furthermore, there remains a lack of consensus regarding the expected outcomes of biological glenoid resurfacing.…”