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Conversion of painful hemiarthroplasty to total shoulder arthroplasty: Long-term results

Conversion of painful hemiarthroplasty to total shoulder arthroplasty: Long-term results,10.1016/j.jse.2004.03.016,Journal of Shoulder and Elbow Surge

Conversion of painful hemiarthroplasty to total shoulder arthroplasty: Long-term results   (Citations: 25)
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The purpose of this study was to evaluate the outcome after conversion of painful hemiarthroplasty to total shoulder arthroplasty (TSA). Sixteen consecutive patients who underwent revision TSA for failed humeral head replacement (HHR) at our institution from 1988 to 2000 were evaluated. The mean interval from the time of HHR to revision TSA was 3.5 years (range, 11 months to 10.5 years). At a mean 5.5-year follow-up (range, 2–14 months), the results were excellent in 3 of 15 (20%), satisfactory in 5 of 15 (33%), and unsatisfactory in 7 of 15 (47%). The mean American Shoulder and Elbow Surgeons score was 73.6 (range, 46.7–95) out of a possible 100. The mean visual analog pain score was 2.4 (range, 0–6) out of 10. Evidence of posterior glenoid erosion was found in 64% (7/11) of these patients. On the basis of the complexity of the surgery and the 47% unsatisfactory rate, we conclude that revision of a failed HHR to a TSA is a salvage procedure whose results are inferior to those of primary TSA.
Journal: Journal of Shoulder and Elbow Surgery - J SHOULDER ELBOW SURG , vol. 13, no. 6, pp. 599-603, 2004
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    • ... Hemiarthroplasty is technically easier and less invasive to perform than TSA but can be associated with glenoid erosion...

    Salma Chaudhuryet al. Surgical options for patients with shoulder pain

    • ...necessitating revision has been well documented in the literature [7, 18]...
    • ...The causes of failed shoulder arthroplasty have been well documented previously in the literature and include glenoid arthritis and glenoid component loosening as the most common causes of failure [4, 5, 7, 9, 11, 17, 18]...

    Bassem Elhassanet al. Glenoid Reconstruction in Revision Shoulder Arthroplasty

    • ...However, it was observed [6, 8, 10, 11] that a subpopulation of treated patients presented persistent pain, slow recovery of strength and prolonged fatigability after hemiarthroplasty (HA); these complications were largely attributed to implant loosening, glenoid erosion and rotator cuff defects...

    Giovanni Merollaet al. Efficacy of anatomical prostheses in primary glenohumeral osteoarthrit...

    • ...No. of shoulders 35 Age* (yr) 57 ± 9.8 (35-80) Gender...

    Joseph R. Lynchet al. Hemiarthroplasty with Concentric Glenoid Reaming Self-Assessed Outcome...

    • ...The data collected at the time of presentation included (1) demographic information, (2) medical history, (3) physical examination, (4) a standard set of radiographs consisting of true anteroposterior and axillary views of the glenohumeral joint and a full-length anteroposterior radiograph of the humerus, and (5) the results of the Simple Shoulder Test (SST)2,19 inventory of shoulder functions...
    • ... 67 (24) 57 (61) 4 (10) 3 (12) 5 (17.2) 9 (30) Subscapularis failure 55 (20) 16 (17) 6 (15) 5 (20) 5 (17) 7 (23) Rotator cuff tear 54 (19) 13 (14) 14 (36) 4 (16) 5 (17) 2 (7) Tuberosity nonunion 35 (12) 1 (1) 16 (41) 0 (0) 3 (10) 0 (0) Humeral loosening 31 (11) 9 (10) 5 (13) 0 (0) 5 (17) 4 (13) Tuberosity malunion 31 (11) 1 (1) 20 (51) 1 (4) 4 (14) 0 (0) Infection 31 (11) 15 (16) 4 (10) 1 (4) 3 (10) 3 (10) Deltoid dysfunction 28 (10) 5 (5) ...
    • ...Glenoid loosening 85 (63) Stiffness 79 (58) 59 (74) 30 (81) 11 (65) Polyethylene wear 79 (58) Heterotopic bone 37 (27) 13 (16) 15 (41) 8 (47) Instability 36 (27) 16 (20) 3 (8) 9 (53) Subscapularis failure 28 (21) 15 (19) 6 (16) 3 (18) Humeral loosening 17 (13) 4 (5) 5 (14) 2 (12) Infection 16 (12) 6 (8) 4 (11) 5 (30) Rotator cuff tear 15 (11) 19 (24) 13 (35) 4 (24) Deltoid dysfunction 5 (4) 13 (16) 4 (11) 3 (18) Tuberosity nonunion 4 (3) 2 ...
    • ... Women 158 (45) 127 (45) Left shoulder 155 (44) 124 (44) Right shoulder 197 (56) 158 (56) Dominant extremity (%) 188 (53) 155 (55) Primary osteoarthritis 114 (32) 93 (33) Secondary arthritis 30 (9) 24 (9) Osteonecrosis/AVN 31 (9) 25 (9) Rheumatoid arthritis 20 (6) 16 (6) Cuff tear arthropathy 20 (6) 12 (4) Capsulorrhaphy arthropathy 34 (10) 30 (11) Posttraumatic arthropathy 33 (9) 29 (10) Fracture 52 (15) 39 (14) Fracture nonunion 19 (5) 17 ...

    Amy K. Frantaet al. The complex characteristics of 282 unsatisfactory shoulder arthroplast...

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