Top

International Orthopaedics

Published in:

01-02-2015 | Original Paper

Results of cementless humeral head resurfacing with cemented glenoid components

Authors: Patric Raiss, Manuela Weiter, Boris Sowa, Felix Zeifang, Markus Loew

Published in: International Orthopaedics | Issue 2/2015

Abstract

Purpose

The aim of this study was to analyse the short- and medium-term clinical and radiographic results of cementless humeral head resurfacing in combination with a cemented glenoid component.

Methods

Thirty-five patients with a mean age of 65 years (range 42–84) and a mean follow-up of three years (two to six) were followed up. The Constant score with its subgroups as well as shoulder motions and complications were recorded. Radiographs in two planes were analysed for loosening of the components.

Results

Mean Constant score improved from 29 points (6–63) to 70 points (41–89; p < 0.001). Mean shoulder flexion increased from 89° (20–170) to 158° (100–180) and mean external rotation from 10° (−10–30) to 39° (10–80). Satisfaction rate was 94 % at final follow-up. None of the components was found to be loose. There were three neurological complications, probably related to increased forces on the humeral head retractor during glenoid preparation. Two of them resolved completely; in one patient hyposensitivity remained.

Conclusion

Cementless humeral surface replacement arthroplasty in combination with a cemented glenoid component leads to an overall satisfactory clinical outcome. However, the high rate of neurological complications found in this study, probably related to difficult glenoid exposure, led us to discontinue this implant configuration.

Bailie DS, Llinas PJ, Ellenbecker TS (2008) Cementless humeral resurfacing arthroplasty in active patients less than fifty-five years of age. J Bone Joint Surg Am 90(1):110–117. doi:10.2106/JBJS.F.01552 PubMedCrossRef

Levy O, Copeland SA (2001) Cementless surface replacement arthroplasty of the shoulder. 5 to 10 year results with the Copeland mark-2 prosthesis. J Bone Joint Surg Br 83(2):213–221PubMedCrossRef

Levy O, Copeland SA (2004) Cementless surface replacement arthroplasty (Copeland CSRA) for osteoarthritis of the shoulder. J Shoulder Elbow Surg 13(3):266–271. doi:10.1016/S1058274604000229 PubMedCrossRef

Levy O, Funk L, Sforza G, Copeland SA (2004) Copeland surface replacement arthroplasty of the shoulder in rheumatoid arthritis. J Bone Joint Surg Am 86 A(3):512–518PubMed

Al-Hadithy N, Domos P, Sewell MD, Naleem A, Papanna MC, Pandit R (2012) Cementless surface replacement arthroplasty of the shoulder for osteoarthritis: results of fifty Mark III Copeland prosthesis from an independent center with four-year mean follow-up. J Shoulder Elbow Surg 21(12):1776–1781. doi:10.1016/j.jse.2012.01.024 PubMedCrossRef

Buchner M, Eschbach N, Loew M (2008) Comparison of the short-term functional results after surface replacement and total shoulder arthroplasty for osteoarthritis of the shoulder: a matched-pair analysis. Arch Orthop Trauma Surg 128(4):347–354. doi:10.1007/s00402–007–0404-x PubMedCrossRef

Raiss P, Kasten P, Baumann F, Moser M, Rickert M, Loew M (2009) Treatment of osteonecrosis of the humeral head with cementless surface replacement arthroplasty. J Bone Joint Surg Am 91(2):340–349. doi:10.2106/JBJS.H.00560 PubMedCrossRef

Pape G, Zeifang F, Bruckner T, Raiss P, Rickert M, Loew M (2010) Humeral surface replacement for the sequelae of fractures of the proximal humerus. J Bone Joint Surg Br 92(10):1403–1409. doi:10.1302/0301–620×.92B10.24316 PubMedCrossRef

Raiss P, Pape G, Becker S, Rickert M, Loew M (2010) Cementless humeral surface replacement arthroplasty in patients less than 55 years of age. Orthopade 39(2):201–208. doi:10.1007/s00132–009–1525–4 PubMedCrossRef

10.

Bryant D, Litchfield R, Sandow M, Gartsman GM, Guyatt G, Kirkley A (2005) A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. A systematic review and meta-analysis. J Bone Joint Surg Am 87(9):1947–1956PubMedCrossRef

11.

Lo IK, Litchfield RB, Griffin S, Faber K, Patterson SD, Kirkley A (2005) Quality-of-life outcome following hemiarthroplasty or total shoulder arthroplasty in patients with osteoarthritis. A prospective, randomized trial. J Bone Joint Surg Am 87(10):2178–2185PubMedCrossRef

12.

Neer CS 2nd (1999) Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less. Long-term results. J Bone Joint Surg Am 81(2):295–296PubMed

13.

Radnay CS, Setter KJ, Chambers L, Levine WN, Bigliani LU, Ahmad CS (2007) Total shoulder replacement compared with humeral head replacement for the treatment of primary glenohumeral osteoarthritis: A systematic review. J Shoulder Elbow Surg 16(4):396–402

14.

Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164PubMed

15.

Walch G, Badet R, Boulahia A, Khoury A (1999) Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplasty 14(6):756–760PubMedCrossRef

16.

Mole D, Roche O, Riand N, Levigne C, Walch G (1999) Cemented glenoid components: results in osteoarthritis and rheumatoid arthritis. Springer, Heidelberg

17.

Raiss P, Schmitt M, Bruckner T, Kasten P, Pape G, Loew M, Zeifang F (2012) Results of cemented total shoulder replacement with a minimum follow-up of ten years. J Bone Joint Surg Am 94(23):e1711–1710PubMedCrossRef

18.

Torchia ME, Cofield RH, Settergren CR (1997) Total shoulder arthroplasty with the Neer prosthesis: long-term results. J Shoulder Elbow Surg 6(6):495–505PubMedCrossRef

19.

Raiss P, Aldinger PR, Kasten P, Rickert M, Loew M (2009) Humeral head resurfacing for fixed anterior glenohumeral dislocation. Int Orthop 33(2):451–456PubMedCentralPubMedCrossRef

20.

Pritchett JW (2011) Long-term results and patient satisfaction after shoulder resurfacing. J Shoulder Elbow Surg 20(5):771–777. doi:10.1016/j.jse.2010.08.014 PubMedCrossRef

21.

Levine WN, Fischer CR, Nguyen D, Flatow EL, Ahmad CS, Bigliani LU (2012) Long-term follow-up of shoulder hemiarthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 94(22):e1641–e1647CrossRef

22.

Gadea F, Alami G, Pape G, Boileau P, Favard L (2012) Shoulder hemiarthroplasty: outcomes and long-term survival analysis according to etiology. Orthop Traumatol Surg Res 98(6):659–665. doi:10.1016/j.otsr.2012.03.020 PubMedCrossRef

23.

Walch G, Young AA, Boileau P, Loew M, Gazielly D, Mole D (2012) Patterns of loosening of polyethylene keeled glenoid components after shoulder arthroplasty for primary osteoarthritis: results of a multicenter study with more than five years of follow-up. J Bone Joint Surg Am 94(2):145–150PubMedCrossRef

24.

Young A, Walch G, Boileau P, Favard L, Gohlke F, Loew M, Mole D (2011) A multicentre study of the long-term results of using a flat-back polyethylene glenoid component in shoulder replacement for primary osteoarthritis. J Bone Joint Surg Br 93(2):210–216PubMedCrossRef

25.

Fox TJ, Cil A, Sperling JW, Sanchez-Sotelo J, Schleck CD, Cofield RH (2009) Survival of the glenoid component in shoulder arthroplasty. J Shoulder Elbow Surg 18(6):859–863PubMedCrossRef

26.

Walch G, Young AA, Melis B, Gazielly D, Loew M, Boileau P (2010) Results of a convex-back cemented keeled glenoid component in primary osteoarthritis: Multicenter study with a follow-up greater than 5 years. J Shoulder Elbow Surg 20(3):385–394

27.

Edwards TB, Labriola JE, Stanley RJ, O’Connor DP, Elkousy HA, Gartsman GM (2010) Radiographic comparison of pegged and keeled glenoid components using modern cementing techniques: a prospective randomized study. J Shoulder Elbow Surg 19(2):251–257PubMedCrossRef

28.

Szabo I, Buscayret F, Edwards TB, Nemoz C, Boileau P, Walch G (2005) Radiographic comparison of flat-back and convex-back glenoid components in total shoulder arthroplasty. J Shoulder Elbow Surg 14(6):636–642PubMedCrossRef

29.

Lynch NM, Cofield RH, Silbert PL, Hermann RC (1996) Neurologic complications after total shoulder arthroplasty. J Shoulder Elbow Surg 5(1):53–61PubMedCrossRef

30.

Huguet D, DeClercq G, Rio B, Teissier J, Zipoli B (2010) Results of a new stemless shoulder prosthesis: radiologic proof of maintained fixation and stability after a minimum of three years’ follow-up. J Shoulder Elbow Surg 19(6):847–852PubMedCrossRef

31.

Kadum B, Mafi N, Norberg S, Sayed-Noor AS (2011) Results of the Total Evolutive Shoulder System (TESS): a single-centre study of 56 consecutive patients. ArchOrthop Trauma Surg 131(12):1623–1629CrossRef

32.

Brunner UH, Fruth H, Rueckl K, Magosch P, Tauber M, Resch H, Habermeyer P (2012) The stemless Eclipse prosthesis—indications and mid-term results. A prospective multicentre study. Ob Ex 7(1):22–28

Title: Results of cementless humeral head resurfacing with cemented glenoid components
Authors: Patric Raiss
Manuela Weiter
Boris Sowa
Felix Zeifang
Markus Loew
Publication date: 01-02-2015
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 2/2015
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-014-2540-6

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Results of cementless humeral head resurfacing with cemented glenoid components

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 2/2015

The ream and run: not for every patient, every surgeon or every problem

A convertible shoulder system: is it useful in total shoulder arthroplasty revisions?

Reverse shoulder arthroplasty in acute fractures provides better results than in revision procedures for fracture sequelae

Acknowledgement to referees

Deltopectoral approach for shoulder arthroplasty: anatomic basis

Management of the mid-shaft clavicle fractures using plate fixation versus intramedullary fixation: an updated meta-analysis