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MUSCULOSKELETAL SURGERY

Published in:

01-04-2019 | Original Article

Revision shoulder arthroplasty for failed surface replacement hemiarthroplasty

Authors: A. Jaiswal, A. Malhotra, S. Hay, C. P. Kelly

Published in: MUSCULOSKELETAL SURGERY | Issue 1/2019

Abstract

Purpose

The aim of this study was to assess the reasons of failure of shoulder surface replacement hemiarthroplasty (SRH) and to evaluate the outcome of revision surgery.

Method

The study group included 25 patients (26 shoulders) with failed SRHs. The mean time to revision surgery was 3.6 years. Their functional outcome was evaluated using adjusted Constant–Murley score at mean follow-up of 5.2 years (range 2–16 years).

Result

Most common cause of failure was glenoid erosion (42%) and progressive failure of rotator cuff (31%). Median adjusted Constant–Murley score at mean follow-up of 5.2 years was 51.6. Median adjusted Constant–Murley score in patients who had primary diagnosis of osteoarthritis and had revision performed to anatomic TSA (14 shoulders) was 85 (range 40–100) at mean follow-up of 5 years compared to 36.3 (range 20–66.3) in the remaining patients at 5.4 years, p = 0.00008.

Conclusion

Revision surgery for failed SRH can be technically challenging with variable results. Most common mode of failure was glenoid erosion. Functional outcomes are better in those with revision performed to anatomic TSA.

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Title: Revision shoulder arthroplasty for failed surface replacement hemiarthroplasty
Authors: A. Jaiswal
A. Malhotra
S. Hay
C. P. Kelly
Publication date: 01-04-2019
Publisher: Springer Milan
Published in: MUSCULOSKELETAL SURGERY / Issue 1/2019
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-018-0541-0

At a glance: The STEP trials

Springer Medicine

Revision shoulder arthroplasty for failed surface replacement hemiarthroplasty

Abstract

Purpose

Method

Result

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Method

Result

Conclusion

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