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Archives of Orthopaedic and Trauma Surgery

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01-06-2017 | Orthopaedic Surgery

Outcome and revision rate of uncemented glenohumeral resurfacing (C.A.P.) after 5–8 years

Authors: P. C. Geervliet, M. P. J. van den Bekerom, P. Spruyt, M. Curvers, A. van Noort, C. P. J. Visser

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 6/2017

Abstract

Background

Resurfacing of the glenohumeral joint for patients with glenohumeral arthritis has gained popularity since the first introduction. We report the mid-term results of the Global C.A.P. uncemented resurfacing shoulder prosthesis (DePuy Synthes).

Methods

From January 2007 to December 2009, 48 humeral cementless resurfacing prostheses in 46 patients were performed. All patients were diagnosed with primary glenohumeral osteoarthritis. Patients were contacted for review; the Constant Score, visual analog pain scale, Dutch Simple Shoulder Test, SF-12 scores and physical examination were assessed both preoperatively and yearly postoperatively. Complications and revision surgery were documented. Radiographs were evaluated for component size, offset, inclination, height, loosening and subluxation.

Results

Forty-six patients (12 males) with a mean age of 72 years old (range 59–89) were included. At a mean 6.4-year follow-up (range 5–8), the Constant Score, visual analog pain scale and the Dutch Simple Shoulder Test scores improved significantly (p < 0.05) from baseline. Three patients were lost to follow-up. One patient died and two patients were not able to attend the follow-up appointments, due to other health-related issues. Eleven patients (23%) had a revision operation.

Conclusions

The most important findings of this study of the Global C.A.P. shoulder resurfacing arthroplasty were an increase of range of motion, a reduction of pain complaints, but a concerning high rate of revision after mid-term follow-up.

Level of evidence

Therapeutic Level IV.

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Title: Outcome and revision rate of uncemented glenohumeral resurfacing (C.A.P.) after 5–8 years
Authors: P. C. Geervliet
M. P. J. van den Bekerom
P. Spruyt
M. Curvers
A. van Noort
C. P. J. Visser
Publication date: 01-06-2017
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 6/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-017-2688-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Outcome and revision rate of uncemented glenohumeral resurfacing (C.A.P.) after 5–8 years

Abstract

Background

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Level of evidence

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