Skip to main content
Top
Published in: Journal of Orthopaedic Science 5/2012

01-09-2012 | Original Article

Shoulder resurfacing with Durom Cup: clinical and radiological re-assessment

Authors: Stefano Giannotti, V. Bottai, M. Ghilardi, G. Dell’osso, G. Guido

Published in: Journal of Orthopaedic Science | Issue 5/2012

Login to get access

Abstract

Background

The purpose of this study was to analyze and report functional and radiological results obtained with the Durom™ Shoulder Cup.

Methods

From 2004 to 2009, 42 consecutive shoulder resurfacing prostheses were implanted in a cohort of forty patients with morphologically and functionally healthy rotator cuff. Those cases were evaluated preoperatively and postoperatively after an average of 33.5 months on the basis of Constant score, ASES score, and X-rays.

Results

The Constant score increased from 29.88 points preoperatively to 82.34 after a mean follow-up period of 33.5 months. The ASES score went from 30.55 points preoperatively to 76.61. Radiologically we noticed neither radiolucent lines nor any aseptic loosening of the prosthetic cup. In the post-operative X-rays evaluation we found no significant central migration of the humeral head from the first postoperative X-ray.

Conclusions

The good functional results observed with a mean follow-up of approximately 3 years doubtless resulted from the reduction in implant-placement error, as a result of the resurfacing procedure, and from the normal rotator cuff function. This technique facilitates surgical reconstruction of the anatomical and biomechanical conditions required for physiological function of the shoulder.
Literature
1.
go back to reference Levy O, Copeland SA. Cementless surface replacement arthroplasty of the shoulder. 5- to 10-year results with the Copeland Mark-2 prosthesis. J Bone Joint Surg Br. 2001;83:213–21.PubMedCrossRef Levy O, Copeland SA. Cementless surface replacement arthroplasty of the shoulder. 5- to 10-year results with the Copeland Mark-2 prosthesis. J Bone Joint Surg Br. 2001;83:213–21.PubMedCrossRef
2.
go back to reference Levy O, Funk L, Sforza G, Copeland SA. Copeland surface replacement arthroplasty of the shoulder in rheumatoid arthritis. J Bone Joint Surg Am. 2004;86:512.PubMed Levy O, Funk L, Sforza G, Copeland SA. Copeland surface replacement arthroplasty of the shoulder in rheumatoid arthritis. J Bone Joint Surg Am. 2004;86:512.PubMed
3.
go back to reference Burgess DL, McGrath MS, Bonutti PM, Marker DR, Delanois RE, Mont MA. Shoulder resurfacing. J Bone Joint Surg Am. 2009;91:1228–38.PubMedCrossRef Burgess DL, McGrath MS, Bonutti PM, Marker DR, Delanois RE, Mont MA. Shoulder resurfacing. J Bone Joint Surg Am. 2009;91:1228–38.PubMedCrossRef
4.
go back to reference Jensen KL. Humeral resurfacing arthroplasty: rationale, indications, technique and results. Am J Orthop. 2007;36(12 Suppl 1):4–8.PubMed Jensen KL. Humeral resurfacing arthroplasty: rationale, indications, technique and results. Am J Orthop. 2007;36(12 Suppl 1):4–8.PubMed
5.
go back to reference Copeland S. The continuing development of shoulder replacement: ‘‘reaching the surface’’. J Bone Joint Surg Am. 2006;88:900–5.PubMedCrossRef Copeland S. The continuing development of shoulder replacement: ‘‘reaching the surface’’. J Bone Joint Surg Am. 2006;88:900–5.PubMedCrossRef
6.
go back to reference Thomas SR, Sforza G, Levy O, Copeland SA. Geometrical analysis of Copeland surface replacement shoulder arthroplasty in relation to normal anatomy. J Shoulder Elbow Surg. 2005;14:186–92.PubMedCrossRef Thomas SR, Sforza G, Levy O, Copeland SA. Geometrical analysis of Copeland surface replacement shoulder arthroplasty in relation to normal anatomy. J Shoulder Elbow Surg. 2005;14:186–92.PubMedCrossRef
7.
go back to reference Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplas. 1999;14(6):756–60. Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplas. 1999;14(6):756–60.
8.
go back to reference Williams GR Jr, Wong KL, Pepe MD, Tan V, Silverberg D, Ramsey ML, Karduna A, Iannotti JP. The effect of articular malposition after total shoulder arthroplasty on glenohumeral translations, range of motion, and subacromial impingement. J Shoulder Elbow Surg. 2001;10:399–409.PubMedCrossRef Williams GR Jr, Wong KL, Pepe MD, Tan V, Silverberg D, Ramsey ML, Karduna A, Iannotti JP. The effect of articular malposition after total shoulder arthroplasty on glenohumeral translations, range of motion, and subacromial impingement. J Shoulder Elbow Surg. 2001;10:399–409.PubMedCrossRef
9.
go back to reference Ruther W, Fink B. Der endoprosthtische Oberflachenersatz des Humeruskopfes (Durom Shoulder Cup). In: Schulterinstabilita—Rotatorenmanschette, Imhoff, Konig, Steinkopff. 1999:326–29. Ruther W, Fink B. Der endoprosthtische Oberflachenersatz des Humeruskopfes (Durom Shoulder Cup). In: Schulterinstabilita—Rotatorenmanschette, Imhoff, Konig, Steinkopff. 1999:326–29.
Metadata
Title
Shoulder resurfacing with Durom Cup: clinical and radiological re-assessment
Authors
Stefano Giannotti
V. Bottai
M. Ghilardi
G. Dell’osso
G. Guido
Publication date
01-09-2012
Publisher
Springer Japan
Published in
Journal of Orthopaedic Science / Issue 5/2012
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI
https://doi.org/10.1007/s00776-012-0256-2

Other articles of this Issue 5/2012

Journal of Orthopaedic Science 5/2012 Go to the issue