Primary Shoulder Hemiarthroplasty: What Can Be Learned From 359 Cases That Were Surgically Revised?

Clinical Orthopaedics and Related Research
Daniel J HackettFrederick A Matsen

Abstract

Primary shoulder hemiarthroplasty is used to address a range of glenohumeral disorders, including fracture, arthritis, avascular necrosis, and capsulorrhaphy arthropathy; some patients with hemiarthroplasties undergo revision surgery for persistent pain or residual shoulder dysfunction. The literature does not clarify the features of the hemiarthroplasties having repeat surgery in a way that can guide surgeons' efforts to minimize the need for revision. To help address this gap, we analyzed the characteristics of patients from our region for whom we performed surgical revision of a prior humeral hemiarthroplasty QUESTIONS/PURPOSES: (1) What are the common characteristics of shoulder hemiarthroplasties having a revision? (2) What are the common characteristics of the subset of revised shoulder hemiarthroplasties that were performed for fracture? (3) What are characteristics of the subset of all revised hemiarthroplasties that were associated with glenoid bone erosion? Data for 983 patients for whom we performed a surgical revision of any type of shoulder arthroplasty between January 1991 and January 2017 were identified in our longitudinally maintained institutional arthroplasty revision database. In each case, revision had been...Continue Reading

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Citations

Apr 14, 2020·Current Reviews in Musculoskeletal Medicine·Brandon J Kelly, Chad M Myeroff
Apr 26, 2020·Journal of Shoulder and Elbow Surgery·Corey J SchiffmanJason E Hsu
May 13, 2021·Archives of Orthopaedic and Trauma Surgery·Thomas SuterHeath B Henninger

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Methods Mentioned

BETA
total shoulder arthroplasty

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