Revision of failed hemiarthroplasty for painful glenoid arthrosis to anatomic total shoulder arthroplasty

Journal of Shoulder and Elbow Surgery
Mihir M ShethSurena Namdari

Abstract

The impending burden of revision shoulder arthroplasty has increased interest in outcomes of revision procedures. Painful glenoid arthrosis following hemiarthroplasty is a common cause of reoperation, and conversion to anatomic total shoulder arthroplasty is one option. We identified patients who underwent revision of painful hemiarthroplasty to total shoulder arthroplasty over a 15-year period in a single tertiary-care health system. Presurgical and operative data were analyzed for 28 patients who met the inclusion and exclusion criteria. Patients were contacted at a minimum of 2 years' follow-up after revision surgery for functional outcome scores, reoperations, and implant survival. The 2- and 5-year implant survival rates were 93% and 86%, respectively. Functional outcomes were obtained from 21 patients with surviving implants. The mean American Shoulder and Elbow Surgeons score, visual analog scale score for pain, and Single Assessment Numerical Evaluation score were 78 ± 20, 2.3 ± 2.6, and 71 ± 24, respectively. The mean Short Form 12 mental and physical scores were 49 ± 10 and 43 ± 9, respectively. Of the patients, 17 (81%) were either satisfied or very satisfied with their outcome. Complications were seen in 10 patients...Continue Reading

Citations

Jun 9, 2020·Current Reviews in Musculoskeletal Medicine·Alicia K HarrisonJonathan P Braman
Oct 24, 2020·Journal of Shoulder and Elbow Surgery·Manan S PatelJoseph A Abboud
Feb 7, 2021·Journal of Shoulder and Elbow Surgery·Thomas Falstie-JensenUNKNOWN ROSA Study Group

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