Hemiarthroplasty for the Rotator Cuff-Deficient Shoulder

Goldberg, Steven S.; Bigliani, Louis U.

doi:10.2106/jbjs.h.01379

Cited by 15 publications

(12 citation statements)

References 3 publications

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“…The joint is incongruent because of the destruction of the humeral and glenoid bone stock. Peri-glenohumeral calcifications were detected in this case complication rate [1,11,20,27]. In the study by Goldberg et al, 34 shoulders with CTA or osteoarthritis with massive rotator cuff tears were treated by hemiarthroplasty [11].…”

Section: Discussionmentioning

confidence: 75%

“…Hemiarthroplasty has been an established treatment for osteoarthritis of the shoulder with massive rotator cuff tears for several years [1,10,11,20,27]. Satisfactory results have been described with a low CS % Constant score adjusted for age and gender The variable pain did not reach the level of significance (p<0.05) and was excluded from the local tests Fig.…”

Section: Discussionmentioning

confidence: 99%

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A symptom-based classification for shoulders with massive rotator cuff defects

Loew

Raiss

2009

International Orthopaedics (SICOT)

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The aim of this prospective study was to propose a classification for shoulders with massive rotator cuff defects based on patients' clinical symptoms. A total of 100 shoulders with massive rotator cuff tears were evaluated clinically using the Constant score (CS) and with radiographs in two planes. Three types were defined and correlated with radiographic findings: (1) the arthritic type (type I), (2) the non-reactive type (type II) and (3) the necrotic type (type III). Significant differences in the overall CS (type I: 28.6 points, range: 4 -61; type II: 18.8 points, range: 6 -52; type III: 15.5 points, range: 6 -31) and its subgroups and in shoulder motion were found between types I and II and between types I and III (p< 0.05). This classification may be helpful for the decisionmaking process with regard to the appropriate form of shoulder replacement surgery in patients with massive rotator cuff defects.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

A symptom-based classification for shoulders with massive rotator cuff defects

Loew

Raiss

2009

International Orthopaedics (SICOT)

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“…Clinically important improvement in functional scores was more likely in patients with decreased preoperative active external rotation and rotator cuff tears limited to the supraspinatus and infraspinatus. One of the largest prior series of hemiarthroplasties in patients with CTA included 34 patients with a mean clinical followup of 3.7 years (range, 2-12 years) [7]. Potential prognostic factors including age, prior surgery, gender, preoperative forward elevation, and completeness of rotator cuff repair (''complete humeral head coverage'') were evaluated for correlation with postoperative outcome measures.…”

Section: Discussionmentioning

confidence: 99%

“…Published series of hemiarthroplasty for CTA have shown mixed results regarding functional outcome, with unpredictable forward elevation and moderate patient satisfaction rates [1,4,7,10,18,20,24,25]. Preoperative forward elevation greater than 90°has been reported as a positive prognostic indicator [7].…”

Section: Introductionmentioning

confidence: 99%

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What Factors are Associated With Clinically Important Improvement After Shoulder Hemiarthroplasty for Cuff Tear Arthropathy?

Somerson

Sander²,

Bohsali³

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background In selected patients with a desire to maintain activity levels greater than those recommended after reverse total shoulder arthroplasty, hemiarthroplasty remains an option for treatment of cuff tear arthropathy (CTA). However, given the relatively small case series that have been reported to date, little is known regarding which patients will show functional improvement after this surgery.Questions/purposes We asked: What factors are associated with achieving the minimum clinically important difference in the simple shoulder test (SST) after hemiarthroplasty for cuff tear arthropathy? Patients and Methods Between 1991 and 2007, two surgeons at one academic center performed 48 shoulder hemiarthroplasties for CTA. No patients were known to have died before data collection, and of those not known to have died, 42 (88%) were available for followup at a mean of 48 months (range, 24-132 months). During that time, the general indications for this approach were glenohumeral arthritis with superior decentering of the humeral head. The majority of the patients with CTA were treated nonoperatively with patient-directed physical therapy and other modalities. A total of 42 patients (42 shoulders; 24 males and 18 females) with CTA were treated with hemiarthroplasty and followed for a mean of 48 months (range, 24-132 months). This is a retrospective study that made use of a longitudinally maintained database, which included physical examination of ROM, the SST, VAS, and standardized radiographs. At latest followup, 33 of 42 patients achieved a clinically important percentage of maximum possible improvement (%MPI) in SST score, One of the authors certifies that he (KB), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of less than USD 10,000 from DepuySynthes (Warsaw, IN, USA). One of the authors certifies that he (CAR), has or may receive payments or benefits, during the study period, an amount of more than USD 1,000,001 from Depuy-Synthes (Warsaw, IN, USA). One of the authors certifies that he (MAW), has or may receive payments or benefits, during the study period, an amount of USD 100,001-1,000,000 from Depuy-Synthes (Warsaw, IN, USA) and less than USD 10,000 from Tornier (Lyon, France), Saunders (Philadelphia, PA, USA) and Arthrex (Naples, FL, USA). All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Clinical Orthopaedics and Related Research 1 neither advocates nor endorses the use of any treatment, drug, or device. Readers are encouraged to always seek additional information, including FDAapproval status, of any drug or device prior to clinical use. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained....

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