Hemiarthroplasty for the Rotator Cuff-Deficient Shoulder

Goldberg, Steven S.; Bell, John‐Erik; Kim, Hee Jin; Bak, Sean F.; Levine, William N.; Bigliani, Louis U.

doi:10.2106/jbjs.f.01029

Cited by 77 publications

(19 citation statements)

References 19 publications

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“…Little has been published on concurrent rotator cuff repair; Goldberg 22 and Pollock et al 7 suggested that it improves outcome; however, they found no statistical difference in their series of cuff-deficient arthritis treated with stemmed hemiarthroplasty.…”

Section: Discussionmentioning

confidence: 98%

Cementless surface replacement hemiarthroplasty for primary glenohumeral osteoarthritis: results of over 5-year follow-up in patients with or without rotator cuff deficiency

et al. 2015

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Section: Discussionmentioning

confidence: 98%

Cementless surface replacement hemiarthroplasty for primary glenohumeral osteoarthritis: results of over 5-year follow-up in patients with or without rotator cuff deficiency

et al. 2015

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“…Williams et al, reported 86% of very good results; (11) Field et al, 63%; (9) Zuckerman et al, demonstrated 87% of satisfaction among patients; (12) Sanchez-Sotelo et al found 67% of very good results; (13) and Goldberg et al, 76%. (14) …”

Section: Discussionmentioning

confidence: 99%

Use of cuff tear arthroplasty head prosthesis for rotator cuff arthropathy treatment in elderly patients with comorbidities

Carvalho

Andreoli

Pochini

et al. 2016

Einstein (São Paulo)

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Objective To evaluate the clinical and functional behavior of patients undergoing cuff tear arthroplasty at different stages of the disease.Methods Cuff tear arthroplasty hemiarthroplasties were performed in 34 patients with rotator cuff arthropathy and associated comorbidities, classified according to Seebauer. The mean age was 76.3 years, and the sample comprised 23 females (67.6%) and 11 males (32.4%). The mean follow-up period was 21.7 months, and evaluations were performed using the Visual Analog Scale for pain and the Constant scale.Results There were no statistically significant differences in the mean reduction in the Visual Analog Scale or in the Constant scale increase between the female and male groups. The variation between the pre- and postoperative Visual Analog Scale and Constant scale evaluations was significant. There was also no statistically significant difference between the Seebauer classification groups regarding the mean Visual Analog Scale reduction, or the mean Constant scale increase.Conclusion Cuff tear arthroplasty shoulder hemiarthroplasty is a good option for rotator cuff arthropathy in patients with comorbidities.

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“…Over a mean follow-up of 3.7 years, Goldberg et al 18 obtained a satisfaction rate of 78%, with mean improvements of 33° in elevation and 23° in external rotation through using conventional hemiarthroplasty. The patients with a minimum elevation of 90° achieved the best results.…”

Section: Discussionmentioning

confidence: 99%

“…Conventional total arthroplasty of the shoulder is now contraindicated in patients presenting arthropathy of the rotator cuff because of the high rate of loosening of the glenoid component. The current alternative arthroplasty options for arthroplasty of the rotator cuff are non-conventional (CTA ® ) partial arthroplasty and use of a reverse prosthesis 3, 16, 17, 18…”

Section: Introductionmentioning

confidence: 99%

Low-term results from non-conventional partial arthroplasty for treating rotator cuff arthroplasthy

Júnior

Lima

Vasconcelos

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo evaluate the evolution of the functional results from CTA® hemiarthroplasty for surgically treating degenerative arthroplathy of the rotator cuff, with a mean follow-up of 5.4 years.MethodsEighteen patients who underwent CTA® partial arthroplasty to treat degenerative arthroplathy of the rotator cuff between April 2007 and June 2009 were reevaluated, with minimum and mean follow-ups of 4.6 years and 5.4 years, respectively. Pre and postoperative parameters for functionality and patient satisfaction were used (functional scale of the University of California in Los Angeles, UCLA). All the patients underwent prior conservative treatment for 6 months and underwent surgical treatment because of the absence of satisfactory results. Patients were excluded if they presented any of the following: previous shoulder surgery; pseudoparalysis; insufficiency of the coracoacromial arch (type 2 B in Seebauer's classification); neurological lesions; or insufficiency of the deltoid muscle and the subscapularis muscle.ResultsWith a mean follow-up of 5.4 years, 14 patients considered that they were satisfied with the surgery (78%); the mean range of joint motion for active elevation improved from 55.8° before the operation to 82.0° after the operation; the mean external rotation improved from 18.9° before the operation to 27.3° after the operation; and the mean medial rotation remained at the level of the third lumbar vertebra. The mean UCLA score after the mean follow-up of 5.4 years was 23.94 and this was an improvement in comparison with the preoperative mean and the mean 1 year after the operation.ConclusionThe functional results from CTA® hemiarthroplasty for treating rotator cuff arthroplasty in selected patients remained satisfactory after a mean follow-up of 5.4 years.

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Hemiarthroplasty for the Rotator Cuff-Deficient Shoulder

Abstract: Hemiarthroplasty can provide good long-term results in rotator cuff-deficient patients with glenohumeral arthritis. Patients who have preoperative forward elevation of >or=90 degrees benefit the most. A low complication rate can be expected for this procedure.

Cited by 77 publications

References 19 publications

Cementless surface replacement hemiarthroplasty for primary glenohumeral osteoarthritis: results of over 5-year follow-up in patients with or without rotator cuff deficiency

Cementless surface replacement hemiarthroplasty for primary glenohumeral osteoarthritis: results of over 5-year follow-up in patients with or without rotator cuff deficiency

Use of cuff tear arthroplasty head prosthesis for rotator cuff arthropathy treatment in elderly patients with comorbidities

Low-term results from non-conventional partial arthroplasty for treating rotator cuff arthroplasthy

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