Shoulder hemi arthroplasty radiological and clinical outcomes at more than two years follow-up

Ohl, Xavier; Nérot, C.; Saddiki, R.; Dehoux, E.

doi:10.1016/j.otsr.2010.01.001

Cited by 27 publications

(27 citation statements)

References 33 publications

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“…A smaller, gradual deterioration in joint evaluation scores has been reported after hip and knee replacement (Ritter et al 2004). Due to differences in weight load on joints of the upper and lower extremities, these results may not be directly extrapolated to our cohort, and outcome of shoulder replacement is considered to be almost stable after one year (Wirth et al 2006, Ohl et al 2010, Cazeneuve and Cristofari 2011). Thus, we presume that deterioration or improvement in WOOS scores as a result of the time delay was of minor importance in our study.…”

Section: Discussionmentioning

confidence: 99%

Reliability of patient-reported functional outcome in a joint replacement registry

et al. 2013

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Background and purpose Patient-reported outcome measures (PROMs) are used by some arthroplasty registries to evaluate results after surgery, but non-response may bias the results. The aim was to identify a potential bias in the outcome scores of subgroups in a cohort of patients from the Danish Shoulder Arthroplasty Registry (DSR) and to characterize non-responders.Methods Patient-reported outcome of 787 patients operated in 2008 was assessed 12 months postoperatively using the Western Ontario Osteoarthritis of the Shoulder (WOOS) index. In January 2012, non-responders and incomplete responders were sent a postal reminder. Non-responders to the postal reminder were contacted by telephone. Total WOOS score and WOOS subscales were compared for initial responders (n = 509), responders to the postal reminder (n = 156), and responders after telephone contact (n = 27). The predefined variables age, sex, diagnosis, geographical region, and reoperation rate were compared for responding and non-responding cohorts.Results A postal reminder increased the response rate from 65% (6% incomplete) to 80% (3% incomplete) and telephone contact resulted in a further increase to 82% (2% incomplete). We did not find any statistically significant differences in total WOOS score or in any of the WOOS subscales between responders to the original questionnaire, responders to the postal reminder, and responders after telephone contact. However, a trend of worse outcome for non-responders was found. The response rate was lower in younger patients.Interpretation Non-responders did not appear to bias the overall results after shoulder replacement despite a trend of worse outcome for a subgroup of non-responders. As response rates rose markedly by the use of postal reminders, we recommend the use of reminders in arthroplasty registries using PROMs.

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Section: Discussionmentioning

confidence: 99%

Reliability of patient-reported functional outcome in a joint replacement registry

et al. 2013

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“…A possible disadvantage of cemented hemiarthroplasty is severe glenoid erosion. [23][24][25][26] The purpose of the current retrospective study was to evaluate the long-term results of shoulder hemiarthroplasty in patients with RA and to provide recommendations for clinical practice and future research.…”

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confidence: 99%

Long-term Results of Shoulder Hemiarthroplasty in Patients With Rheumatoid Arthritis

Geervliet¹,

Somford²,

Winia³

et al. 2015

Orthopedics

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Rheumatoid arthritis affecting the shoulder is typically associated with destruction of the glenohumeral joint and rotator cuff impairment, which can result in severe glenoid erosion. Following hemiarthroplasty, severe glenoid erosion has also frequently been observed. The authors' aim was to retrospectively evaluate the outcome of cemented shoulder hemiarthroplasty in patients with rheumatoid arthritis. The authors performed 45 cemented hemiarthroplasties in 36 patients with rheumatoid arthritis involving the shoulder as well as associated rotator cuff compromise between 1995 and 2008. All patients were analyzed radiologically and clinically using patient-reported outcome measures. Mean±SD visual analog pain scale score was 3±2. Mean±SD Constant score was 55±16. Mean±SD validated Dutch version of the Disabilities of the Arm Shoulder and Hand (DASH) score was 42±19. No radiograph showed loosening of the implant at follow-up. One patient needed an arthrotomy and capsulotomy because of persistent pain and limited range of motion. Tissue cultures taken during this second operation were negative for infection. No major revision surgery was necessary within the follow-up period. Cemented hemiarthroplasty is a viable treatment option for glenohumeral arthritis in patients with rheumatoid arthritis. Long-term results show acceptable results and low complication rates in this case series for this specific group. A randomized, controlled trial comparing hemiarthroplasty, total shoulder arthroplasty, and reverse shoulder arthroplasty is necessary to draw definite conclusions in this specific patient population.

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“…Nevertheless, radiological glenoid deterioration is not correlated with pain or deterioration of clinical results. 34 Periprosthetic fractures were not seen in this series, possibly because of the absence of stress shielding with resurfacing implants. [50][51][52] Stemmed prostheses create a stress riser effect at the tip of the stem in the midshaft of the humerus.…”

Section: Discussionmentioning

confidence: 65%

“…19,32,33 The current authors' early results are slightly better compared with other results reported with stemmed implants. [34][35][36][37][38] The authors tried to minimize selection bias in this study by only including patients with an intact cuff (less than 1-cm rotator cuff tear) and glenohumeral osteoarthritis. Measurement bias was minimized by having assessors who were not involved with the original surgery.…”

Section: Discussionmentioning

confidence: 99%

Short-term Results of the Global C.A.P. Uncemented Resurfacing Shoulder Prosthesis

Geervliet¹,

Bekerom²,

Spruyt³

et al. 2014

Orthopedics

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The authors report the 2-year results of an uncemented resurfacing shoulder prosthesis in 47 patients with primary glenohumeral osteoarthritis who underwent a cementless humeral resurfacing arthroplasty between 2007 and 2009. Constant scores (corrected for sex and age), shoulder function, visual analog pain scales, Dutch Simple Shoulder Tests, and physical SF-12 scores improved significantly (P<.05) from preoperatively to 2 years postoperatively. Mental SF-12 scores remained the same. Complications included 1 traumatic lesser tuberosity avulsion fracture, 1 intra-articular loose body due to a fractured osteophyte, and 1 subscapularis tendon rupture. No patient required revision surgery for any reason. Cementless humeral resurfacing arthroplasty is a viable treatment option for primary glenohumeral arthritis.

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Shoulder hemi arthroplasty radiological and clinical outcomes at more than two years follow-up

Abstract: Level IV. Therapeutic study.

Cited by 27 publications

References 33 publications

Reliability of patient-reported functional outcome in a joint replacement registry

Reliability of patient-reported functional outcome in a joint replacement registry

Long-term Results of Shoulder Hemiarthroplasty in Patients With Rheumatoid Arthritis

Short-term Results of the Global C.A.P. Uncemented Resurfacing Shoulder Prosthesis

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