Total shoulder replacement for the treatment of primary glenohumeral osteoarthritis

Surgical Treatment Options for Glenohumeral Arthritis in Young Patients: A Systematic Review and Meta-analysis

“…Surgical decision making involves consideration of various nonprosthetic and prosthetic treatments. 2 Although total shoulder arthroplasty (TSA) reliably ameliorates symptoms and improves shoulder function, [5][6][7][8][9] this treatment option may lead to component wear, component loosening, and the need for multiple revisions in young patients. 2,10 Although hemiarthroplasty (HA) may be more attractive to young patients, this technique provides significantly less pain relief and functional improvement than does TSA.…”

“…HA þ BR 16 Lateral meniscus allograft; anatomic NR DP NR Krishnan (2007) HA þ BR 36 Achilles tendon allograft (18) fascia lata autograft (11), or anterior capsule (7); uncemented (26) or cemented (10) BC DP NR Nicholson (2007) 14 HA þ BR 30 Lateral meniscus allograft; metallic NR DP Biceps tenodesis (30), subscapularis lengthening (6) Richards (2007) 60 AD 8 NR LD NR Capsular release AE subacromial decompression Burroughs (2003) 40 HA 16 NR NR NR NR TSA 4 Sperling (2002) 50 HA (10) TSA (21) 31 Glenoid: Cemented polyethylene (4) or cemented metal backed (2) Humeral: Cemented polyethylene (7) or metal backed (8) NR DP (23), AM (8) Subscapularis z-plasty (7), glenoid bone grafting 4Weinstein (2000) 52 AD 25 NR BC A Loose body removal (3), acromioclavicular resection (2), acromioplasty (2) Sperling (1998) 31 HA (74) TSA (34) 108 Humeral: press-fit (70) or cemented (8) Humeral: press-fit (31) or cemented (5) Glenoid: press-fit (31) or cemented (5) NR NR RCR (15), greater tubercle reconstruction (7), humeral (6) or glenoid (2) bone grafting Burkhead (1995) 13 HA þ BR 6 Fascia lata autograft or anterior capsule; uncemented BC Long DP NR A, arthroscopic; AD, arthroscopic debridement; ADM, acellular dermal tissue matrix; AM, anteromedial; BC, beach chair; BR, biologic resurfacing; DP, deltopectoral; HA, hemiarthroplasty; LD, lateral decubitus; NR, not reported; RCR, rotator cuff repair; TSA, total shoulder arthroplasty.…”

Total shoulder replacement compared with humeral head replacement for the treatment of primary glenohumeral osteoarthritis: A systematic review

“…‡ Regarding pain relief in particular, previous studies have been able to † References 4,15,17,30,31,34,41,44,47,48 . ‡ References 2,5,12,16,18,21,22,39,41,42,46,52 .…”