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Promising results after hemi-shoulder arthroplasty using pyrolytic carbon heads in young and middle-aged patients
- Source :
- Orthopaedics & Traumatology: Surgery & Research. 107:102896
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- The objective of this prospective cohort study was the assessment of short-term outcome results of shoulder hemiarthroplasty (HA) using pyrolytic carbon (PC) heads. PC has been introduced as a new material to avoid surgical revision due to glenoid erosion after HA. Glenoid erosion due to the use of metallic heads is known to reduce durability.HA using PC heads shows comparable or better radiographic and clinical outcome compared to the conventional HA using metallic heads in the short-term.This study was conducted as a single center prospective cohort follow-up study including a total number of 16 consecutive HA with PC heads. Inclusion criteria were indication for HA, an intact rotator cuff, no proximal humeral fractures in patient's history and age18years. Mean age at the time of arthroplasty was 52.8±10.8years. The mean follow-up was 24.3±8.1months. Baseline and follow-up Numeric Rating Scale (NRS), Constant Scores (CS), Range of Motion (ROM) and radiographs were assessed.At a mean follow-up of 24.3months the mean CS (p0.001), mean NRS (p0.001) and mean ROM (p0.05) improved statistically significant. Subgroup analysis revealed no differences between subgroups (sex, age, diagnosis, and handedness). Survival rate was high (94.1%). One periprosthetic fracture occurred as the only complication during follow-up. Radiographs showed glenoid erosion in one case and subacromial space reduction in two cases.PC heads in HA show satisfying short-term results at a mean follow-up of two years, which are comparable to those of conventional HA. The clinical improvements were highly significant with good implant survival. However, long-term follow-up results are necessary, especially compared to conventional HA.IV; observational therapeutic cohort study.
- Subjects :
- Reoperation
Shoulder
medicine.medical_specialty
Adolescent
Radiography
medicine.medical_treatment
Dentistry
Single Center
Cohort Studies
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Orthopedics and Sports Medicine
Rotator cuff
Prospective Studies
Range of Motion, Articular
Prospective cohort study
030222 orthopedics
Shoulder Joint
business.industry
030229 sport sciences
Middle Aged
Arthroplasty
Carbon
Surgery
Treatment Outcome
medicine.anatomical_structure
Arthroplasty, Replacement, Shoulder
Hemiarthroplasty
Implant
Range of motion
business
Follow-Up Studies
Cohort study
Subjects
Details
- ISSN :
- 18770568
- Volume :
- 107
- Database :
- OpenAIRE
- Journal :
- Orthopaedics & Traumatology: Surgery & Research
- Accession number :
- edsair.doi.dedup.....91db07642441aaaebf9387b0987628bb