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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2020, Number 2

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Acta Ortop Mex 2020; 34 (2)

Results of the treatment of primary glenohumeral osteoarthritis through hemiarthroplasty

Benjumea-Carrasco A, López-Fernández J, López-Mombiela F, Aburto-Bernardo M, Gallo-Del Valle EJ, Álvarez-González JC

Language: Spanish
References: 21
Page: 71-76
PDF size: 269.76 Kb.


ABSTRACT

Introduction: Glenohumeral osteoarthritis leads to a functional loss and a decrease in the quality of life of many patients that suffers it. Currently there is no agreement on the use of hemiarthroplasty or total arthroplasty as definitive treatment. The objective is to show the results of the treatment of primary glenohumeral osteoarthritis through hemiarthroplasty in our service. Material and methods: We reviewed 14 patients (19 hemiarthroplasties) performed between 2004 and 2013 in patients diagnosed with primary glenohumeral osteoarthritis without glenoid morphological anomaly. We managed to collect data from eight patients (11 hemiarthroplasties), assessing functional status, pain, and performing activities of daily living using the Constant, ASES and DASH scores preoperatively and at five years of minimum follow-up (range 5-11 years), as well as related complications. The preoperative status was compared to the end of the follow-up. Results: A significant improvement was found in all the parameters analyzed in the study (p < 0.05). The average pain in EVA score decreased from 8.89 to 2.67. The ASES improved from 13.51 to 63. 51 half point. The Constant increase of 20.11 points to 65.11 points. The mean preoperative score in the DASH score was 73.68 and 28.30 postoperatively. The average survival of the implant was 81.82% in the seven years of average follow-up. Conclusion: Shoulder hemiarthroplasty obtains good functional results in the treatment of primary glenohumeral osteoarthritis with few complications. The cause of the failure were glenoid erosion in all the cases.


REFERENCES

  1. Millett PJ, Gobezie R, Boykin RE. Shoulder osteoarthritis: diagnosis and management. Am Fam Physician. 2008; 78(5): 605-11.

  2. Memel DS, Kirwan JR, Sharp DJ, Hehir M. General practitioners miss disability and anxiety as well as depression in their patients with osteoarthritis. Br J Gen Pract. 2000; 50(457): 645-8.

  3. Carter MJ, Mikuls TR, Nayak S, Fehringer EV, Michaud K. Impact of total shoulder arthroplasty on generic and shoulder-specific health-related quality-of-life measures: a systematic literature review and meta-analysis. J Bone Joint Surg Am. 2012; 94(17): e1271-9.

  4. Matsen FA, Clinton J, Lynch J, Bertelsen A, Richardson ML. Glenoid component failure in total shoulder arthroplasty. J Bone Joint Surg Am. 2008; 90(4): 885-96.

  5. Haines JF. The results of arthroplasty in osteoarthritis of the shoulder. J Bone Joint Surg Br. 2006; 88-B(4): 496-501.

  6. Sandow M, Gartsman GKS. Total or hemiarthroplasty for OA shoulder meta-analysis of trials. J Bone JointSurg Br. 2002; 84(Supp. 3): 79-85.

  7. Parsons IM, Millett PJ, Warner JJP. Glenoid wear after shoulder hemiarthroplasty. Clin Orthop Relat Res. 2004; 421(421): 120-5.

  8. Habermeyer P, Magosch P, Luz V, Lichtenberg S, Lichtenberg AS. Radiographic analysis three-dimensional glenoid deformity in patients with osteoarthritis: a three-dimensional glenoid deformity in patients with osteoarthritis: a radiographic analysis. J Bone Joint Surg Am. 2006; 88: 1301-7.

  9. Richards RR, An KN, Bigliani LU, Friedman RJ, Gartsman GM, Gristina AG, et al. A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg. 1994 (6): 347-52.

  10. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Vol. NA; Clin Orthop Relat Res. 1987; 214: 160-4.

  11. Hervás MT, Navarro CM, Peiró S, Rodrigo PJ, López MP, Martínez TI. Versión Espańola del cuestionario DASH. Adaptación transcultural, fiabilidad, validez y sensibilidad a los cambios. Med Clin. 2006; 127(12): 441-7.

  12. Walch G, Badet R, Boulahia A, Khoury A. Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplasty. 1999; 14(6): 756-60.

  13. Gartsman GM, Roddey TS, Hammerman SM. Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis. J Bone Joint Surg Am. 2000; 82(1): 26-34.

  14. Gadea F, Alami G, Pape G, Boileau P, Favard L. Shoulder hemiarthroplasty: Outcomes and long-term survival analysis according to etiology. Orthop Traumatol Surg Res. 2012; 98(6): 659-65.

  15. Lo IKY, Litchfield RB, Griffin S, Faber K, Patterson SD, Kirkley A. Quality-of-life outcome following hemiarthroplasty or total shoulder arthroplasty in patients with osteoarthritis. A prospective, randomized trial. J Bone Joint Surg Am. 2005; 87(10): 2178-85.

  16. Levine WN, Djurasovic M, Glasson JM, Pollock RG, Flatow EL, Bigliani LU. Hemiarthroplasty for glenohumeral osteoarthritis: results correlated to degree of glenoid wear. J Shoulder Elbow Surg. 1997; 6(5): 449-54.

  17. Edwards TB, Kadakia NR, Boulahia A, Kempf JF, Boileau P, Némoz C, et al. A comparison of hemiarthroplasty and total shoulder arthroplasty in the treatment of primary glenohumeral osteoarthritis: Results of a multicenter study. J Shoulder Elb Surg. 2003; 12(3): 207-13.

  18. Duan X, Zhang W, Dong X, Liu M, Gao Y, Huang F, et al. Total shoulder arthroplasty versus hemiarthroplasty in patients with shoulder osteoarthritis: A meta-analysis of randomized controlled trials. Semin Arthritis Rheum. 2013; 43(3): 297-302.

  19. Bryant D, Litchfield R, Sandow M, Gartsman GM, Guyatt G, Kirkley A. A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. A systematic review and meta-analysis. J Bone Joint Surg Am. 2005; 87(9): 1947-56.

  20. Carroll RM, Izquierdo R, Vazquez M, Blaine TA, Levine WN, Bigliani LU. Conversion of painful hemiarthroplasty to total shoulder arthroplasty: long-term results. J Shoulder Elbow Surg. 2004; 13(6): 599-603.

  21. Orfaly RM, Rockwood CA, Esenyel CZ, Wirth MA. A prospective functional outcome study of shoulder arthroplasty for osteoarthritis with an intact rotator cuff. J Shoulder Elbow Surg. 2003; 12(3): 214-21.




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