“ Shoulder Arthroplasty in Young ”

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 74-80 | Nagraj Shetty


Author: Nagraj Shetty [1]

[1] Consultant Arthroscopy, Shoulder, Knee preservation Surgeon Lilavati hospital Nanavati Superspeciality hospital Hinduja Healthcare Surgical, Mumbai, India.

Address of Correspondence
Dr. Nagraj Shetty,
Orthopaedic Department, Nanavati Superspeciality Hospital, SV Road, Vile Parle west , Mumbai, India.
E-mail: orthodocshetty@gmail.com


Abstract

Background: Prosthetic shoulder replacement provides excellent pain relief and functional improvement for patients with shoulder arthritis. Total shoulder arthroplasty for osteoarthritis and reverse shoulder arthroplasty for cuff tear arthropathy remains the gold standard for the geriatric patient population. Poor long-term survivorship, implant failure (glenoid component loosening, and glenoid arthrosis), and functional deterioration requiring early revision surgery are major concerns of similar management in younger patients. Young patients prove as a major challenge to shoulder surgeons due to expected longer life expectancy, desire to pursue sports, and active lifestyle thereby placing excessive demands on their shoulder arthroplasty components. Alternative strategies for arthroplasty in young have been developed; however, there is presently no clear consensus, recommendations to guide clinicians toward management. This manuscript reviews the current concepts of shoulder arthroplasty in young patients.
Keywords: Shoulder, arthritis, arthroplasty, glenoid, total shoulder arthroplasty


References

1. Lo IK, Litchfield RB, Griffin S, Faber K, Patterson SD, Kirkley A. Qualityof-life outcome following hemiarthroplasty or total shoulder arthroplasty in patients with osteoarthritis. A prospective, randomized trial. J Bone Joint Surg Am 2005;87:2178-85.
2. Tibbetts RM, Wirth MA. Shoulder arthroplasty for the young, active patient. Instr Course Lect 2011;60:99-104.
3. Henn RF 3rd, Ghomrawi H, Rutledge JR, Mazumdar M, Mancuso CA, Marx RG. Preoperative patient expectations of total shoulder arthroplasty. J Bone Joint Surg Am 2011;93:2110-5.
4. Zarkadas PC, Throckmorton TQ, Dahm DL, Sperling J, Schleck CD, Cofield R. patient reported activities after shoulder replacement: Total and hemiarthroplasty. J Shoulder Elbow Surg 2011;20:273-80.
5. McCarty EC, Marx RG, Maerz D, Altchek D, Warren RF. Sports participation after shoulder replacement surgery. Am J Sports Med 2008;36:1577-81.
6. Sperling JW, Cofield RH, Rowland CM. Minimum fifteen-year follow-up of Neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty years or younger. J Shoulder Elbow Surg 2004;13:604-13.
7. Bartelt R, Sperling JW, Schleck CD, Cofield RH. Shoulder arthroplasty in patients aged fifty-five years or younger with osteoarthritis. J Shoulder Elbow Surg 2011;20:123-30.
8. Dines DM, Warren RF, Altchek DW, Moeckel B. Posttraumatic changes of the proximal humerus: Malunion, nonunion, and osteonecrosis. Treatment with modular hemiarthroplasty or total shoulder arthroplasty. J Shoulder Elbow Surg 1993;2:11-21.
9. Boileau P, Trojani C, Walch G, Krishnan SG, Romeo A, Sinnerton R. Shoulder arthroplasty for the treatment of the sequelae of fractures of the proximal humerus. J Shoulder Elbow Surg 2001;10:299-308.
10. Wang VM, Sugalski MT, Levine WN, Pawluk RJ, Mow VC, Bigliani LU. Comparison of glenohumeral mechanics following a capsular shift and anterior tightening. J Bone Joint Surg Am 2005;87:1312-22.
11. Sanchez-Sotelo J. Shoulder arthroplasty for osteoarthritis and rheumatoid arthritis. Curr Orthop 2007;21:405-14.
12. Yeh PC, Kharrazi FD. Postarthroscopic glenohumeral chondrolysis. J Am Acad Orthop Surg 2012;20:102-12.
13. Matsen FA 3rd, Papadonikolakis A. Published evidence demonstrating the causation of glenohumeral chondrolysis by postoperative infusion of local anesthetic via a pain pump. J Bone Joint Surg Am 2013;95:1126-34.
14. Edwards TB, Boulahia A, Kempf JF, Boileau P, Nemoz C, Walch G. Shoulder arthroplasty in patients with osteoarthritis and dysplastic glenoid morphology. J Shoulder Elbow Surg 2004;13:1-4.
15.Hoenecke HR Jr., Hermida JC, Flores-Hernandez C, D’Lima DD. Accuracy of CT-based measurements of glenoid version for total shoulder arthroplasty. J Shoulder Elbow Surg 2010;19:166-71.
16. Millett PJ, Horan MP, Pennock AT, Rios D. Comprehensive Arthroscopic Management (CAM) procedure: Clinical results of a joint-preserving arthroscopic treatment for young, active patients with advanced shoulder osteoarthritis. Arthroscopy 2013;29:440-8.
17. Arner JW, Elrick BP, Nolte CP, Haber DB, Horan MP, Millett PJ. Survivorship and patient-reported outcomes after comprehensive arthroscopic management of glenohumeral osteoarthritis. Am J Sports Med 2020;11:363546520962756.
18.Dunn JC, Lanzi J, Kusnezov N, Bader J, Waterman BR, Belmont PJ Jr. Predictors of length of stay after elective total shoulder arthroplasty in the United States. J Shoulder Elbow Surg 2015;24:754-9.
19. Trofa D, Rajaee SS, Smith EL. Nationwide trends in total shoulder arthroplasty and hemiarthroplasty for osteoarthritis. Am J Orthop 2014;43:166-72.
20. Burgess DL, McGrath MS, Bonutti PM, Marker DR, Delanois RE, Mont MA. Shoulder resurfacing. J Bone Joint Surg Am 2009;91:1228-38.
21. Levy O, Tsvieli O, Merchant J, Young L, Trimarchi A, Dattani R, et al. Surface replacement arthroplasty for glenohumeral arthropathy in patients aged younger than fifty years: Results after a minimum ten-year follow-up. J Shoulder Elbow Surg 2015;24:1049-60.
22. Griffin JW, Hadeed MM, Novicoff WM, Browne JA, Brockmeier SF. Patient age is a factor in early outcomes after shoulder arthroplasty. J Shoulder Elbow Surg 2014;23:1867-71.
23. Hattrup SJ, Cofield RH. Osteonecrosis of the humeral head: Results of replacement. J Shoulder Elbow Surg 2000;9:177-82.
24. Schoch B, Schleck C, Cofield RH, Sperling JW. Shoulder Arthroplasty in patients younger than 50 years: Minimum 20-year follow-up. J Shoulder Elbow Surg 2015;24:705-10.
25. Sperling JW, Cofield RH, Rowland CM. Minimum 15-year follow-up of neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty years or younger. J Shoulder Elbow Surg 2004;13:604-13.
26. 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;13:599-603.
27. Sperling JW, Cofield RH. Revision total shoulder arthroplasty for the treatment of glenoid arthrosis. J Bone Joint Surg Am 1998;80:860-7.
28. Robertson TA, Bentley JC, Griscom JT, Kissenberth MJ, Tolan SJ, Hawkins RJ, et al. Outcomes of total shoulder arthroplasty in patients younger than 65 years: A systematic review. J Shoulder Elbow Surg 2017;26:1298-306.

29. Denard PJ, Raiss P, Sowa B, Walch G. Mid to long-term follow-up of total shoulder arthroplasty using a keeled glenoid in young adults with primary glenohumeral arthritis. J Shoulder Elbow Surg 2017;26:1298-306.
30. Dillon MT, Inacio MC, Burke MF, Navarro RA, Yian EH. Shoulder Arthroplasty in patients 59 years of age and younger. J Shoulder Elbow Surg 2013;22:1338-44.

31. Eichinger JK, Miller LR, Hartshorn T, Li X, Warner JJ, Higgins LD. Evaluation of satisfaction and durability after hemiarthroplasty and total shoulder arthroplasty in a cohort of patients aged 50 years or younger: An analysis of discordance of patient satisfaction and implant survival. J Shoulder Elbow Surg 2016;25:72-80.
32. Krishnan SG, Reineck JR, Nowinski RJ, Harrison D, Burkhead WZ Humeral hemiarthroplasty with biologic resurfacing of the glenoid for glenohumeral arthritis. Surgical technique. J Bone Joint Surg Am 2008;90 Suppl 2:9-19.
33. Wirth MA. Humeral head arthroplasty and meniscal allograft resurfacing of the glenoid. J Bone Joint Surg Am 2009;91:1109-19.
34. Strauss EJ, Verma NN. The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis. J Shoulder Elbow Surg 2014;23:409-19.
35. Elhassan B, Ozbaydar M, Diller D, Higgins LD, Warner JJ. Soft-tissue resurfacing of the glenoid in the treatment of glenohumeral arthritis in active patients less than fifty years old. J Bone Joint Surg Am 2009;91:419-24.
36. Matsen FA 3rd, Bicknell RT, Lippitt SB. Shoulder arthroplasty: The socket perspective. J Shoulder Elbow Surg 2007;16 Suppl 5:S241-7.
37. Saltzman MD, Chamberlain AM, Mercer DM, Warme WJ, Bertelsen AL, Matsen FA 3rd. Shoulder hemiarthroplasty with concentric glenoid reaming in patients 55 years old or less. J Shoulder Elbow Surg 2011;20:609-15.

38. Clinton J, Franta AK, Lenters TR, Mounce D, Matsen FA 3rd. Nonprosthetic glenoid arthroplasty with humeral hemiarthroplasty and total shoulder arthroplasty yield similar self-assessed outcomes in the management of comparable patients with glenohumeral arthritis. J Shoulder Elbow Surg 2007;16:534-8.


How to Cite this article: Shetty N. “ Shoulder Arthroplasty in Young ”. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):74-80.

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