Revision shoulder arthroplasty for failed humeral head resurfacing hemiarthroplasty

Tanujan Thangarajah; Sara Ajami; Melanie Coathup; Gordon W. Blunn; Deborah Higgs; Mark Falworth; Simon Lambert

doi:10.1177/1758573217715256

Revision shoulder arthroplasty for failed humeral head resurfacing hemiarthroplasty

Tanujan Thangarajah, Sara Ajami, Melanie Coathup, Gordon W. Blunn, Deborah Higgs, Mark Falworth, Simon Lambert

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Abstract

Background: The purpose of the present study was to analyze and report the clinical outcomes following revision shoulder arthroplasty for failed humeral head resurfacing hemiarthroplasty (HHRH).

Methods: All patients who underwent revision shoulder arthroplasty for failed HHRH at our institution were retrospectively reviewed. Twenty-two shoulders in 20 patients were available for analysis. Mean age at the time of HHRH was 60 years (range 42 years to 75 years). The cohort consisted of 17 females and three males.

Results: The mean time from HHRH to revision was 5 years (range 1 year to 8 years). Mean age at the time of revision surgery was 62 years (range 44 years to 80 years). Patients were followed-up for a mean of 3.3 years (range 2 years to 4 years) after revision. Following revision surgery, there was an increase in forward elevation from 67° (range 0° to 130°) to 97° (range 40° to 160°) (p = 0.04). This was accompanied by an improvement in both the Oxford Shoulder Score and the subjective shoulder value, which increased from 13 (range 2 to 28) to 39 (range 24 to 48) (p = 0.000) and from 23 (range 0 to 65) to 79 (range 25 to 100) (p = 0.000) respectively.

Conclusions: Revision shoulder arthroplasty for failed HHRH improves functional outcome.

Original language	English
Pages (from-to)	35-41
Journal	Shoulder and Elbow
Volume	11
Issue number	2_suppl
Early online date	13 Jun 2017
DOIs	https://doi.org/10.1177/1758573217715256
Publication status	Published - 1 Jul 2019

Keywords

hemiarthroplasty
resurfacing
revision surgery
shoulder arthritis
shoulder replacement
total shoulder replacement

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10.1177/1758573217715256

Revision shoulder arthroplasty
This is the peer reviewed version of the following article: Thangarajah T, Ajami S, Coathup M, et al. Revision shoulder arthroplasty for failed humeral head resurfacing hemiarthroplasty. Shoulder & Elbow. 2019;11(2_suppl):35-41, which has been published in final form at https://doi.org/10.1177/1758573217715256. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Accepted author manuscript (Post-print), 483 KB

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title = "Revision shoulder arthroplasty for failed humeral head resurfacing hemiarthroplasty",

abstract = "Background: The purpose of the present study was to analyze and report the clinical outcomes following revision shoulder arthroplasty for failed humeral head resurfacing hemiarthroplasty (HHRH).Methods: All patients who underwent revision shoulder arthroplasty for failed HHRH at our institution were retrospectively reviewed. Twenty-two shoulders in 20 patients were available for analysis. Mean age at the time of HHRH was 60 years (range 42 years to 75 years). The cohort consisted of 17 females and three males.Results: The mean time from HHRH to revision was 5 years (range 1 year to 8 years). Mean age at the time of revision surgery was 62 years (range 44 years to 80 years). Patients were followed-up for a mean of 3.3 years (range 2 years to 4 years) after revision. Following revision surgery, there was an increase in forward elevation from 67° (range 0° to 130°) to 97° (range 40° to 160°) (p = 0.04). This was accompanied by an improvement in both the Oxford Shoulder Score and the subjective shoulder value, which increased from 13 (range 2 to 28) to 39 (range 24 to 48) (p = 0.000) and from 23 (range 0 to 65) to 79 (range 25 to 100) (p = 0.000) respectively.Conclusions: Revision shoulder arthroplasty for failed HHRH improves functional outcome.",

keywords = "hemiarthroplasty, resurfacing, revision surgery, shoulder arthritis, shoulder replacement, total shoulder replacement",

author = "Tanujan Thangarajah and Sara Ajami and Melanie Coathup and Blunn, {Gordon W.} and Deborah Higgs and Mark Falworth and Simon Lambert",

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AU - Thangarajah, Tanujan

AU - Ajami, Sara

AU - Coathup, Melanie

AU - Blunn, Gordon W.

AU - Higgs, Deborah

AU - Falworth, Mark

AU - Lambert, Simon

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N2 - Background: The purpose of the present study was to analyze and report the clinical outcomes following revision shoulder arthroplasty for failed humeral head resurfacing hemiarthroplasty (HHRH).Methods: All patients who underwent revision shoulder arthroplasty for failed HHRH at our institution were retrospectively reviewed. Twenty-two shoulders in 20 patients were available for analysis. Mean age at the time of HHRH was 60 years (range 42 years to 75 years). The cohort consisted of 17 females and three males.Results: The mean time from HHRH to revision was 5 years (range 1 year to 8 years). Mean age at the time of revision surgery was 62 years (range 44 years to 80 years). Patients were followed-up for a mean of 3.3 years (range 2 years to 4 years) after revision. Following revision surgery, there was an increase in forward elevation from 67° (range 0° to 130°) to 97° (range 40° to 160°) (p = 0.04). This was accompanied by an improvement in both the Oxford Shoulder Score and the subjective shoulder value, which increased from 13 (range 2 to 28) to 39 (range 24 to 48) (p = 0.000) and from 23 (range 0 to 65) to 79 (range 25 to 100) (p = 0.000) respectively.Conclusions: Revision shoulder arthroplasty for failed HHRH improves functional outcome.

AB - Background: The purpose of the present study was to analyze and report the clinical outcomes following revision shoulder arthroplasty for failed humeral head resurfacing hemiarthroplasty (HHRH).Methods: All patients who underwent revision shoulder arthroplasty for failed HHRH at our institution were retrospectively reviewed. Twenty-two shoulders in 20 patients were available for analysis. Mean age at the time of HHRH was 60 years (range 42 years to 75 years). The cohort consisted of 17 females and three males.Results: The mean time from HHRH to revision was 5 years (range 1 year to 8 years). Mean age at the time of revision surgery was 62 years (range 44 years to 80 years). Patients were followed-up for a mean of 3.3 years (range 2 years to 4 years) after revision. Following revision surgery, there was an increase in forward elevation from 67° (range 0° to 130°) to 97° (range 40° to 160°) (p = 0.04). This was accompanied by an improvement in both the Oxford Shoulder Score and the subjective shoulder value, which increased from 13 (range 2 to 28) to 39 (range 24 to 48) (p = 0.000) and from 23 (range 0 to 65) to 79 (range 25 to 100) (p = 0.000) respectively.Conclusions: Revision shoulder arthroplasty for failed HHRH improves functional outcome.

KW - hemiarthroplasty

KW - resurfacing

KW - revision surgery

KW - shoulder arthritis

KW - shoulder replacement

KW - total shoulder replacement

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Revision shoulder arthroplasty for failed humeral head resurfacing hemiarthroplasty

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