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Nazzal, Ehab, Reddy, Rajiv, Solomon, David, Hughes, Jonathan, Rooney, James, Fourman, Mitchell, Hirsch, David, Rodosky, Mark, Lin, Albert. (1403). Total Shoulder Arthroplasty is associated With Less Pain and Better Functional Outcomes, but Humeral Head Resurfacing may be Preferred in Younger, Higher Demand Patients: A Short-Term Outcomes Study in Patients with Glenohumeral Osteoarthritis. , 12(6), 400-406. doi: 10.22038/abjs.2024.72211.3364
Ehab M. Nazzal; Rajiv P. Reddy; David A. Solomon; Jonathan D. Hughes; James G. Rooney; Mitchell S. Fourman; David Hirsch; Mark W. Rodosky; Albert Lin. "Total Shoulder Arthroplasty is associated With Less Pain and Better Functional Outcomes, but Humeral Head Resurfacing may be Preferred in Younger, Higher Demand Patients: A Short-Term Outcomes Study in Patients with Glenohumeral Osteoarthritis". , 12, 6, 1403, 400-406. doi: 10.22038/abjs.2024.72211.3364
Nazzal, Ehab, Reddy, Rajiv, Solomon, David, Hughes, Jonathan, Rooney, James, Fourman, Mitchell, Hirsch, David, Rodosky, Mark, Lin, Albert. (1403). 'Total Shoulder Arthroplasty is associated With Less Pain and Better Functional Outcomes, but Humeral Head Resurfacing may be Preferred in Younger, Higher Demand Patients: A Short-Term Outcomes Study in Patients with Glenohumeral Osteoarthritis', , 12(6), pp. 400-406. doi: 10.22038/abjs.2024.72211.3364
Nazzal, Ehab, Reddy, Rajiv, Solomon, David, Hughes, Jonathan, Rooney, James, Fourman, Mitchell, Hirsch, David, Rodosky, Mark, Lin, Albert. Total Shoulder Arthroplasty is associated With Less Pain and Better Functional Outcomes, but Humeral Head Resurfacing may be Preferred in Younger, Higher Demand Patients: A Short-Term Outcomes Study in Patients with Glenohumeral Osteoarthritis. , 1403; 12(6): 400-406. doi: 10.22038/abjs.2024.72211.3364

Total Shoulder Arthroplasty is associated With Less Pain and Better Functional Outcomes, but Humeral Head Resurfacing may be Preferred in Younger, Higher Demand Patients: A Short-Term Outcomes Study in Patients with Glenohumeral Osteoarthritis

The Archives of Bone and Joint Surgery
مقاله 3، دوره 12، شماره 6، شهریور 2024، صفحه 400-406    اصل مقاله (850.38 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2024.72211.3364
نویسندگان
Ehab M. Nazzal* 1؛ Rajiv P. Reddy1؛ David A. Solomon2؛ Jonathan D. Hughes1؛ James G. Rooney1؛ Mitchell S. Fourman3؛ David Hirsch4؛ Mark W. Rodosky1؛ Albert Lin1
1Freddie Fu Sports Medicine Center- University of Pittsburgh Medical Center, Pittsburgh, PA, USA
2Summit Health Orthopaedics, Florham Park, NJ, USA
3Hospital for Special Surgery, New York, NY, USA
4Rothman Orthopaedics, Orlando, FL, USA
چکیده
Objectives: This study aimed to compare short-term outcomes following Total Shoulder Arthroplasty 
(TSA) and Humeral Head Resurfacing (HHR) in patients with glenohumeral osteoarthritis (GHOA).
Methods: A retrospective analysis included patients who had undergone either TSA or HHR for GHOA at a single 
institution. Baseline demographics, complications, range of motion (active forward flexion, FF and active external 
rotation, ER), visual analog scores (VAS), and Subjective Shoulder Values (SSV) were collected.
Results: A total of 69 TSA and 56 HHR patients were analyzed. More HHR patients were laborers (44% versus 
21%, P=0.01). There were more smokers in the TSA group (25% versus 11%, P=0.04) and more cardiovascular 
disease in the HHR cohort (64% versus. 6%, p<0.0001). Postoperative FF was similar, but ER was greater in the 
HHR (47° ± 15°) vs. TSA group (40° ± 12°, P = 0.01). VAS was lower after TSA vs. HHR (median 0, IQR 1 versus 
median 3.7, IQR 6.9, p<0.0001), and SSV was higher after TSA (89% ± 13% vs. 75% ± 20% after HHR; p<0.0001). 
Post-operative impingement was more common after HHR (32% vs. 3% for TSA, p<0.0001). All other complications 
were equivalent.
Conclusion: While younger patients and heavy laborers had improved ER following HHR, their pain relief was 
greater after TSA. Decisions on surgical technique should be based on patient-specific demographic and anatomic 
factors.
 Level of evidence: III
کلیدواژه‌ها
Humeral head resurfacing؛ Resurfacing hemiarthroplasty؛ Short-term follow-up؛ Shoulder osteoarthritis؛ Total shoulder arthroplasty
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