Clinical experience with total arthroplasty and hemiarthroplasty of the shoulder using the Neer prosthesis.
A consecutive series of 28 shoulders in 26 patients, treated since 1982 by either total arthroplasty (11 shoulders) or hemiarthroplasty (17 shoulders), are reviewed. A glenoid osteotomy was also performed in five of the shoulders with a hemiarthroplasty. Overall 16 shoulders were completely satisfactory with little pain and satisfactory movement. Nine had a total arthroplasty. The average range of shoulder elevation after total arthroplasty (121 degrees +/- 29 degrees) was significantly better than after hemiarthroplasty (91 degrees +/- 39 degrees). Pain was still present in seven shoulders with a hemiarthroplasty but in only one with a total joint replacement.
D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D004868:Equipment Failure; D006801:Humans; D007595:Joint Prosthesis / Q000009:adverse effects; D008875:Middle Aged; D009068:Movement; D010003:Osteoarthritis / Q000601:surgery*; D010146:Pain / Q000209:etiology; D011183:Postoperative Complications; D011859:Radiography; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*