title: Humeral Head Arthroplasty and Meniscal Allograft Resurfacing of the Glenoid: A Concise Follow-up of a Previous Report and Survivorship Analysis.
abstract: The two to five-year results of humeral head arthroplasty and lateral meniscal allograft resurfacing of the glenoid in patients fifty-five years of age or younger were previously reported by the senior author (M.A.W.). The purpose of the present study was to report the survival rate, clinical findings, and radiographic results of the original thirty shoulders (thirty patients) followed for a mean duration of 8.3 years (range, five to twelve years). The scores on the visual analog scale for pain, American Shoulder and Elbow Surgeons scoring system, and Simple Shoulder Test were significantly improved at the latest follow-up evaluation compared with the preoperative findings (p < 0.001). Radiographic indices of posterior subluxation did not significantly increase from the immediate postoperative imaging to the latest radiographs, while the glenohumeral joint space demonstrated a gradual decrease. Nine (30%) of thirty shoulders were known to have undergone a reoperation. The present study demonstrated that biological glenoid resurfacing combined with hemiarthroplasty can provide significant improvement in shoulder function and pain relief in young patients with glenohumeral arthritis; however, mid-term follow-up at a mean of over eight years demonstrated a high reoperation rate.
authors.affiliation: Section of Orthopaedic Surgery, Department of Surgery, University of Calgary, 3330 Hospital Drive N.W., Calgary, AB T2N 4N1, Canada. E-mail address: ajmbois@gmail.com.
authors.forename: Aaron J
authors.initials: AJ
authors.lastname: Bois
authors.affiliation: University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229.
authors.forename: Ian J
authors.initials: IJ
authors.lastname: Whitney
authors.affiliation: University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229.
authors.forename: Jeremy S
authors.initials: JS
authors.lastname: Somerson
authors.affiliation: University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Wirth
mesh_terms: D005500:Follow-Up Studies; D006085:Graft Survival; D062785:Hemiarthroplasty; D006801:Humans; D058430:Humeral Head / Q000601:surgery*; D008592:Menisci, Tibial / Q000637:transplantation*; D010003:Osteoarthritis / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation; D012540:Scapula / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery*; D014184:Transplantation, Homologous