ShoulderShoulder arthroplasty in patients aged fifty-five years or younger with osteoarthritis
Section snippets
Materials and methods
The Mayo Clinic Institutional Review Board gave approval for this study (No. 09-004605). No external source of funding was used for any aspect of this study.
Complications and revisions
Five perioperative complications occurred in the forty-six shoulders undergoing total shoulder arthroplasty. These included 3 brachial plexopathies, 2 of which completely resolved; 1 minimally displaced fracture of the glenoid seen on postoperative radiographs treated in a spica cast; and 1 lower extremity deep vein thrombosis. There were 3 perioperative complications that occurred in the 20 shoulders receiving hemiarthroplasty: 1 wound hematoma requiring evacuation, irrigation, and debridement
Discussion
There have been few data available to guide clinical decision making for the young patient with glenohumeral osteoarthritis. Much of the previous work has addressed shoulder arthroplasty for osteoarthritis regardless of age2, 6, 8, 13, 15, 23 or arthroplasty in the young patient with varied diagnoses.3, 19, 20 Recent articles have reported favorable short-term to midterm results for total shoulder arthroplasty in young to middle-aged patients with osteoarthritis14 or chondrolysis.11 In
Conclusions
- 1.
Shoulder arthroplasty for osteoarthritis in patients aged 55 years or younger is rarely indicated, and rates of revision and component loosening are high.
- 2.
Better pain relief, motion, and patient satisfaction were seen with total shoulder arthroplasty versus hemiarthroplasty.
Disclaimer
Robert Cofield, MD, receives royalties from Smith & Nephew and DJO/Aircast (Vista, CA). John W. Sperling, MD, receives royalties from Biomet. However, no outside funding was used for any part of this study.
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