دورية أكاديمية
The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis.
| العنوان: | The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis. |
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| المؤلفون: | Strauss EJ; New York University Hospital for Joint Diseases, New York, NY, USA. Electronic address: eric.strauss@nyumc.org., Verma NN; Midwest Orthopaedics at Rush University Medical Center, Chicago, IL, USA., Salata MJ; University Hospital, Case Medical Center, Cleveland, OH, USA., McGill KC; New York University Hospital for Joint Diseases, New York, NY, USA., Klifto C; New York University Hospital for Joint Diseases, New York, NY, USA., Nicholson GP; New York University Hospital for Joint Diseases, New York, NY, USA., Cole BJ; New York University Hospital for Joint Diseases, New York, NY, USA., Romeo AA; New York University Hospital for Joint Diseases, New York, NY, USA. |
| المصدر: | Journal of shoulder and elbow surgery [J Shoulder Elbow Surg] 2014 Mar; Vol. 23 (3), pp. 409-19. Date of Electronic Publication: 2013 Sep 04. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Mosby Country of Publication: United States NLM ID: 9206499 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-6500 (Electronic) Linking ISSN: 10582746 NLM ISO Abbreviation: J Shoulder Elbow Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: St. Louis, MO : Mosby Original Publication: St. Louis, MO : Mosby Yearbook, Inc., c1992- |
| مواضيع طبية MeSH: | Glenoid Cavity/*surgery , Menisci, Tibial/*transplantation , Osteoarthritis/*surgery , Shoulder Joint/*surgery, Acellular Dermis ; Adolescent ; Adult ; Allografts ; Arthralgia/etiology ; Arthralgia/prevention & control ; Arthroplasty, Replacement/methods ; Female ; Follow-Up Studies ; Hemiarthroplasty/methods ; Humans ; Male ; Middle Aged ; Osteoarthritis/complications ; Postoperative Care ; Radiography ; Range of Motion, Articular ; Reoperation ; Shoulder Joint/diagnostic imaging ; Shoulder Joint/physiopathology ; Treatment Failure ; Young Adult |
| مستخلص: | Background: The current study evaluated the outcomes of biologic resurfacing of the glenoid using a lateral meniscus allograft or human acellular dermal tissue matrix at intermediate-term follow-up. Methods: Forty-five patients (mean age, 42.2 years) underwent biologic resurfacing of the glenoid, and 41 were available for follow-up at a mean of 2.8 years. Lateral meniscal allograft resurfacing was used in 31 patients and human acellular dermal tissue matrix interposition in 10. Postoperative range of motion and clinical outcomes were assessed at the final follow-up. Results: The overall clinical failure rate was 51.2%. The lateral meniscal allograft cohort had a failure rate of 45.2%, with a mean time to failure of 3.4 years. Human acellular dermal tissue matrix interposition had a failure rate of 70.0%, with a mean time to failure of 2.2 years. Overall, significant improvements were seen compared with baseline with respect to the visual analog pain score (3.0 vs. 6.3), American Shoulder and Elbow Surgeons score (62.0 vs. 36.8), and Simple Shoulder Test score (7.0 vs. 4.0). Significant improvements were seen for forward elevation (106° to 138°) and external rotation (31° to 51°). Conclusion: Despite significant improvements compared with baseline values, biologic resurfacing of the glenoid resulted in a high rate of clinical failure at intermediate follow-up. Our results suggest that biologic resurfacing of the glenoid may have a minimal and as yet undefined role in the management of glenohumeral arthritis in the young active patient over more traditional methods of hemiarthroplasty or total shoulder arthroplasty. (Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Glenohumeral arthritis; Graftjacket; biologic resurfacing; lateral meniscal allograft |
| تواريخ الأحداث: | Date Created: 20130910 Date Completed: 20141002 Latest Revision: 20181202 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jse.2013.06.001 |
| PMID: | 24012358 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-6500 |
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| DOI: | 10.1016/j.jse.2013.06.001 |