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Joint Resurfacing of the Shoulder and Knee in Athletes

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Sports Injuries

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Abstract

Recreational athletes are participating in their various sports seemingly well into their fifth decade of life and sometimes longer. Their previous injuries, genetics, and overall physiologic age cause problems with their joints that ultimately limit their level of participation. The older athletes, and sometimes even the younger athletes, present with problems that have failed conservative treatment or joint preservation procedures and now face the possibility of a potentially life-altering and career-ending arthroplasty procedure. Fortunately, there are now bone-preserving resurfacing solutions that may play a role in returning the athletes to their sport. The role of joint resurfacing in athletes is typically limited to disease entities that fail conservative treatment and less invasive surgical options. Resurfacing arthroplasties of the knee and shoulder have been shown to be safe procedures in patients with focal chondral defects who wish to return to a high level of function and activity. Intraoperative mapping of the patient’s own joint geometry permits an anatomic surface restoration with preservation of health cartilage and minimal removal of bone stock. Preliminary results show excellent pain relief and functional improvement across a variety of indications. This chapter will focus on the application of resurfacing arthroplasty in the knee and shoulder.

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References

  • Arneja SS, Morgan J, Miniaci A et al (2010) A solution to focal medial compartment osteoarthritis of the knee in the young patient: the UNICAP knee resurfacing. In: 2010 Canadian Orthopedic Association annual meeting, Edmonton

    Google Scholar 

  • Bailie DS, Llinas PJ et al (2008) Cementless humeral resurfacing arthroplasty in active patients less than fifty-five years of age. J Bone Joint Surg Am 90(1):110–117

    Article  PubMed  Google Scholar 

  • Becher C, Huber R et al (2008) Effects of a contoured articular prosthetic device on tibiofemoral peak contact pressure: a biomechanical study. Knee Surg Sports Traumatol Arthrosc 16(1):56–63

    Article  PubMed  PubMed Central  Google Scholar 

  • Becher C, Huber R et al (2009) Tibiofemoral contact mechanics with a femoral resurfacing prosthesis and a non-functional meniscus. Clin Biomech (Bristol, Avon) 24(8):648–654

    Article  Google Scholar 

  • Bobic V (1996) Arthroscopic osteochondral autograft transplantation in anterior cruciate ligament reconstruction: a preliminary clinical study. Knee Surg Sports Traumatol Arthrosc 3(4):262–264

    Article  PubMed  CAS  Google Scholar 

  • Bollars P, Bosquet M et al (2012) Prosthetic inlay resurfacing for the treatment of focal, full thickness cartilage defects of the femoral condyle: a bridge between biologics and conventional arthroplasty. Knee Sur Sports Traumatol Arthrosc 20(9):1753–1759

    Article  Google Scholar 

  • Brittberg M, Lindahl A et al (1994) Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med 331(14):889–895

    Article  PubMed  CAS  Google Scholar 

  • Burgess DL, McGrath MS et al (2009) Shoulder resurfacing. J Bone Joint Surg Am 91(5):1228–1238

    Article  PubMed  Google Scholar 

  • Cicuttini F, Ding C et al (2005) Association of cartilage defects with loss of knee cartilage in healthy, middle-age adults: a prospective study. Arthritis Rheum 52(7):2033–2039

    Article  PubMed  Google Scholar 

  • Davidson PA, Lemak L, Uribe JW, Zvijac JE, Litchfield RB, Siegal JA, Miniaci A (2014) Anatomic humeral head resurfacing. Review of clinical outcomes and case presentations (unpublished data)

    Google Scholar 

  • Dawson CK, Rolf R, Holovacs TF (2008) The management of localized articular cartilage lesions of the humeral head in the athlete. Oper Tech Sports Med 16:14–20

    Article  Google Scholar 

  • Deutsch AA, Kroll DG (2008) Decreased range of motion following arthroscopic remplissage. Orthopedics 31(5):492

    Article  PubMed  Google Scholar 

  • Duffy GP, Crowder AR et al (2007) Cemented total knee arthroplasty using a modern prosthesis in young patients with osteoarthritis. J Arthroplasty 22(6 Suppl 2):67–70

    Article  PubMed  Google Scholar 

  • Ellenbecker TS, Bailie DS et al (2008) Humeral resurfacing hemiarthroplasty with meniscal allograft in a young patient with glenohumeral osteoarthritis. J Orthop Sports Phys Ther 38(5):277–286

    Article  PubMed  Google Scholar 

  • Grondin P, Leith J (2009) Case series: combined large hill-Sachs and bony bankart lesions treated by latarjet and partial humeral head resurfacing: a report of 2 cases. Can J Surg 52(3):249–254

    PubMed  PubMed Central  Google Scholar 

  • Hallock R (2005) The UniSpacer: a treatment alternative for the middle-aged patient. Orthop Clin N Am 36(4):505–512

    Article  Google Scholar 

  • Hammond G, Tibone J, McGarry MH, Jun BJ, Lee TQ (2008) Biomechanical comparison of anatomic humeral head resurfacing versus hemiarthroplasty for functional glenohumeral positions. In: 54th Annual meeting of the Orthopaedic Research Society, San Francisco

    Google Scholar 

  • Harris JD, Cavo M et al (2010) Biological knee reconstruction: a systematic review of combined meniscal allograft transplantation and cartilage repair or restoration. Arthroscopy 27(3):409–418

    Google Scholar 

  • Hjelle K, Solheim E et al (2002) Articular cartilage defects in 1,000 knee arthroscopies. Arthroscopy 18(7):730–734

    Article  PubMed  Google Scholar 

  • Jackson DW, Lalor PA et al (2001) Spontaneous repair of full-thickness defects of articular cartilage in a goat model. A preliminary study. J Bone Joint Surg Am 83-A(1):53–64

    PubMed  CAS  Google Scholar 

  • Julin J, Jamsen E et al (2010) Younger age increases the risk of early prosthesis failure following primary total knee replacement for osteoarthritis. A follow-up study of 32,019 total knee replacements in the Finnish Arthroplasty Register. Acta Orthop 81(4):413–419

    Article  PubMed  PubMed Central  Google Scholar 

  • Koskinen E, Paavolainen P et al (2007) Unicondylar knee replacement for primary osteoarthritis: a prospective follow-up study of 1,819 patients from the Finnish Arthroplasty Register. Acta Orthop 78(1):128–135

    Article  PubMed  Google Scholar 

  • Kreuz PC, Erggelet C et al (2006) Is microfracture of chondral defects in the knee associated with different results in patients aged 40 years or younger? Arthroscopy 22(11):1180–1186

    Article  PubMed  Google Scholar 

  • Levy O, Copeland SA (2001) Cementless surface replacement arthroplasty of the shoulder. 5- to 10-year results with the Copeland mark-2 prosthesis. J Bone Joint Surg Br 83(2):213–221

    Article  PubMed  CAS  Google Scholar 

  • Levy O, Copeland SA (2004) Cementless surface replacement arthroplasty (Copeland CSRA) for osteoarthritis of the shoulder. J Shoulder Elbow Surg 13(3):266–271

    Article  PubMed  Google Scholar 

  • Levy O, Funk L et al (2004) Copeland surface replacement arthroplasty of the shoulder in rheumatoid arthritis. J Bone Joint Surg Am 86-A(3):512–518

    PubMed  Google Scholar 

  • Marcacci M, Bruni D et al (2011) Arthroscopic-assisted focal resurfacing of the knee: surgical technique and preliminary results of 13 patients at 2 years follow-up. Knee Surg Sports Traumatol Arthrosc 19(5):740–746

    Google Scholar 

  • Millett PJ, Huffard BH et al (2009) Outcomes of full-thickness articular cartilage injuries of the shoulder treated with microfracture. Arthroscopy 25(8):856–863

    Article  PubMed  Google Scholar 

  • Miniaci A, Gish M (2004) Management of anterior glenohumeral instability associated with large Hill-Sachs defects. Tech Shoulder Elbow Surg 5:170–175

    Article  Google Scholar 

  • Moros C, Ahmad CS (2009) Partial humeral head resurfacing and Latarjet coracoid transfer for treatment of recurrent anterior glenohumeral instability. Orthopedics 32(8) Available online at http://www.orthosupersite.com/view.asp?rID=41928

  • Oduwole KO, Sayana MK et al (2010) Analysis of revision procedures for failed unicondylar knee replacement. Ir J Med Sci 179(3):361–364

    Article  PubMed  CAS  Google Scholar 

  • Pearse AJ, Hooper GJ et al (2010) Survival and functional outcome after revision of a unicompartmental to a total knee replacement: the New Zealand National Joint Registry. J Bone Joint Surg Br 92(4):508–512

    Article  PubMed  CAS  Google Scholar 

  • Pennington DW, Swienckowski JJ et al (2003) Unicompartmental knee arthroplasty in patients sixty years of age or younger. J Bone Joint Surg Am 85-A(10):1968–1973

    PubMed  Google Scholar 

  • Peterson L, Minas T et al (2000) Two- to 9-year outcome after autologous chondrocyte transplantation of the knee. Clin Orthop Relat Res 374:212–234

    Article  PubMed  Google Scholar 

  • Purchase RJ, Wolf EM et al (2008) Hill-sachs “remplissage”: an arthroscopic solution for the engaging hill-sachs lesion. Arthroscopy 24(6):723–726

    Article  PubMed  Google Scholar 

  • Raiss P, Aldinger PR et al (2009) Humeral head resurfacing for fixed anterior glenohumeral dislocation. Int Orthop 33(2):451–456

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Romeo AA, Cole BJ et al (2002) Autologous chondrocyte repair of an articular defect in the humeral head. Arthroscopy 18(8):925–929

    Article  PubMed  Google Scholar 

  • Scalise J, Miniaci A, Ianotti JP (2007) Resurfacing arthroplasty of the humerus: indications, surgical techniques and clinical results. Tech Shoulder Elbow Surg 83(3):152–160

    Article  Google Scholar 

  • Schai PA, Suh JT et al (1998) Unicompartmental knee arthroplasty in middle-aged patients: a 2- to 6-year follow-up evaluation. J Arthroplasty 13(4):365–372

    Article  PubMed  CAS  Google Scholar 

  • Schepsis A, Uribe J, Amendola A, Siegel J, Flandry F, Zvijac J, Kelly B, Buonnano R, Moss D, Litchfield R, Froimson M, Parker R, Barsoum W, Miniaci A (2007) Focal anatomic resurfacing of the femoral condyle: preliminary multicenter results. International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine, Florence

    Google Scholar 

  • Scott R (2003) UniSpacer: insufficient data to support its widespread use. Clin Orthop Relat Res 416:164–6

    Google Scholar 

  • Steadman JR, Rodkey WG et al (2001) Microfracture: surgical technique and rehabilitation to treat chondral defects. Clin Orthop Relat Res 391:S362–369

    Google Scholar 

  • Uribe JW, Botto-van Bemden A (2009) Partial humeral head resurfacing for osteonecrosis. J Shoulder Elbow Surg 18(5):711–716

    Article  PubMed  Google Scholar 

  • Verma NN, Geissler WB, van der Merwe W, Lelli A, Badger DS, Proctor CS (2008) Congruent patellofemoral resurfacing (unpublished)

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Baylor College of Medicine, 7200 Cambridge Street, Suite 10A, 77030, Houston, TX, USA

    Aravind Athiviraham

  2. HMC Doctors, 1429 Highway 6 S, 77479, Sugar Land, TX, USA

    Pradeep Kodali

  3. Orthopaedic Surgery & Sports Health, Cleveland Clinic Foundation, 5555 Transportation Blvd, 44125, Garfield Heights, OH, USA

    Anthony Miniaci

Authors
  1. Aravind Athiviraham
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  2. Pradeep Kodali
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  3. Anthony Miniaci
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Corresponding author

Correspondence to Aravind Athiviraham .

Editor information

Editors and Affiliations

  1. Dept. Orthopedics & Traumatology, Hacettepe University Fac. Medicine, Ankara, Turkey

    Mahmut Nedim Doral

  2. Gothenburg, Sweden

    Jon Karlsson

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Athiviraham, A., Kodali, P., Miniaci, A. (2013). Joint Resurfacing of the Shoulder and Knee in Athletes. In: Doral, M., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36801-1_194-4

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  • DOI: https://doi.org/10.1007/978-3-642-36801-1_194-4

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-642-36801-1

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