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Clinical and radiological results 7 years after Copeland shoulder resurfacing arthroplasty in patients with primary glenohumeral osteoarthritis: an independent multicentre retrospective study

  • Original Article • SHOULDER - ARTHROPLASTY
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

The aim of this multicentre cohort study was to evaluate the midterm outcomes and survival after cementless stemless resurfacing arthroplasty (CSRA) in a series of 33 shoulders in 27 patients with primary osteoarthritis.

Methods

Clinical outcome assessment included: Constant–Murley score (CMS); Simple Shoulder Test (SST); Disability of Arm, Shoulder, Hand (DASH); EuroQol-5D (EQ-5D) utility scores; Numerous Rating Scale (NRS) for pain. Radiographs were assessed by two independent observers for oversizing, radiolucency, glenohumeral subluxation, glenoid erosion and subsidence. Correlations between the clinical and radiological outcomes were calculated. Complications were registered, and revision and survival rates were calculated.

Results

Mean age at time of surgery and mean follow-up time were, respectively, 67.7 (range 50.2–85.1) and 7.2 years (range 5.7–9.3 years). Means (SD) for CMS, age- and gender-adjusted CMS, SST, DASH and EQ-5D utility scores were: 56.4 (20.2), 76.5 (25.0), 54.0 (29.8), 37.6 (23.3) and 0.8 (0.1), respectively. NRS for pain was 2.0 and 3.8, respectively, in rest and during activities. Radiographic assessment of the CSRAs showed oversizing in 54.5%; radiolucency in 18.2%; superior glenohumeral subluxation in 33.3%; glenoid erosion in 45.5%; and subsidence in 3.0%. Perioperative complications did not occur. Revision surgery was performed in one patient (3.0%).

Conclusion

For primary osteoarthritis, the CSRA showed good clinical but poor radiological outcomes at midterm follow-up.

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Authors and Affiliations

  1. Zuyderland MC Sittard-Heerlen, Dr. H. van het Hoffplein 1, 6162 BG, Sittard-Geleen, The Netherlands

    F. U. Verstraelen, M. G. M. Schotanus, N. P. Kort, S. K. Samijo & E. J. P. Jansen

  2. Ziekenhuis Nij Smellinghe, Compagnonsplein 1, 9202 NN, Drachten, The Netherlands

    L. A. Horta

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  1. F. U. Verstraelen
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Correspondence to F. U. Verstraelen.

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FU Verstraelen, LA Horta, MGM Schotanus, NP Kort, SK Samijo and EJP Jansen declare that they have no conflict of interest.

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Verstraelen, F.U., Horta, L.A., Schotanus, M.G.M. et al. Clinical and radiological results 7 years after Copeland shoulder resurfacing arthroplasty in patients with primary glenohumeral osteoarthritis: an independent multicentre retrospective study. Eur J Orthop Surg Traumatol 28, 15–22 (2018). https://doi.org/10.1007/s00590-017-2023-8

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