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Comparison of shoulder replacement to treat osteoarthritis secondary to instability surgery and primary osteoarthritis: a retrospective controlled study of patient outcomes

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Abstract

Purpose

We hypothesized that osteoarthritis developing after instability surgery is radiographically similar to primary arthritis and that arthroplasty provides comparable outcomes in patients with these two types of osteoarthritis.

Methods

Patients with osteoarthritis due to instability surgery (group I) and with primary osteoarthritis (group II) were included. Mean follow-up was 52.6 and 41.6 months, respectively. Hemiarthroplasties (HA) were 32% in group I and 27% in group II; total shoulder arthroplasties (TSA) were 68 and 73% respectively. Outcome measures included active shoulder mobility (anterior elevation [AAE], lateral elevation [ALE], external rotation [ER], and internal rotation [IR]), pain, Constant-Murley score, and Simple Shoulder Test. Pre-operative and post-operative radiographs were taken. Glenoid arthritis was assessed by computed tomography.

Results

Participants were 19 in the group I (mean age 44.5 years, 12 males, 7 females) and 30 in the group II (mean age 48.2 years, 28 males, 12 females). Both patient groups had pre-operative concentric arthritis. Group II had higher rates of A2 and B1 glenoids (p = 0.003). A longer interval from stabilization to replacement was associated with lower post-operative IR (p = 0.017) and ALE (p = 0.035). Post-operative ER and IR were higher in group I (p < 0.001 and p = 0.001, respectively). In group I, AFE and ALE were higher in HA than TSA patients (both p = 0.009). The CS and SST score increased significantly in both groups (both p < 0.001). Group II showed significantly greater humeral radiolucency (p = 0.025) and a higher rate of TSA revision to reverse prostheses compared with group I.

Conclusions

Shoulder replacement provides similar clinical and radiographic outcomes in arthritis secondary to instability surgery and in primary osteoarthritis. Posterior glenoid wear is more common in primary osteoarthritis.

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References

  1. Rollick et al (2017) Long-term outcomes of the Bankart and Latarjet repairs: a systematic review. Open Access J Sports Med 8:97–105. https://doi.org/10.2147/OAJSM.S106983

    Article  PubMed  PubMed Central  Google Scholar 

  2. Paladini P, Singla R, Merolla G, Porcellini G (2016) Latarjet procedure: is the coracoid enough to restore the glenoid surface? Int Orthop 40:1675–1681. https://doi.org/10.1007/s00264-015-3093-z

    Article  PubMed  Google Scholar 

  3. Hohmann E, Tetsworth K, Glatt V (2017) Open versus arthroscopic surgical treatment for anterior shoulder dislocation: a comparative systematic review and meta-analysis over the past 20 years. J Shoulder Elb Surg 26:1873–1880. https://doi.org/10.1016/j.jse.2017.04.009

    Article  Google Scholar 

  4. Neer CS (1990) Shoulder reconstruction. WB Saunders, Philadelphia, pp 208–212

    Google Scholar 

  5. Bigliani LU, Weinstein DM, Glasgow MT et al (1995) Glenohumeral arthroplasty for arthritis after instability surgery. J Shoulder Elbow Surg 2:87–94

    Article  Google Scholar 

  6. van der Zwaag HM, Brand R, Obermann WR, Rozing PM (1999) Glenohumeral osteoarthrosis after Putti-Platt repair. J Shoulder Elbow Surg 8:252–258

    Article  PubMed  Google Scholar 

  7. Green A, Norris TR (2001) Shoulder arthroplasty for advanced glenohumeral arthritis after anterior instability repair. J Shoulder Elbow Surg 10:539–545

    Article  PubMed  CAS  Google Scholar 

  8. Buscayret F, Edwards TB, Szabo I, Adeleine P, Coudane H, Walch G (2004) Glenohumeral arthrosis in anterior instability before and after surgical treatment: incidence and contributing factors. Am J Sports Med 32:1165–1172. https://doi.org/10.1177/0363546503262686

    Article  PubMed  Google Scholar 

  9. Allain J, Goutallier D, Glorion C (1998) Long-term results of the Latarjet procedure for the treatment of anterior instability of the shoulder. J Bone Joint Surg Am 80:841–852

    Article  PubMed  CAS  Google Scholar 

  10. Chapnikoff D, Besson A, Chantelot C et al (2000) Bankart procedure: clinical and radiological long-term outcome. Rev Chir Orthop Reparatrice Appar Mot 86:558–565

    PubMed  CAS  Google Scholar 

  11. O’Neil DB (1999) Arthroscopic Bankart repair of anterior detachments of the glenoid labrum: a prospective study. J Bone Joint Surg Am 81:1357–1366

    Article  Google Scholar 

  12. Rosenberg BN, Richmond JC, Levine WN (1995) Long-term followup of Bankart reconstruction: incidence of late degenerative glenohumeral arthrosis. Am J Sports Med 23:538–544

    Article  PubMed  CAS  Google Scholar 

  13. Hawkins RJ, Angelo RL (1990) Glenohumeral osteoarthrosis: a late complication of the Putti-Platt repair. J Bone Joint Surg Am 72:1193–1197

    Article  PubMed  CAS  Google Scholar 

  14. Lusardi DA, Wirth MA, Wurtz D et al (1993) Loss of external rotation following anterior capsulorrhaphy of the shoulder. J Bone Joint Surg Am 75:1185–1192

    Article  PubMed  CAS  Google Scholar 

  15. MacDonald PB, Hawkins RJ, Fowler PJ et al (1992) Release of the subscapularis for internal rotation contracture and pain after anterior repair for recurrent anterior dislocation of the shoulder. J Bone Joint Surg Am 74:734–737

    Article  PubMed  CAS  Google Scholar 

  16. Hawkins RH, Hawkins RJ (1985) Failed anterior reconstruction for shoulder instability. J Bone Joint Surg Br 67:709–714

    Article  PubMed  CAS  Google Scholar 

  17. O’Driscoll SW, Evans DC (1993) Long-term results of staple capsulorrhaphy for anterior instability of the shoulder. J Bone Joint Surg Am 75:249–258

    Article  PubMed  Google Scholar 

  18. Zuckerman JD, Matsen FA (1984) Complications about the glenohumeral joint related to the use of screws and staples. J Bone Joint Surg am 66:175–180

    Article  PubMed  CAS  Google Scholar 

  19. Franceschi F, Papalia R, Del Buono A, Vasta S, Maffulli N, Denaro V (2011) Glenohumeral osteoarthritis after arthroscopic Bankart repair for anterior instability. Am J Sports Med 39:1653–1659. https://doi.org/10.1177/0363546511404207

    Article  PubMed  Google Scholar 

  20. Matsen FA, Rockwood CA, Wirth MA et al (1998) Gleno-humeral arthritis and its management. In: Rockwood CA, Matsen FA (eds) The shoulder, 2nd edn. WB Saunders, Philadelphia, pp 870–872

    Google Scholar 

  21. Sperling JW, Antuna SA, Sanchez-Sotelo J, Schlek C, Cofield RH (2002) Shoulder arthroplasty for arthritis after instability surgery. J Bone J Surg Am 84-A:1775–1781

    Article  Google Scholar 

  22. Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65:456–460

    Article  PubMed  CAS  Google Scholar 

  23. Gerber C (1992) Latissimus dorsi transfer for the treatment of irreparable tears of the rotator cuff. Clin Orthop Relat Res:152–160

  24. Bercik MJ, Kruse K II, Yalizis M, Gauche M-O, Chaoui J, Walch G (2016) A modification to the Walch classification of the glenoid in primary glenohumeral osteoarthritis using three-dimensional imaging. J Shoulder Elbow Surg 25:1601–1607. https://doi.org/10.1016/j.jse.2016.03.010

    Article  PubMed  Google Scholar 

  25. Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164

    Google Scholar 

  26. Parsons IM, Millett PJ, Warner JP (2004) Glenoid wear after shoulder hemiarthroplasty. Clin Orthop Rel Res 421:120–125

    Article  Google Scholar 

  27. Schnetzke M, Coda S, Raiss P, Walch G, Loew M (2016) Radiologic bone adaptations on a cementless short-stem shoulder prosthesis. J Shoulder Elb Surg 25:650–657. https://doi.org/10.1016/j.jse.2015.08.044

    Article  Google Scholar 

  28. Sperling JW, Cofield RH, O’Driscoll SW, Torchia ME, Rowland CM (2000) Radiographic assessment of ingrowth total shoulder arthroplasty. J Shoulder Elbow Surg 9:507–513

    Article  PubMed  CAS  Google Scholar 

  29. Sperling JW, Cofield RH, Rowland CM (1998) Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less: long-term results. J Bone Joint Surg Am 80:464–473

    Article  PubMed  CAS  Google Scholar 

  30. Levy O, Tsvieli O, Merchant J, Young L, Trimarchi A, Dattani R et al (2015) Surface replacement arthroplasty for glenohumeral arthropathy in patients aged younger than fifty years: results after a minimum ten-year follow-up. J Shoulder Elb Surg 24:1049–1060. https://doi.org/10.1016/j.jse.2014.11.035

    Article  Google Scholar 

  31. Rispoli DM, Sperling JW, Athwal GS, Schleck CD, Cofield RH (2006) Humeral head replacement for the treatment of osteoarthritis. J Bone Joint Surg Am 88:2637–2644. https://doi.org/10.2106/JBJS.E.01383

    Article  PubMed  Google Scholar 

  32. Domos P, Checchia CS, Walch G (2018) Walch B0 glenoid: pre-osteoarthritis posterior subluxation of the humeral head. J Shoulder Elb Surg 27:181–188. https://doi.org/10.1016/j.jse.2017.08.014

    Article  Google Scholar 

  33. Deladerrière JY, Szymanski C, Vervoort T, Budzik JF, Maynou C (2012) Geometrical analysis results of 42 resurfacing shoulder prostheses: a CT scan study. Orthop Traumatol Surg Res 98:520–527. https://doi.org/10.1016/j.otsr.2012.03.010

    Article  PubMed  Google Scholar 

  34. Schnetzke M, Preis A, Coda S, Raiss P, Loew M (2017) Anatomical and reverse shoulder replacement with a convertible, uncemented short-stem shoulder prosthesis: first clinical and radiological results. Arch Orthop Trauma Surg 137:679–684. https://doi.org/10.1007/s00402-017-2673-3

    Article  PubMed  Google Scholar 

  35. Szerlip BW, Morris BJ, Laughlin MS, Kilian CM, Edwards TB (2018) Clinical and radiographic outcomes after total shoulder arthroplasty with an anatomic press-fit short stem. J Shoulder Elb Surg 27:10–16. https://doi.org/10.1016/j.jse.2017.08.012

    Article  Google Scholar 

  36. Merolla G, Walch G, Ascione F, Paladini P, Fabbri E, Padolino A, Porcellini G (2017) Grammont humeral design versus onlay curved-stem reverse shoulder arthroplasty: comparison of clinical and radiographic outcomes with minimum 2-year follow-up. J Shoulder Elb Surg. https://doi.org/10.1016/j.jse.2017.10.016

  37. Cook SD, Thomas KA, Kester MA (1989) Wear characteristics of the canine acetabulum against different femoral prostheses. J Bone Surg Br 71:189–197

    Article  CAS  Google Scholar 

  38. Stanley J, Klawitter J, More R (2008) Replacing joints with pyrolytic carbon. In: Rewell PA (ed) Joint replacement technology. Woodhead publishing, pp 631–656

  39. Garret J, Godeneche A, Boileau P, Molé D, Etzner M, Favard L et al (2017) Pyrocarbon interposition shoulder arthroplasty: preliminary results from a prospective multicenter study at 2 years of follow-up. J Shoulder Elb Surg 26:1143–1151. https://doi.org/10.1016/j.jse.2017.01.002

    Article  Google Scholar 

  40. Hudek R, Werner B, Abdelkawi AF, Gohlke F (2017) Pyrocarbon interposition shoulder arthroplasty in advanced collapse of the humeral head. Orthopade 46:1034–1044. https://doi.org/10.1007/s00132-017-3495-2

    Article  PubMed  CAS  Google Scholar 

  41. Merolla G, Ciaramella G, Fabbri E, Walch G, Paladini P, Porcellini G (2016) Total shoulder replacement using a bone ingrowth central peg polyethylene glenoid component: a prospective clinical and computed tomography study with short- to mid-term follow-up. Int Orthop 40:2355–2363. https://doi.org/10.1007/s00264-016-3255-7

    Article  PubMed  Google Scholar 

  42. Castagna A, Randelli M, Garofalo R, Maradei L, Giardella A, Borroni M (2010) Mid-term results of a metal-backed glenoid component in total shoulder replacement. J Bone Joint Surg Br 92:1410–1415. https://doi.org/10.1302/0301-620X.92B10.23578

    Article  PubMed  CAS  Google Scholar 

  43. Khan LAK, Page RS, Miller LN, Graves SE (2012) Risk factors for early revision after shoulder arthroplasty: 7113 shoulder arthroplasties from the Australian Orthopaedic Association National Joint Replacement Registry. Orthop Proc 94-B(Supp 39):123

    Google Scholar 

  44. Boileau P, Moineau G, Morin-Salvo N, Avidor C, Godeneche A, Levigne C et al (2015) Metal-backed glenoid implant with polyethylene insert is not a viable long-term therapeutic option. J Shoulder Elb Surg 24:1534–1543. https://doi.org/10.1016/j.jse.2015.02.012

    Article  Google Scholar 

  45. Pastor MF, Kaufmann M, Gettmann A, Wellmann M, Smith T (2015) Total versus hemiarthroplasty for glenohumeral arthritis according to preoperative glenoid Erosion. Orthop Rev (Pavia) 7:51–54. https://doi.org/10.4081/or.2015.5923

    Article  Google Scholar 

  46. Duan X, Zhang W, Dong X, Liu M, Gao Y, Huang F, Li J, Xiang Z (2013) Total shoulder arthroplasty versus hemiarthroplasty in patients with shoulder osteoarthritis: a meta-analysis of randomized controlled trials. Semin Arthritis Rheum 43:297–302. https://doi.org/10.1016/j.semarthrit.2013.04.002

    Article  PubMed  Google Scholar 

  47. Sandow MJ, David H, Bentall SJ (2013) Hemiarthroplasty vs total shoulder replacement for rotator cuff intact osteoarthritis: how do they fare after a decade? J Shoulder Elb Surg 22:877–885. https://doi.org/10.1016/j.jse.2012.10.023

    Article  Google Scholar 

  48. Singh JA, Sperling J, Buchbinder R, McMaken K (2011) Surgery for shoulder osteoarthritis: a Cochrane systematic review. J Rheumatol 38:598–605. https://doi.org/10.3899/jrheum.101008

    Article  PubMed  Google Scholar 

  49. van den Bekerom MP, Geervliet PC, Somford MP, van den Borne MP, Boer R (2013) Total shoulder arthroplasty versus hemiarthroplasty for glenohumeral arthritis: a systematic review of the literature at long-term follow-up. Int J Shoulder Surg 7:110–115. https://doi.org/10.4103/0973-6042.118915

    Article  PubMed  PubMed Central  Google Scholar 

  50. Bernasek TL, Stahl JL, Pupello D (2009) Pyrolytic carbon endoprosthetic replacement for osteonecrosis and femoral fracture of the hip: a pilot study. Clin Orthop Relat Res 467:1826–1832. https://doi.org/10.1007/s11999-009-0820-z

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Shoulder and Elbow Unit, “D. Cervesi” Hospital, Cattolica - AUSL della Romagna, Ambito Territoriale di Rimini, Via L. v. Beethoven 46, 47841, Cattolica, Italy

    Giovanni Merolla & Paolo Paladini

  2. “Marco Simoncelli” Biomechanics Laboratory, “D. Cervesi” Hospital, Cattolica - AUSL della Romagna, Ambito Territoriale di Rimini, Rimini, Italy

    Giovanni Merolla

  3. Casa di Cura Villa Betania, Rome, Italy

    Simone Cerciello

  4. Humanitas Cellini Clinic, Torino, Italy

    Stefano Marenco

  5. Research and Innovation Department, AUSL della Romagna, Ambito Territoriale di Rimini, Rimini, Italy

    Elisabetta Fabbri

  6. Orthopaedic and Trauma Unit, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy

    Giuseppe Porcellini

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  1. Giovanni Merolla
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  2. Simone Cerciello
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  3. Stefano Marenco
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  4. Elisabetta Fabbri
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  5. Paolo Paladini
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  6. Giuseppe Porcellini
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Correspondence to Giovanni Merolla.

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Merolla, G., Cerciello, S., Marenco, S. et al. Comparison of shoulder replacement to treat osteoarthritis secondary to instability surgery and primary osteoarthritis: a retrospective controlled study of patient outcomes. International Orthopaedics (SICOT) 42, 2147–2157 (2018). https://doi.org/10.1007/s00264-018-3969-9

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  • DOI: https://doi.org/10.1007/s00264-018-3969-9

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