Arthroscopic partial shoulder resurfacing

Verfasser / Beitragende:
[Werner Anderl, Bernhard Kriegleder, Manfred Neumaier, Brenda Laky, Philipp Heuberer]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/5(2015-05-01), 1563-1570
Format:
Artikel (online)
ID: 605459851
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024 7 0 |a 10.1007/s00167-014-2981-x  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-2981-x 
245 0 0 |a Arthroscopic partial shoulder resurfacing  |h [Elektronische Daten]  |c [Werner Anderl, Bernhard Kriegleder, Manfred Neumaier, Brenda Laky, Philipp Heuberer] 
520 3 |a Purpose: The purpose of this study was to report patients' clinical and subjective outcomes 2years after arthroscopic-assisted partial resurfacing of the humeral head. Methods: In this prospective case series, 11 patients (4 females, 7 males; median age, 59years; range 47-72) underwent arthroscopic-assisted partial shoulder resurfacing between April 2010 and March 2011. Clinical conditions and subjective assessments were evaluated before surgery and at 6weeks, 3 and 6months, and then annually after surgery using the Constant score (CS), active range of motion (ROM), the visual analogue scale (VAS) for pain, the American Shoulder and Elbow Surgeons scale (ASES), and the subjective shoulder value (SSV). Radiological outcomes and major complications were monitored. Results: The mean CS improved significantly from 54.6±13.6 preoperatively to 72.9±17.2 points 6weeks postoperatively (P=0.009). At the 2-year follow-up, the mean CS had further increased to 86.5±14.3 points (P<0.001). Trends towards increasing ROMs were detected. VAS, ASES, and SSV significantly improved from baseline to the first follow-up and maintained improvement after 2years. One patient required revision surgery owing to a technical failure and two patients because of rapidly progressive osteoarthritis. Ten of 11 patients (91%) claimed that they would undergo arthroscopic partial shoulder resurfacing again. Conclusion: Arthroscopic-assisted partial humeral head resurfacing, which has the advantages of bone stock preservation and the maintenance of an intact subscapularis tendon, allowed immediate postoperative mobilization and provided significant improvements in subjective outcomes, especially for pain relief in active patients without severe glenoid cartilage wear. Level of evidence: Therapeutic case series, Level IV. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Arthroscopic shoulder resurfacing  |2 nationallicence 
690 7 |a Focal chondral defect  |2 nationallicence 
690 7 |a Partial humeral head resurfacing  |2 nationallicence 
690 7 |a Glenohumeral arthritis  |2 nationallicence 
690 7 |a Subscapularis preservation  |2 nationallicence 
690 7 |a Clinical outcomes  |2 nationallicence 
700 1 |a Anderl  |D Werner  |u Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria  |4 aut 
700 1 |a Kriegleder  |D Bernhard  |u Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria  |4 aut 
700 1 |a Neumaier  |D Manfred  |u Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria  |4 aut 
700 1 |a Laky  |D Brenda  |u Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria  |4 aut 
700 1 |a Heuberer  |D Philipp  |u Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1563-1570  |x 0942-2056  |q 23:5<1563  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-2981-x  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-2981-x  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Anderl  |D Werner  |u Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kriegleder  |D Bernhard  |u Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Neumaier  |D Manfred  |u Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Laky  |D Brenda  |u Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Heuberer  |D Philipp  |u Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/5(2015-05-01), 1563-1570  |x 0942-2056  |q 23:5<1563  |1 2015  |2 23  |o 167