caa a22 4500 605459851 CHVBK 20210128100236.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00167-014-2981-x doi (NATIONALLICENCE)springer-10.1007/s00167-014-2981-x Arthroscopic partial shoulder resurfacing [Elektronische Daten] [Werner Anderl, Bernhard Kriegleder, Manfred Neumaier, Brenda Laky, Philipp Heuberer] 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. Springer-Verlag Berlin Heidelberg, 2014 Arthroscopic shoulder resurfacing nationallicence Focal chondral defect nationallicence Partial humeral head resurfacing nationallicence Glenohumeral arthritis nationallicence Subscapularis preservation nationallicence Clinical outcomes nationallicence Anderl Werner Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria aut Kriegleder Bernhard Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria aut Neumaier Manfred Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria aut Laky Brenda Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria aut Heuberer Philipp Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/5(2015-05-01), 1563-1570 0942-2056 23:5<1563 2015 23 167 https://doi.org/10.1007/s00167-014-2981-x text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-2981-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Anderl Werner Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria aut NATIONALLICENCE 700 1- Kriegleder Bernhard Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria aut NATIONALLICENCE 700 1- Neumaier Manfred Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria aut NATIONALLICENCE 700 1- Laky Brenda Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria aut NATIONALLICENCE 700 1- Heuberer Philipp Department of Orthopedics, St. Vincent Hospital, Stumpergasse 13, 1060, Vienna, Austria aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/5(2015-05-01), 1563-1570 0942-2056 23:5<1563 2015 23 167