Related Experiment Video
Updated: May 30, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
[Clinical and radiological evaluation in hemiarthroplasty of the shoulder]
I Gutiérrez-Mendoza1, E Delgado-Arzate, A Gutiérrez-Meneses
1Traumatólogo y ortopedista. Módulo de Extremidad Torácica. Hospital de Ortopedia Victorio de la Fuente Narváez. Instituto Mexicano del Seguro Social (IMSS). México, Distrito Federal. México.
Objective:
To determine the medium-term functional and radiological results in patients with hemiarthroplasty of the shoulder.
Material And Methods:
A descriptive cross-sectional study was performed in 25 patients with glenohumeral osteoarthritis of any etiology, age, sex and occupation who underwent hemiarthroplasty of the shoulder using a deltopectoral approach with placement of a cemented modular hemiprosthesis; between November 2000 and December 2002. Functional evaluation (Constant 0-100 points) and radiological assessment were performed to determine the "radiological risk" of prosthetic clinical loosening. Descriptive and inferential statistics for the study variables were performed.
Results:
The prevalence of surgical disease was 0.4% of all first-time orthopedic consultations. The mean age was 61.7±12.49 (range 32-85 years); men accounted for 8.6% and women for 91.4%. The most frequent etiology was degenerative (45.8%). The most frequently affected side was the left (54.3%). With a mean follow-up of 19±8.6 months, functional evaluation was 60±12 points; radiological evaluation showed that 20.8% of the patients presented "radiological risk" for prosthetic clinical loosening whereas only 4.2% showed no line of radiolucency. Postoperative pain was significantly lower than preoperative pain (p<0.05); mean satisfaction was 72%. Complications occurred in 8.3%.
Conclusion:
The functionality of the operated shoulder was good and radiological evaluation showed satisfactory medium-term results in patients with hemiarthroplasty of the shoulder.
