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[Proximal humeral resurfacing. Whats today indication?]
J Sánchez-Hernández1, I Jiménez1, D Kiimetoglou1
1Departamento de Cirugía Ortopédica y Traumatología. Hospital Universitario Insular de Gran Canaria. Las Palmas de Gran Canaria, España.
Acta Ortopedica Mexicana
|June 12, 2019
Summary
Humeral resurfacing prostheses show promising functional outcomes for osteoarthritis patients, with high satisfaction rates and return to activities. Careful patient selection, particularly avoiding rotator cuff injury, is key for optimal results.
Area of Science:
- Orthopedic surgery
- Biomaterials science
Background:
- Humeral resurfacing prostheses literature presents mixed results regarding functional outcomes and revision rates.
- Clinical evaluation of resurfacing prosthesis efficacy is ongoing.
Purpose of the Study:
- To evaluate the clinical and functional outcomes of patients who underwent humeral resurfacing surgery at our center.
- To assess patient satisfaction and complication rates associated with the procedure.
Main Methods:
- Retrospective analysis of 19 cases (18 patients) with a mean follow-up of 31 months.
- Inclusion criteria: primary or secondary osteoarthritis.
- Data collected: demographic information, Constant scale, DASH questionnaire, complications, and patient satisfaction.
Main Results:
- Mean age 56 years; Constant score 73; DASH score 31.
- 94% resumed recreational activities, 81% resumed sports.
- Radiological findings included inferior glenoid conflict in 7 cases. Five complications occurred, including capsulitis and reoperations for glenoid wear.
- Patients without rotator cuff lesions had better functional scores.
Conclusions:
- Functional outcomes align with existing literature.
- Humeral resurfacing is a viable option for primary or secondary osteoarthritis, especially in patients without rotator cuff injury.
- Patient satisfaction was high, with willingness for reoperation if needed.
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