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PyroTITAN Pyrocarbon Shoulder Hemiarthroplasty: Clinical and Radiographic Outcomes with Medium-Term Follow-up.

Gregory Hoy1,2, Kenan Burrows1,3, Andrew McBride4,5

  • 1Melbourne Orthopaedic Group, Windsor, Victoria, Australia.

The Journal of Bone and Joint Surgery. American Volume
|May 13, 2026
PubMed
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This summary is machine-generated.

PyroTITAN pyrocarbon hemiarthroplasty (HA) shows promising medium-term results for glenohumeral joint (GHJ) arthritis. This implant is a viable option for patients, including younger individuals, with significant improvements in function and a high survival rate.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science
  • Rheumatology

Background:

  • Pyrocarbon hemiarthroplasty (HA) is an emerging treatment for end-stage glenohumeral joint (GHJ) arthritis, particularly in younger patients.
  • Previous studies showed promising early outcomes but were limited by potential bias.
  • This study aimed to assess the medium-term clinical and radiographic results of the PyroTITAN pyrocarbon HA.

Purpose of the Study:

  • To evaluate the medium-term clinical and radiographic outcomes of PyroTITAN pyrocarbon HA.
  • To assess patient-reported outcome measures (PROMs) and clinician-evaluated functional parameters.
  • To determine implant survival rates and identify any complications over a 5-year period.

Main Methods:

  • A prospective study involving 119 shoulders (115 patients) undergoing PyroTITAN pyrocarbon HA for GHJ arthritis.

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  • PROMs (Western Ontario Osteoarthritis of the Shoulder Index, American Shoulder and Elbow Surgeons score) and clinical assessments (range of motion, abduction strength) were recorded preoperatively and at 6, 12, 24 months, and 5 years.
  • Radiographs were analyzed for glenoid erosion, and implant survival was calculated using Kaplan-Meier analysis.

    • Main Results:

    • Significant improvements were observed in all PROMs and range of motion at all postoperative follow-up points (6 months to 5 years).
    • Abduction strength significantly improved by 24 months postoperatively.
    • A low complication rate (5.9%) and revision rate (2.5%) were recorded, resulting in a 97.5% five-year implant survival rate. Glenoid erosion showed a non-significant increase.

    Conclusions:

    • The PyroTITAN HA implant demonstrates efficacy and safety for treating GHJ arthritis.
    • It is a viable treatment option for a broad patient age range, including younger individuals with GHJ arthritis.
    • The implant offers significant functional improvements and a high survival rate over a medium-term follow-up period.