Original articlesMinimum fifteen-year follow-up of Neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty years or younger
Section snippets
Materials and methods
Between January 1, 1976, and December 31, 1985, 78 Neer hemiarthroplasties and 36 Neer TSAs were performed in patients aged 50 years or younger. All 78 hemiarthroplasties and 36 TSAs were included in the Kaplan-Meier survival analysis, with a revision procedure defined as the endpoint. The patient characteristics of this cohort and method of data analysis with shorter follow-up have been reported previously.8 Sixteen hemiarthroplasties and seven TSAs included in the survival analysis were
Hemiarthroplasty
Four patients had postoperative complications not requiring a revision procedure. One had an immediate postoperative hematoma that resolved after aspiration. In another, subacromial bursitis developed 9 months after hemiarthroplasty, which resolved with a steroid injection. One patient sustained a brachial plexus neuropathy that resolved postoperatively. In one patient, an infection developed 2 months after hemiarthroplasty, which resolved after arthroscopic irrigation and intravenous
Discussion
In the past, there has been little information available to guide clinical decision making with regard to shoulder arthroplasty in young patients. In addition, there have been few long-term studies of shoulder arthroplasty in patients of all ages. A review of 41 series with 1858 TSAs revealed a mean follow-up of only 3.5 years.11 There were 21 reports with a minimum follow-up of 2 years; only 5 studies had a mean follow-up of 5 years or longer.11 To our knowledge, the present study has the
References (11)
- et al.
Survivorship of cemented total hip arthroplasty in patients 50 years of age or younger
J Arthroplasty
(1992) - et al.
Cemented total hip arthroplasty in patients younger than 50 years of age
Clin Orthop
(1993) Total shoulder arthroplasty with the Neer prosthesis
J Bone Joint Surg Am
(1984)- et al.
Long-term results of Charnley low-friction arthroplasty in young patients
J Bone Joint Surg Br
(1993) - et al.
Total hip replacement without cement for non-inflammatory osteoarthritis in patients who are less than forty-five years old
J Bone Joint Surg Am
(1993)
Cited by (389)
Pyrocarbon humeral heads for hemishoulder arthroplasty grant satisfactory clinical scores with minimal glenoid erosion at 5-9 years of follow-up
2024, Journal of Shoulder and Elbow SurgeryClinical outcomes of revision to anatomic total shoulder arthroplasty
2024, Seminars in Arthroplasty JSESAssessing ChatGPT responses to frequently asked questions regarding total shoulder arthroplasty
2024, Seminars in Arthroplasty JSESComparison of anatomic total shoulder arthroplasty outcomes in younger and older patients with primary glenohumeral arthritis
2024, Seminars in Arthroplasty JSESPyrocarbon hemiprostheses show little glenoid erosion and good clinical function at 5.5 years of follow-up
2024, Journal of Shoulder and Elbow Surgery