Humeral Resurfacing Arthroplasty: Clinical, Functional and Radiological Assessment at a Mean Follow-Up of 11 Years
Stefano Giannotti,
Elisa Troiano,
Marco Saviori,
Nicholas Crippa Orlandi,
Tommaso Greco,
Carlo Perisano,
Giovanni Battista Colasanti,
Nicola Mondanelli
Affiliations
Stefano Giannotti
Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, Italy
Elisa Troiano
Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, Italy
Marco Saviori
Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, Italy
Nicholas Crippa Orlandi
Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, Italy
Tommaso Greco
Orthopedics and Trauma Surgery Unit, Department of Ageing, Neurosciences, Head-Neck and Orthopedics Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Carlo Perisano
Orthopedics and Trauma Surgery Unit, Department of Ageing, Neurosciences, Head-Neck and Orthopedics Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy
Giovanni Battista Colasanti
Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, Italy
Nicola Mondanelli
Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, Italy
Humeral resurfacing arthroplasty (HRA) entails the substitution of the articular surface alone with a prosthetic cap without a humeral stem. It is a more conservative procedure which can be easily converted in a total (anatomical or reverse) arthroplasty, if necessary. The present study aimed to evaluate the clinical and radiographical outcomes in a series of patients treated with HRA by a single surgeon. Thirty-three patients with a mean follow-up of 11 years were clinically (Constant score; disability of the arm, shoulder and hand score, DASH) and radiographically assessed before and after surgery. The Constant and DASH scores improved significantly after surgery, and only two cases needed revision surgery. HRA represents a valid therapeutic option in selected cases to improve the quality of life and prevents the need for more invasive procedures.
