Arthroplasty
Total shoulder arthroplasty and hemiarthroplasty are options when treating patients with glenohumeral joint osteoarthritis.
LIMITED RECOMMENDATION Rationale
The body of evidence4, 16, 17, 18, 19 , 20, 21 supports the use of total shoulder arthroplasty or hemiarthroplasty for glenohumeral osteoarthritis. However, there is no reliable evidence for the use of humeral resurfacing in the existing literature for the treatment of glenohumeral joint osteoarthritis. Total shoulder arthroplasty or hemiarthroplasty provide significant improvements in pain, global health assessment, function, and quality of life scores 4, 16, 17, 18, 19, 20, 21. The majority of studies 4, 18, 21 supported the use of hemiarthroplasty when performed in patients with naturally concentric glenoids or those reamed to concentricity.
- (16) Raiss P, Aldinger PR, Kasten P, Rickert M, Loew M. Total shoulder replacement in young and middle-aged patients with glenohumeral osteoarthritis. J Bone Joint Surg Br 2008;90(6):764-769.
- (17) Lannotti JP, Norris TR. Influence of preoperative factors on outcome of shoulder arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 2003;85-A(2):251-258.
- (18) Gartsman GM, Roddey TS, Hammerman SM. Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis. J Bone Joint Surg Am 2000;82(1):26-34.
- (19) Boorman RS, Kopjar B, Fehringer E, Churchill RS, Smith K, Matsen FA, III. The effect of total shoulder arthroplasty on self-assessed health status is comparable to that of total hip arthroplasty and coronary artery bypass grafting. J Shoulder Elbow Surg 2003;12(2):158-163.
- (20) Fehringer EV, Kopjar B, Boorman RS, Churchill RS, Smith KL, Matsen FA, III. Characterizing the functional improvement after total shoulder arthroplasty for osteoarthritis. J Bone Joint Surg Am 2002;84-A(8):1349-1353.
- (21) Wirth MA, Tapscott RS, Southworth C, Rockwood CA, Jr. Treatment of glenohumeral arthritis with a hemiarthroplasty: a minimum five-year follow-up outcome study. J Bone Joint Surg Am 2006;88(5):964-973.
- (4) Orfaly RM, Rockwood CA, Jr., Esenyel CZ, Wirth MA. A prospective functional outcome study of shoulder arthroplasty for osteoarthritis with an intact rotator cuff. J Shoulder Elbow Surg 2003;12(3):214-221.