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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 6, 764-769.
doi: 10.1302/0301-620X.90B6.20387  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Total shoulder replacement in young and middle-aged patients with glenohumeral osteoarthritis

P. Raiss, MD, Research Fellow1; P. R. Aldinger, MD, PhD, Consultant Orthopaedic Surgeon1; P. Kasten, MD, PhD, Specialist Orthopaedic Surgeon1; M. Rickert, MD, PhD, Consultant Orthopaedic Surgeon1; and M. Loew, MD, PhD, Professor, Head of the Department of Shoulder and Elbow Surgery, Consultant Orthopaedic Surgeon1

1 Department of Shoulder and Elbow Surgery, Orthopaedic University Hospital of Heidelberg, Schlierbacher, Landstrasse, 200a, 69118 Heidelberg, Germany.

Correspondence should be sent to Dr P. Raiss; e-mail: Patric.Raiss{at}ok.uniheidelberg.de

Our aim in this prospective study was to evaluate the outcome of total shoulder replacement in the treatment of young and middle-aged active patients with primary glenohumeral osteoarthritis. We reviewed 21 patients (21 shoulders) with a mean age of 55 years (37 to 60). The mean follow-up was seven years (5 to 9). The same anatomical, third-generation, cemented implant had been used in all patients. All the patients were evaluated radiologically and clinically using the Constant and Murley score.

No patients required revision. In one a tear of the supraspinatus tendon occurred. Overall, 20 patients (95%) were either very satisfied (n = 18) or satisfied (n = 2) with the outcome. Significant differences (p < 0.0001) were found for all categories of the Constant and Murley score pre- and post-operatively. The mean Constant and Murley score increased from 24.1 points (10 to 45) to 64.5 points (39 to 93), and the relative score from 30.4% (11% to 50%) to 83% (54% to 116%). No clinical or radiological signs of loosening of the implant were seen.

For young and middle-aged patients with osteoarthritis, third-generation total shoulder replacement is a viable method of treatment with a low rate of complications and excellent results in the mid-term.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General