Outcome and revision rate of uncemented glenohumeral resurfacing (C.A.P.) after 5–8 years

P. C. Geervliet*, M. P.J. van den Bekerom, P. Spruyt, M. Curvers, A. van Noort, C. P.J. Visser

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: Resurfacing of the glenohumeral joint for patients with glenohumeral arthritis has gained popularity since the first introduction. We report the mid-term results of the Global C.A.P. uncemented resurfacing shoulder prosthesis (DePuy Synthes). Methods: From January 2007 to December 2009, 48 humeral cementless resurfacing prostheses in 46 patients were performed. All patients were diagnosed with primary glenohumeral osteoarthritis. Patients were contacted for review; the Constant Score, visual analog pain scale, Dutch Simple Shoulder Test, SF-12 scores and physical examination were assessed both preoperatively and yearly postoperatively. Complications and revision surgery were documented. Radiographs were evaluated for component size, offset, inclination, height, loosening and subluxation. Results: Forty-six patients (12 males) with a mean age of 72 years old (range 59–89) were included. At a mean 6.4-year follow-up (range 5–8), the Constant Score, visual analog pain scale and the Dutch Simple Shoulder Test scores improved significantly (p < 0.05) from baseline. Three patients were lost to follow-up. One patient died and two patients were not able to attend the follow-up appointments, due to other health-related issues. Eleven patients (23%) had a revision operation. Conclusions: The most important findings of this study of the Global C.A.P. shoulder resurfacing arthroplasty were an increase of range of motion, a reduction of pain complaints, but a concerning high rate of revision after mid-term follow-up. Level of evidence: Therapeutic Level IV.

Original languageEnglish
Pages (from-to)771-778
Number of pages8
JournalArchives of Orthopaedic and Trauma Surgery
Volume137
Issue number6
DOIs
Publication statusPublished - 1 Jun 2017
Externally publishedYes

Keywords

  • Arthroplasty
  • Cementless
  • Glenoid
  • Humerus
  • Osteoarthritis
  • Resurfacing
  • Shoulder

Fingerprint Dive into the research topics of 'Outcome and revision rate of uncemented glenohumeral resurfacing (C.A.P.) after 5–8 years'. Together they form a unique fingerprint.

  • Cite this