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The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis.

Publication ,  Journal Article
Strauss, EJ; Verma, NN; Salata, MJ; McGill, KC; Klifto, C; Nicholson, GP; Cole, BJ; Romeo, AA
Published in: J Shoulder Elbow Surg
March 2014

BACKGROUND: The current study evaluated the outcomes of biologic resurfacing of the glenoid using a lateral meniscus allograft or human acellular dermal tissue matrix at intermediate-term follow-up. METHODS: Forty-five patients (mean age, 42.2 years) underwent biologic resurfacing of the glenoid, and 41 were available for follow-up at a mean of 2.8 years. Lateral meniscal allograft resurfacing was used in 31 patients and human acellular dermal tissue matrix interposition in 10. Postoperative range of motion and clinical outcomes were assessed at the final follow-up. RESULTS: The overall clinical failure rate was 51.2%. The lateral meniscal allograft cohort had a failure rate of 45.2%, with a mean time to failure of 3.4 years. Human acellular dermal tissue matrix interposition had a failure rate of 70.0%, with a mean time to failure of 2.2 years. Overall, significant improvements were seen compared with baseline with respect to the visual analog pain score (3.0 vs. 6.3), American Shoulder and Elbow Surgeons score (62.0 vs. 36.8), and Simple Shoulder Test score (7.0 vs. 4.0). Significant improvements were seen for forward elevation (106° to 138°) and external rotation (31° to 51°). CONCLUSION: Despite significant improvements compared with baseline values, biologic resurfacing of the glenoid resulted in a high rate of clinical failure at intermediate follow-up. Our results suggest that biologic resurfacing of the glenoid may have a minimal and as yet undefined role in the management of glenohumeral arthritis in the young active patient over more traditional methods of hemiarthroplasty or total shoulder arthroplasty.

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Published In

J Shoulder Elbow Surg

DOI

EISSN

1532-6500

Publication Date

March 2014

Volume

23

Issue

3

Start / End Page

409 / 419

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Failure
  • Shoulder Joint
  • Reoperation
  • Range of Motion, Articular
  • Radiography
  • Postoperative Care
  • Osteoarthritis
  • Orthopedics
  • Middle Aged
 

Citation

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Strauss, E. J., Verma, N. N., Salata, M. J., McGill, K. C., Klifto, C., Nicholson, G. P., … Romeo, A. A. (2014). The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis. J Shoulder Elbow Surg, 23(3), 409–419. https://doi.org/10.1016/j.jse.2013.06.001
Strauss, Eric J., Nikhil N. Verma, Michael J. Salata, Kevin C. McGill, Christopher Klifto, Gregory P. Nicholson, Brian J. Cole, and Anthony A. Romeo. “The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis.J Shoulder Elbow Surg 23, no. 3 (March 2014): 409–19. https://doi.org/10.1016/j.jse.2013.06.001.
Strauss EJ, Verma NN, Salata MJ, McGill KC, Klifto C, Nicholson GP, et al. The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis. J Shoulder Elbow Surg. 2014 Mar;23(3):409–19.
Strauss, Eric J., et al. “The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis.J Shoulder Elbow Surg, vol. 23, no. 3, Mar. 2014, pp. 409–19. Pubmed, doi:10.1016/j.jse.2013.06.001.
Strauss EJ, Verma NN, Salata MJ, McGill KC, Klifto C, Nicholson GP, Cole BJ, Romeo AA. The high failure rate of biologic resurfacing of the glenoid in young patients with glenohumeral arthritis. J Shoulder Elbow Surg. 2014 Mar;23(3):409–419.
Journal cover image

Published In

J Shoulder Elbow Surg

DOI

EISSN

1532-6500

Publication Date

March 2014

Volume

23

Issue

3

Start / End Page

409 / 419

Location

United States

Related Subject Headings

  • Young Adult
  • Treatment Failure
  • Shoulder Joint
  • Reoperation
  • Range of Motion, Articular
  • Radiography
  • Postoperative Care
  • Osteoarthritis
  • Orthopedics
  • Middle Aged