The Journal of Bone and Joint Surgery (American). 2009;91:1228-1238.
doi:10.2106/JBJS.H.01082
© 2009 The Journal of Bone and Joint Surgery, Inc.
This Article
Right arrow Full Text Free
Right arrow Full Text (PDF) Free
Right arrow CME: Take the activities for this article:
 CME 2: April, May, June 2009 (publication date July 6, 2009; expiration dat...
Shoulder/Elbow Test 27: Summer 2009 (publication date August 14, 2009; expi...
Right arrow [FREE Spanish Translation]
Right arrow [Supplementary Material]
Right arrow Letters to the Editor: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Letters to the Editor are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow Rights and Permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Burgess, D. L.
Right arrow Articles by Mont, M. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Burgess, D. L.
Right arrow Articles by Mont, M. A.
Related Collections
Right arrow Current Concepts Review
Right arrow Shoulder
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Facebook   Add to Technorati   Add to Twitter  
What's this?

Current Concepts Review

Shoulder Resurfacing

Derrick L. Burgess, MD1, Mike S. McGrath, MD2, Peter M. Bonutti, MD3, David R. Marker, BS2, Ronald E. Delanois, MD2 and Michael A. Mont, MD2

1 Department of Orthopaedic Surgery, Howard University Hospital, 2041 Georgia Avenue, N.W., Washington, DC 20060
2 Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD 21215. E-mail address for M.A. Mont: mmont{at}lifebridgehealth.org
3 Bonutti Clinic, 1303 West Evergreen Avenue, Effingham, IL 62401

Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. Commercial entities (Wright Medical Technology and Stryker) paid or directed in any one year, or agreed to pay or direct, benefits in excess of $10,000 to a research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which one or more of the authors, or a member of his or her immediate family, is affiliated or associated.

Resurfacing is a type of shoulder arthroplasty that involves replacing the humeral joint surface with a metal covering, or cap, thus preserving the bone of the proximal part of the humerus. If the glenoid is also replaced, a current conventional polyethylene glenoid replacement prosthesis or an interposed soft-tissue graft is used.

The potential advantages of humeral resurfacing, as compared with conventional shoulder arthroplasty, are: (1) no osteotomy is performed (and thus the head-shaft angle does not have to be addressed); (2) minimal bone resection; (3) a short operative time; (4) a low prevalence of humeral periprosthetic fractures; and (5) ease of revision to a conventional total shoulder replacement, if needed.

Outcomes of surface replacement arthroplasty have been comparable with those of arthroplasties with a stemmed prosthesis in numerous short and mid-term follow-up studies.

Future studies are required to assess the long-term outcomes of humeral resurfacing and to evaluate alternative surface bearing materials, especially on the glenoid side.

Resurfacing appears to be a viable option for shoulder replacement, especially in young patients.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Facebook Facebook   Add to Technorati Technorati   Add to Twitter Twitter    What's this?