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Article in English, Spanish | MEDLINE | ID: mdl-30503809

ABSTRACT

OBJECTIVE: The aim of this study was to report the short-term results and complications of partial humeral head resurfacing (HemiCup®) in patients treated by avascular necrosis. MATERIAL AND METHODS: Between 2010 and 2014, 9 patients who underwent partial resurfacing of humeral head were evaluated. All the patients were treated by avascular necrosis. The mean follow-up was 44 months (minimum 24 months). The average age was 47 years (range 32-57 years). The patients were evaluated clinically and radiologically. Complications were reported. RESULTS: The patients had a significant improvement in functional scores and mobility between the pre-operative and last follow-up control. The Constant score improved from 35 to 79 points (P<.001), ASES score improved from 31 to 76 points (P<.001), forward flexion and external rotation improved from 101 to 150° (P<.001), and from 24 to 45° (P<.001), respectively. One patient presented symptomatic glenoid wear during follow-up, requiring revision surgery. CONCLUSION: In our patients treated by avascular necrosis, the partial resurfacing of humeral head (HemiCup®) demonstrated a significant improvement in functional scores and mobility with an average follow-up of 44 months.


Subject(s)
Arthroplasty, Replacement, Shoulder/methods , Hemiarthroplasty/methods , Humeral Head/surgery , Osteonecrosis/surgery , Adult , Arthroplasty, Replacement, Shoulder/instrumentation , Female , Follow-Up Studies , Hemiarthroplasty/instrumentation , Humans , Male , Middle Aged , Shoulder Prosthesis , Treatment Outcome
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