Shoulder Hemiarthroplasty Questions & Answers

1. van den Bekerom MP, Geervliet PC, Somford MP, van den Borne MP, Boer R. Total shoulder arthroplasty versus hemiarthroplasty for glenohumeral arthritis: A systematic review of the literature at long-term follow-up. Int J Shoulder Surg. 2013 Jul. 7 (3):110-5. [QxMD MEDLINE Link]. [Full Text].

2. Garrigues GE, Johnston PS, Pepe MD, Tucker BS, Ramsey ML, Austin LS. Hemiarthroplasty versus reverse total shoulder arthroplasty for acute proximal humerus fractures in elderly patients. Orthopedics. 2012 May. 35 (5):e703-8. [QxMD MEDLINE Link].

3. Warner JJP, Iannotti JP, Flatow EL, eds. Complex and Revision Problems in Shoulder Surgery. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2005.

4. Black EM, Higgins LD, Warner JJ. Value-based shoulder surgery: practicing outcomes-driven, cost-conscious care. J Shoulder Elbow Surg. 2013 Jul. 22 (7):1000-9. [QxMD MEDLINE Link].

5. Day JS, Lau E, Ong KL, Williams GR, Ramsey ML, Kurtz SM. Prevalence and projections of total shoulder and elbow arthroplasty in the United States to 2015. J Shoulder Elbow Surg. 2010 Dec. 19 (8):1115-20. [QxMD MEDLINE Link].

6. Athwal GS, Wiater JM. Shoulder joint replacement. OrthoInfo. Available at https://orthoinfo.aaos.org/en/treatment/shoulder-joint-replacement/. September 2021; Accessed: May 17, 2023.

7. Trofa D, Rajaee SS, Smith EL. Nationwide trends in total shoulder arthroplasty and hemiarthroplasty for osteoarthritis. Am J Orthop (Belle Mead NJ). 2014 Apr. 43 (4):166-72. [QxMD MEDLINE Link].

8. Lugli T. Artificial shoulder joint by Péan (1893): the facts of an exceptional intervention and the prosthetic method. Clin Orthop Relat Res. 1978 Jun. (133):215-8. [QxMD MEDLINE Link].

9. NEER CS 2nd. Articular replacement for the humeral head. J Bone Joint Surg Am. 1955 Apr. 37-A (2):215-28. [QxMD MEDLINE Link].

10. Neer CS 2nd. Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am. 1974 Jan. 56 (1):1-13. [QxMD MEDLINE Link].

11. Warner JJP. Trial without error: using 3D planning for shoulder replacement. Massachusetts General Hospital. Available at https://advances.massgeneral.org/ortho/article.aspx?id=1023. February 15, 2018; Accessed: May 17, 2023.

12. Witkowski M, Higgins LD, Warner JJ, Sherman M, Kaplan RS. How to design a bundled payment around value. Harvard Business Review. Available at https://hbr.org/2013/10/how-to-design-a-bundled-payment-around-value. October 3, 2013; Accessed: May 17, 2023.

13. Smith KL, Matsen FA 3rd. Total shoulder arthroplasty versus hemiarthroplasty. Current trends. Orthop Clin North Am. 1998 Jul. 29 (3):491-506. [QxMD MEDLINE Link].

14. Pearl ML, Romeo AA, Wirth MA, Yamaguchi K, Nicholson GP, Creighton RA. Decision making in contemporary shoulder arthroplasty. Instr Course Lect. 2005. 54:69-85. [QxMD MEDLINE Link].

15. Rhee PC, Sassoon AA, Schleck CD, Harmsen WS, Sperling JW, Cofield RH. Revision total shoulder arthroplasty for painful glenoid arthrosis after humeral head replacement: the posttraumatic shoulder. J Shoulder Elbow Surg. 2011 Dec. 20 (8):1255-64. [QxMD MEDLINE Link].

16. [Guideline] Management of glenohumeral joint osteoarthritis: evidence-based clinical practice guideline. American Academy of Orthopaedic Surgeons. Available at https://www.aaos.org/globalassets/quality-and-practice-resources/glenohumeral/gjo-cpg.pdf. March 23, 2020; Accessed: May 17, 2023.

17. Neer CS 2nd. Displaced proximal humeral fractures. I. Classification and evaluation. J Bone Joint Surg Am. 1970 Sep. 52 (6):1077-89. [QxMD MEDLINE Link].

18. Neer CS 2nd. Displaced proximal humeral fractures. II. Treatment of three-part and four-part displacement. J Bone Joint Surg Am. 1970 Sep. 52 (6):1090-103. [QxMD MEDLINE Link].

19. Edwards TB, Morris BJ. Shoulder Arthroplasty. 2nd ed. Philadelphia: Elsevier; 2018.

20. Wang J, Zhu Y, Zhang F, Chen W, Tian Y, Zhang Y. Meta-analysis suggests that reverse shoulder arthroplasty in proximal humerus fractures is a better option than hemiarthroplasty in the elderly. Int Orthop. 2016 Mar. 40 (3):531-9. [QxMD MEDLINE Link].

21. Shukla DR, McAnany S, Kim J, Overley S, Parsons BO. Hemiarthroplasty versus reverse shoulder arthroplasty for treatment of proximal humeral fractures: a meta-analysis. J Shoulder Elbow Surg. 2016 Feb. 25 (2):330-40. [QxMD MEDLINE Link].

22. Jain NB, Kuye I, Higgins LD, Warner JJ. Surgeon volume is associated with cost and variation in surgical treatment of proximal humeral fractures. Clin Orthop Relat Res. 2013 Feb. 471 (2):655-64. [QxMD MEDLINE Link]. [Full Text].

23. Neuhaus V, Bot AG, Swellengrebel CH, Jain NB, Warner JJ, Ring DC. Treatment choice affects inpatient adverse events and mortality in older aged inpatients with an isolated fracture of the proximal humerus. J Shoulder Elbow Surg. 2014 Jun. 23 (6):800-6. [QxMD MEDLINE Link]. [Full Text].

24. Jawa A, Yi PH, Boykin RE, Gardner MJ, Gerber C, Lorich DG, et al. Treatment of proximal humerus fractures: comparison of shoulder and trauma surgeons. Am J Orthop (Belle Mead NJ). 2015 Feb. 44 (2):77-81. [QxMD MEDLINE Link].

25. Pfahler M, Jena F, Neyton L, Sirveaux F, Molé D. Hemiarthroplasty versus total shoulder prosthesis: results of cemented glenoid components. J Shoulder Elbow Surg. 2006 Mar-Apr. 15 (2):154-63. [QxMD MEDLINE Link].

26. Gartsman GM, Roddey TS, Hammerman SM. Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis. J Bone Joint Surg Am. 2000 Jan. 82 (1):26-34. [QxMD MEDLINE Link].

27. Bryant D, Litchfield R, Sandow M, Gartsman GM, Guyatt G, Kirkley A. A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. A systematic review and meta-analysis. J Bone Joint Surg Am. 2005 Sep. 87 (9):1947-56. [QxMD MEDLINE Link].

28. Eichinger JK, Miller LR, Hartshorn T, Li X, Warner JJ, Higgins LD. Evaluation of satisfaction and durability after hemiarthroplasty and total shoulder arthroplasty in a cohort of patients aged 50 years or younger: an analysis of discordance of patient satisfaction and implant survival. J Shoulder Elbow Surg. 2016 May. 25 (5):772-80. [QxMD MEDLINE Link].

29. Sperling JW, Cofield RH, Schleck CD, Harmsen WS. Total shoulder arthroplasty versus hemiarthroplasty for rheumatoid arthritis of the shoulder: results of 303 consecutive cases. J Shoulder Elbow Surg. 2007 Nov-Dec. 16 (6):683-90. [QxMD MEDLINE Link].

30. Loebenberg MI, Plate AM, Zuckerman JD. Osteonecrosis of the humeral head. Instr Course Lect. 1999. 48:349-57. [QxMD MEDLINE Link].

31. Warner JJ, Shah A. Shoulder arthroplasty for the treatment of rotator cuff insufficiency. Instr Course Lect. 2011. 60:113-21. [QxMD MEDLINE Link].

32. Burkhead WZ Jr, Hutton KS. Biologic resurfacing of the glenoid with hemiarthroplasty of the shoulder. J Shoulder Elbow Surg. 1995 Jul-Aug. 4 (4):263-70. [QxMD MEDLINE Link].

33. Krishnan SG, Reineck JR, Nowinski RJ, Harrison D, Burkhead WZ. Humeral hemiarthroplasty with biologic resurfacing of the glenoid for glenohumeral arthritis. Surgical technique. J Bone Joint Surg Am. 2008 Mar. 90 Suppl 2 Pt 1:9-19. [QxMD MEDLINE Link].

34. Krishnan SG, Nowinski RJ, Harrison D, Burkhead WZ. Humeral hemiarthroplasty with biologic resurfacing of the glenoid for glenohumeral arthritis. Two to fifteen-year outcomes. J Bone Joint Surg Am. 2007 Apr. 89 (4):727-34. [QxMD MEDLINE Link].

35. Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S. The normal glenohumeral relationships. An anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am. 1992 Apr. 74 (4):491-500. [QxMD MEDLINE Link].

36. Boileau P, Walch G. The three-dimensional geometry of the proximal humerus. Implications for surgical technique and prosthetic design. J Bone Joint Surg Br. 1997 Sep. 79 (5):857-65. [QxMD MEDLINE Link].

37. Clavert P, Gilbart M, Gerber A, Warner JJP. Technique of accurate humeral length restoration for hemiarthroplasty of the shoulder. Orthop J Harvard Med Schl. 2003. 5:142-4. [Full Text].

38. Brown TD, Bigliani LU. Complications with humeral head replacement. Orthop Clin North Am. 2000 Jan. 31 (1):77-90. [QxMD MEDLINE Link].

39. Cordasco FA, Bigliani LU. Complications of shoulder arthroplasty. Semin Arthroplasty. 1997. 8:341-57.

40. Walch G, Vezeridis PS, Boileau P, Deransart P, Chaoui J. Three-dimensional planning and use of patient-specific guides improve glenoid component position: an in vitro study. J Shoulder Elbow Surg. 2015 Feb. 24 (2):302-9. [QxMD MEDLINE Link].

41. Wylie JD, Tashjian RZ. Planning software and patient-specific instruments in shoulder arthroplasty. Curr Rev Musculoskelet Med. 2016 Mar. 9 (1):1-9. [QxMD MEDLINE Link]. [Full Text].

42. Levy O, Copeland SA. Cementless surface replacement arthroplasty of the shoulder. 5- to 10-year results with the Copeland mark-2 prosthesis. J Bone Joint Surg Br. 2001 Mar. 83 (2):213-21. [QxMD MEDLINE Link].

43. Matsen FA III, Cordasco FA, Sperling JW, Lippitt SB, Antuña S, Bois AJ, et al, eds. Rockwood and Matsen's The Shoulder. 6th ed. Philadelphia: Elsevier; 2022.

44. de Boer P, Buckley R, Hoppenfeld S. The shoulder. Surgical Exposures in Orthopaedics: The Anatomic Approach. 6th ed. Philadelphia: Wolters Kluwer; 2022. 1-72.

45. Parsons IM 4th, Millett PJ, Warner JJ. Glenoid wear after shoulder hemiarthroplasty: quantitative radiographic analysis. Clin Orthop Relat Res. 2004 Apr. (421):120-5. [QxMD MEDLINE Link].

46. Padegimas EM, Maltenfort M, Ramsey ML, Williams GR, Parvizi J, Namdari S. Periprosthetic shoulder infection in the United States: incidence and economic burden. J Shoulder Elbow Surg. 2015 May. 24 (5):741-6. [QxMD MEDLINE Link].

47. Dilisio MF, Miller LR, Warner JJ, Higgins LD. Arthroscopic tissue culture for the evaluation of periprosthetic shoulder infection. J Bone Joint Surg Am. 2014 Dec 3. 96 (23):1952-8. [QxMD MEDLINE Link].

48. Yadeau JT, Liu SS, Bang H, Shaw PM, Wilfred SE, Shetty T, et al. Cerebral oximetry desaturation during shoulder surgery performed in a sitting position under regional anesthesia. Can J Anaesth. 2011 Nov. 58 (11):986-92. [QxMD MEDLINE Link].

49. Trentman TL, Fassett SL, Thomas JK, Noble BN, Renfree KJ, Hattrup SJ. More hypotension in patients taking antihypertensives preoperatively during shoulder surgery in the beach chair position. Can J Anaesth. 2011 Nov. 58 (11):993-1000. [QxMD MEDLINE Link].

50. Boileau P, Krishnan SG, Tinsi L, Walch G, Coste JS, Molé D. Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. J Shoulder Elbow Surg. 2002 Sep-Oct. 11 (5):401-12. [QxMD MEDLINE Link].

51. Boileau P, Trojani C, Walch G, Krishnan SG, Romeo A, Sinnerton R. Shoulder arthroplasty for the treatment of the sequelae of fractures of the proximal humerus. J Shoulder Elbow Surg. 2001 Jul-Aug. 10 (4):299-308. [QxMD MEDLINE Link].

52. Parnes N, Rolf R, Zimmer Z, et al. Management of failed hemiarthroplasty with reverse prosthesis. Tech Shoulder Elbow Surg. 2008. 9 (4):216-25.

53. Levy J, Frankle M, Mighell M, Pupello D. The use of the reverse shoulder prosthesis for the treatment of failed hemiarthroplasty for proximal humeral fracture. J Bone Joint Surg Am. 2007 Feb. 89 (2):292-300. [QxMD MEDLINE Link].

54. Jawa A, Shi L, O'Brien T, Wells J, Higgins L, Macy J, et al. Prosthesis of antibiotic-loaded acrylic cement (PROSTALAC) use for the treatment of infection after shoulder arthroplasty. J Bone Joint Surg Am. 2011 Nov 2. 93 (21):2001-9. [QxMD MEDLINE Link].

55. Muh SJ, Streit JJ, Lenarz CJ, McCrum C, Wanner JP, Shishani Y, et al. Resection arthroplasty for failed shoulder arthroplasty. J Shoulder Elbow Surg. 2013 Feb. 22 (2):247-52. [QxMD MEDLINE Link].

Paul H Eichenseer Ohio University College of Osteopathic Medicine

Disclosure: Nothing to disclose.

Robert J Nowinski, DO Clinical Assistant Professor of Orthopaedic Surgery, Ohio State University College of Medicine and Public Health, Ohio University College of Osteopathic Medicine; Private Practice, Orthopedic and Neurological Consultants, Inc, Columbus, Ohio

Robert J Nowinski, DO is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Medical Association, Ohio State Medical Association, Ohio Osteopathic Association, American College of Osteopathic Surgeons, American Osteopathic Association

Disclosure: Received grant/research funds from Tornier for other; Received honoraria from Tornier for speaking and teaching.

Dinesh Patel, MD, FACS Emeritus Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital; Emeritus Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School

Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons

Disclosure: Nothing to disclose.

Kathryn M Welp, MS Research Assistant, Department of Orthopedic Surgery, Boston Shoulder Institute, Massachusetts General Hospital

Disclosure: Nothing to disclose.

Michelle J Chang, BS Clinical Research Assistant, Department of Orthopedic Surgery, Boston Shoulder Institute, Massachusetts General Hospital

Disclosure: Nothing to disclose.

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