Glenohumeral osteoarthritis in young patients: Stemless total shoulder arthroplasty trumps resurfacing arthroplasty–Affirms

Abstract

In the past 2 decades, advancements have been made in procedures for preserving and restoring the function of the proximal humerus when treating glenohumeral (GH) osteoarthritis. This review addresses two surgical options for GH osteoarthritis in the young patient, stemless total shoulder arthroplasty and resurfacing arthroplasty. These procedures preserve bone stock, have low complication rates, ease future revision if indicated, and report equal if not superior results compared with stemmed implant options. Comparative studies especially of long-term clinical outcomes of humeral resurfacing and stemless implants are still needed to make an informed treatment decision, especially in the young patient. © 2017