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  • Eight-year follow-up of resurfacing hemiarthroplasty for advanced glenohumeral osteoarthritis following total acromionectomy

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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Eight-year follow-up of resurfacing hemiarthroplasty for advanced glenohumeral osteoarthritis following total acromionectomy
  1. Zakk Borton1,
  2. Edward Ibrahim2,
  3. Kate Thomas3,
  4. Abbas Rashid4
  1. 1Trauma and Orthopaedics, Royal Derby Hospital, Derby, UK
  2. 2Trauma and Orthopaedics, West Middlesex University Hospital, Isleworth, UK
  3. 3School of Medicine, Cardiff University School of Medicine, Cardiff, UK
  4. 4Trauma and Orthopaedics, University College London Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Mr Zakk Borton, zakk.borton{at}doctors.org.uk

Summary

Total acromionectomy is now a largely historical procedure due to a number of biomechanical sequelae caused by defunctioning of the deltoid, although its overall effect on joint kinematics is uncertain. This presents a challenge when considering arthroplasty for subsequent glenohumeral arthritis. We report on successful management of such a case, treated with resurfacing hemiarthroplasty 57 years following acromionectomy. The patient continues to enjoy excellent functional outcome of the shoulder at 8 years after arthroplasty.

  • orthopaedic and trauma surgery
  • osteoarthritis

https://doi.org/10.1136/bcr-2018-226288

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    Footnotes

    • Contributors ZB, EI, KT and AR have contributed to the writing, proofing and final authorisation of this article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.