Shoulder hemiarthroplasty in patients with juvenile idiopathic arthritis.
Replacement of the shoulder in juvenile idiopathic arthritis is not often performed and there have been no published series to date. We present nine glenohumeral hemiarthroplasties in eight patients with systemic or polyarticular juvenile idiopathic arthritis. The mean follow-up was six years (59 to...
| Main Authors: | , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
2005
|
| _version_ | 1797081224165982208 |
|---|---|
| author | Thomas, S Price, A Sankey, R Thomas, M |
| author_facet | Thomas, S Price, A Sankey, R Thomas, M |
| author_sort | Thomas, S |
| collection | OXFORD |
| description | Replacement of the shoulder in juvenile idiopathic arthritis is not often performed and there have been no published series to date. We present nine glenohumeral hemiarthroplasties in eight patients with systemic or polyarticular juvenile idiopathic arthritis. The mean follow-up was six years (59 to 89 months). The mean age at the time of surgery was 32 years. Surgery took place at a mean of 27 years after diagnosis. The results indicated excellent relief from pain. There was restoration of useful function which deteriorated with time, in part because of progression of the systemic disease in this severely affected group. No patient has required revision to date and there has been no radiological evidence of loosening or osteolysis around the implants. We discuss the pathoanatomical challenges unique to this group. There was very little space for a prosthetic joint and, in some cases, bony deformity and the small size necessitated the use of custom-made implants. |
| first_indexed | 2024-03-07T01:11:33Z |
| format | Journal article |
| id | oxford-uuid:8d2d8113-5d73-4bcf-80de-5b9ff58ac6b0 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T01:11:33Z |
| publishDate | 2005 |
| record_format | dspace |
| spelling | oxford-uuid:8d2d8113-5d73-4bcf-80de-5b9ff58ac6b02022-03-26T22:49:34ZShoulder hemiarthroplasty in patients with juvenile idiopathic arthritis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8d2d8113-5d73-4bcf-80de-5b9ff58ac6b0EnglishSymplectic Elements at Oxford2005Thomas, SPrice, ASankey, RThomas, MReplacement of the shoulder in juvenile idiopathic arthritis is not often performed and there have been no published series to date. We present nine glenohumeral hemiarthroplasties in eight patients with systemic or polyarticular juvenile idiopathic arthritis. The mean follow-up was six years (59 to 89 months). The mean age at the time of surgery was 32 years. Surgery took place at a mean of 27 years after diagnosis. The results indicated excellent relief from pain. There was restoration of useful function which deteriorated with time, in part because of progression of the systemic disease in this severely affected group. No patient has required revision to date and there has been no radiological evidence of loosening or osteolysis around the implants. We discuss the pathoanatomical challenges unique to this group. There was very little space for a prosthetic joint and, in some cases, bony deformity and the small size necessitated the use of custom-made implants. |
| spellingShingle | Thomas, S Price, A Sankey, R Thomas, M Shoulder hemiarthroplasty in patients with juvenile idiopathic arthritis. |
| title | Shoulder hemiarthroplasty in patients with juvenile idiopathic arthritis. |
| title_full | Shoulder hemiarthroplasty in patients with juvenile idiopathic arthritis. |
| title_fullStr | Shoulder hemiarthroplasty in patients with juvenile idiopathic arthritis. |
| title_full_unstemmed | Shoulder hemiarthroplasty in patients with juvenile idiopathic arthritis. |
| title_short | Shoulder hemiarthroplasty in patients with juvenile idiopathic arthritis. |
| title_sort | shoulder hemiarthroplasty in patients with juvenile idiopathic arthritis |
| work_keys_str_mv | AT thomass shoulderhemiarthroplastyinpatientswithjuvenileidiopathicarthritis AT pricea shoulderhemiarthroplastyinpatientswithjuvenileidiopathicarthritis AT sankeyr shoulderhemiarthroplastyinpatientswithjuvenileidiopathicarthritis AT thomasm shoulderhemiarthroplastyinpatientswithjuvenileidiopathicarthritis |