Pyrocarbon hemiarthroplasty and the shoulder: biomechanical and clinical results of an emerging treatment option.

IF 1.8 Q2 ORTHOPEDICS Clinics in Shoulder and Elbow Pub Date : 2024-03-01 Epub Date: 2023-05-24 DOI:10.5397/cise.2023.00024
Mohamad Y Fares, Jaspal Singh, Peter Boufadel, Matthew R Cohn, Joseph A Abboud
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Abstract

While shoulder hemiarthroplasty is still used to treat young patients with shoulder pathology, the use of this procedure has substantially declined in recent years due to its significant complication profile. Glenoid wear with arthrosis is one of the major postoperative complications following shoulder hemiarthroplasty, and efforts to prevent this complication led many scientists to explore alternative weight-bearing surfaces on arthroplasty implants to decrease joint wear and improve patient outcomes. Pyrolytic carbon, or pyrocarbon, is a material that has better biocompatibility, survivorship, strength, and wear resistance compared to the materials used in traditional shoulder hemiarthroplasty. Pyrocarbon implants have been used in orthopedics for over 50 years; recently, their utility in shoulder hemiarthroplasty has garnered much interest. The purpose behind the use of pyrocarbon in shoulder hemiarthroplasty is to decrease the risk of progressive glenoid wear, especially in young active patients in whom joint preservation is important. Promising survivorship and outcomes have been demonstrated by recent studies, including limited glenoid wear following pyrocarbon hemiarthroplasty. Nevertheless, these clinical studies have been limited to relatively small case series with limited long-term follow-up. Accordingly, additional research and comparative studies need to be conducted in order to properly assess the therapeutic efficacy and value of pyrocarbon hemiarthroplasty.

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热碳半关节成形术与肩关节:一种新兴治疗方法的生物力学和临床效果。
虽然肩关节半关节成形术仍被用于治疗肩关节病变的年轻患者,但由于其并发症较多,近年来这种手术的使用已大幅减少。肩关节半关节成形术的主要术后并发症之一是关节盂磨损和关节坏死,为预防这一并发症,许多科学家开始探索关节成形术植入物的替代承重表面,以减少关节磨损,改善患者预后。与传统肩关节半关节成形术中使用的材料相比,热解碳或热碳材料具有更好的生物相容性、存活率、强度和耐磨性。热碳植入物在骨科领域的应用已有 50 多年的历史,最近,其在肩关节半置换术中的应用引起了广泛关注。在肩关节半关节置换术中使用热碳的目的是为了降低盂状关节逐渐磨损的风险,尤其是对于需要保留关节的年轻活跃患者。最近的研究表明,热碳半关节成形术后的存活率和效果都很好,包括有限的盂磨损。然而,这些临床研究仅限于相对较小的病例系列,长期随访有限。因此,为了正确评估热碳半关节成形术的疗效和价值,还需要进行更多的研究和比较研究。
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
55
审稿时长
15 weeks
期刊最新文献
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