scholarly journals Is There a Role for Surface Replacement Arthroplasty in Today’s Orthopaedic Practice?

2018 ◽  
Vol 100 (21) ◽  
pp. e142
Author(s):  
Nicholas J. Giori
Keyword(s):  
Surface Replacement ◽  
Orthopaedic Practice ◽  
Surface Replacement Arthroplasty ◽  
Replacement Arthroplasty

Outcomes of Surface Replacement Arthroplasty in Metacarpophalangeal Joints Affected by Noninflammatory Arthritis

Hand ◽  
2021 ◽  
pp. 155894472110289
Author(s):  
Matthew R. Claxton ◽  
Eric R. Wagner ◽  
Marco Rizzo
Keyword(s):  
Reoperation Rate ◽  
Surface Replacement ◽  
Free Survival ◽  
Metacarpophalangeal Joints ◽  
Surface Replacement Arthroplasty ◽  
Replacement Arthroplasty ◽  
Pain Ratings ◽  
The Mean ◽  
Revision Operations

Background The purpose of this study was to investigate the outcomes of surface replacement arthroplasty (SRA) for noninflammatory arthritis of the metacarpophalangeal (MCP) joint. Methods Records from 20 SRAs performed between 1995 and 2017 in 17 patients with noninflammatory arthritis affecting the MCP joint were retrospectively reviewed. The mean follow up was 6.6 years. Results Three arthroplasties (15%) underwent 4 revision operations. The 2-, 5-, 10-, and 15-year rates of survival from surface replacement implant revision were 90%, 90%, 79%, and 79%, respectively. Major complications occurring in revised joints included arthrodesis (n = 1) and amputation (n = 1). The overall reoperation rate was 35%. The 2-, 5-, 10-, and 15-year rates of overall reoperation-free survival were 75%, 69%, 60%, and 60%, respectively. Conclusions Pain ratings and MCP arc of motion significantly improved following arthroplasty. Metacarpophalangeal SRA for noninflammatory arthritis can improve arc of motion and pain. Revision is uncommon; however, 1 in 3 joints requires reoperation.

Treatment of Osteonecrosis of the Humeral Head with Cementless Surface Replacement Arthroplasty

2009 ◽  
Vol 91 (2) ◽  
pp. 340-349 ◽  
Author(s):  
Patric Raiss ◽  
Philip Kasten ◽  
Florian Baumann ◽  
Michael Moser ◽  
Markus Rickert ◽  
...  
Keyword(s):  
Humeral Head ◽  
Surface Replacement ◽  
Surface Replacement Arthroplasty ◽  
Replacement Arthroplasty

Is there evidence to support an indication for surface replacement arthroplasty?

2019 ◽  
Vol 101-B (1_Supple_A) ◽  
pp. 32-40 ◽  
Author(s):  
M. D. Hellman ◽  
M. C. Ford ◽  
R. L. Barrack
Keyword(s):  
Stress Shielding ◽  
Patient Reported Outcome ◽  
Complication Rates ◽  
Surface Replacement ◽  
Hip Biomechanics ◽  
Surface Replacement Arthroplasty ◽  
Replacement Arthroplasty ◽  
Patient Reported ◽  
High Level

AimsSurface replacement arthroplasty (SRA), compared with traditional total hip arthroplasty (THA), is more expensive and carries unique concern related to metal ions production and hypersensitivity. Additionally, SRA is a more demanding procedure with a decreased margin for error compared with THA. To justify its use, SRA must demonstrate comparable component survival and some clinical advantages. We therefore performed a systematic literature review to investigate the differences in complication rates, patient-reported outcomes, stress shielding, and hip biomechanics between SRA and THA.Materials and MethodsA systematic review of the literature was completed using MEDLINE and EMBASE search engines. Inclusion criteria were level I to level III articles that reported clinical outcomes following primary SRA compared with THA. An initial search yielded 2503 potential articles for inclusion. Exclusion criteria included review articles, level IV or level V evidence, less than one year’s follow-up, and previously reported data. In total, 27 articles with 4182 patients were available to analyze.ResultsFracture and infection rates were similar between SRA and THA, while dislocation rates were lower in SRA compared with THA. SRA demonstrated equivalent patient-reported outcome scores with greater activity scores and a return to high-level activities compared with THA. SRA more reliably restored native hip joint biomechanics and decreased stress shielding of the proximal femur compared with THA.ConclusionIn young active men with osteoarthritis, there is evidence that SRA offers some potential advantages over THA, including: improved return to high level activities and sport, restoration of native hip biomechanics, and decreased proximal femoral stress shielding. Continued long-term follow up is required to assess ultimate survivorship of SRA.

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