4.3 Review

Pyrocarbon hemiarthroplasty of the shoulder: a systematic review and meta-analysis of clinical results

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Article Orthopedics

Short-term outcomes and survival of pyrocarbon hemiarthroplasty in the young arthritic shoulder

Caroline Cointat et al.

Summary: The study found that HA-PYC is a reliable procedure for treating shoulder osteoarthritis in active patients under 60 years old. The surgery resulted in a 92% survival rate for the prosthesis, with significant improvements in functional scores and return to work and sports. Glenoid erosion severity and associated glenoid reaming did not affect functional outcomes, while nonanatomic reconstruction of the proximal humerus was associated with lower functional outcomes and higher revision risks.

JOURNAL OF SHOULDER AND ELBOW SURGERY (2022)

Article Orthopedics

Mid-term outcomes of pyrolytic carbon humeral resurfacing hemiarthroplasty compared with metal humeral resurfacing and metal stemmed hemiarthroplasty for osteoarthritis in young patients: analysis from the Australian Orthopaedic Association National Joint Replacement Registry

Andrew Phillip McBride et al.

Summary: This study compared the survival rate of shoulder hemi-resurfacing using pyrocarbon with shoulder hemi-resurfacing and stemmed hemiarthroplasty using metallic heads. The results showed that pyrocarbon hemi-resurfacing arthroplasty had statistically lower revision rates at mid-term follow-up.

JOURNAL OF SHOULDER AND ELBOW SURGERY (2022)

Article Orthopedics

Osteoarthritis of the shoulder in under-50 year-olds: A multicenter retrospective study of 273 shoulders by the French Society for Shoulder and Elbow (SOFEC)

Jean Kany et al.

Summary: For patients under 50 with shoulder osteoarthritis, non-operative treatments like PRP, viscosupplementation and arthroscopy can delay shoulder replacement surgery, with anatomic total shoulder arthroplasty being the preferred solution after other options fail. The most negative factor is ER1 restriction.

ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH (2021)

Article Orthopedics

Poor results after pyrocarbon interpositional shoulder arthroplasty

Yoshihiro Hirakawa et al.

Summary: This study reviewed 10 cases of pyrocarbon interposition shoulder arthroplasty (PISA) and found a high clinical failure rate and poor outcomes in younger PISA patients with baseline Walch B glenohumeral osteoarthritis.

JOURNAL OF SHOULDER AND ELBOW SURGERY (2021)

Article

Pyrocarbon hemiarthroplasty of the shoulder: indications and pitfalls

Hugo Barret et al.

Seminars in Arthroplasty (2021)

Article Orthopedics

Promising results after hemi-shoulder arthroplasty using pyrolytic carbon heads in young and middle-aged patients

Stefanos Tsitlakidis et al.

Summary: This prospective cohort study aimed to assess the short-term outcome of shoulder hemiarthroplasty using pyrolytic carbon heads. The results at a mean follow-up of 24.3 months showed significant improvements in clinical and radiographic outcomes, with a high survival rate of 94.1%. Long-term follow-up and further comparisons with conventional hemiarthroplasty are needed to confirm these findings.

ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH (2021)