Younger patients with glenohumeral arthritics are more likely than older ones to expect to live longer and have a more complex disease. As emphasized in The younger patient with shoulder arthritis – things to consider. and Why do patients under the age of 50 do less well after anatomic total shoulder arthroplasty? The management of glenohumeral joint arthritis requires excellent surgical technique and careful preoperative consideration.
The authors of Survivorship of shoulder arthroplasty for young patients with osteoarthritis: An Analysis of the Australian Orthopaedic Association National Joint Replacement Registry sought to compare the survivorship and reasons for revision in 1,564 patients aged <55 years with a primary diagnosis of osteoarthritis having one of five types of shoulder arthroplasty between April 2004 to December 2020: total shoulder arthroplasty (TSA)(45.7%), hemiarthroplasty resurfacing (HRA) (23.1%), hemiarthroplasty stemmed metal head (HSMH)(4.5%), reverse total shoulder arthroplasty (RTSA)(16.6%) and hemiarthroplasty stemmed pyrocarbon head (HSPH) (10.2%) (see Does the innovation of pyrocarbon humeral head prostheses add value for young patients with arthritis?).
