Shoulder HemiCAP Has the Lowest Revision Rates at 5 Years

June 13, 2016

shoulder replacement Stemmed total shoulder replacement has been the standard of care in modern shoulder replacement for the last decade or so. A traditional shoulder replacement consists of putting a metal rod (stem) and a metal head in the humerus (upper bone in your arm), and a cup shaped plastic surface on your glenoid (the socket in your shoulder). This ball and socket type replacement requires the existing humeral head be removed so that a stem can be placed in the bone. Removing the head also improves access to the glenoid which makes placing the socket implant easier. An Arthrosurface Shoulder HemiCAP consists of an implant that simply resurfaces the head, instead of removing it, and leaves the remainder of the joint intact. There is no stem, no plastic glenoid implant, so the joint is restored rather than replaced. While plenty of study reports indicate that a stemmed total shoulder provides better pain relief and functional outcomes than a stemmed hemi shoulder replacement (half shoulder replacement), there are other factors that need to be taken into consideration when choosing an option that is best for you.

Today, longer life expectancy, joint deterioration at an earlier age, and the increased functional demands of an active lifestyle, requires a more personalized approach to shoulder replacement. The modern patient may benefit from an alternative to a traditional stemmed replacement especially when you consider that the first implant may not be your last. When you combine increased patient demands, especially for patients under 65 years old, with the overall invasiveness of a stemmed shoulder replacement, the need for an alternative becomes much more obvious. Traditional stemmed replacements remove more bone, placing the implants anatomically is a major technical challenge and normal function is compromised since lifting weights, doing pushups and performing strenuous physical activities are usually not advised.

The Registry

The 2015 Australian Shoulder Arthroplasty Registry, one of the most important independent sources of implant survivorship,  underlines the importance of implant selection, particularly for younger patients: The report showed that the younger the patient age, the higher the revision rate. The Arthrosurface HemiCAP had the lowest 5 Year revision rate across all implant classes on the market. Other hemi resurfacings were over 6 times higher, stemmed hemiarthroplasty was 5 times higher and stemmed total shoulder replacement were 4.8 times higher. Read More. 

Conclusion

Based on these differences at the 5 year follow-up mark, implant selection plays an important role when considering which joint replacement option is chosen first, as it may influence the long term management of shoulder arthritis.

13 responses to “Shoulder HemiCAP Has the Lowest Revision Rates at 5 Years”

  1. Carol clymer says:

    Is 68 to old for the hemiCAP? I have just been Diagnoised for a total shoulder. I live in zip code 32162 can you tell me of a physician who uses this appliance. Thank you

  2. Elaine Cooper says:

    I’m 59 and diagnosed with severe degenerative arthritis in my right shoulder. I’m an active person, and I wonder if this implant is right for me? How do I research physicians who are using this implant in my area?
    Elaine, 95817 in CA

  3. Diana Bean says:

    I am a 70 yea female, and have been fairly active, however, in the past 10 years, I have had 2 shoulder surgeries and now I am dealing with constant pain and limited range of motion and was told I needed a reverse implant. I have researched this surgery and although it is said that the pain would be gone, so would my ability to golf and I would have limited range of motion. I have a unique situation in that 36 years ago, I had a massive stroke that was caused by hormone pills. I had to learn to be left handed, walk, read and write all over again. I went through 2 years of occupational and physical therapy and have adapted very well. I was a successful Realtor for 30 years in Columbus, Ohio, golfed and was active. However, over the past several years, the pain has returned and my activities are nearly null. I received an email explaining about the Arthrosurface surgery and I am very interested in finding a doctor near or reasonably close to my area 33907 (Fort Myers, Florida), to see if I am a candidate for this surgery, as well as any information that would help me to make a decision. I am retired and have AARP United HealthCare HMO insurance. Thank you.

    • arthrosurface says:

      Hi Diana, We sent an email with more info. Let us know if you don’t receive

      • Diana Bean says:

        Yes, thank you, I did receive the email and I am interested in learning more about the process, as well as the expense. This would be a miracle for me if it is possible for me to have this procedure/surgery. I am very impressed with the testimonials and most of them having shoulder problems, seem to have the same problem as me. I have not been home long enough to return the call for the past few days, but I do intend to do so in the next few days. Again, thank you for your follow-up. Diana Bean

  4. Diana Bean says:

    Yes, thank you, I did receive the email and I am interested in learning more about the process, as well as the expense. This would be a miracle for me if it is possible for me to have this procedure/surgery. I am very impressed with the testimonials and most of them having shoulder problems, seem to have the same problem as me. I have not been home long enough to return the call for the past few days, but I do intend to do so in the next few days. Again, thank you for your follow-up. Diana Bean

  5. Dale says:

    Are there physicians in nj that perform this that accept United healthcare Community plan?

  6. THOMAS LAHEY says:

    Can anyone tell me an average lifespan for a shoulder hemicap?

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