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AANA19 Shoulder Access Pass
Luca Libre_ Glenoid Patch for Young Active DJD-Dr. ...
Luca Libre_ Glenoid Patch for Young Active DJD-Dr. Felix H. Savoie, M.D.
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Video Transcription
Video Summary
The talk discusses challenges in treating young patients (<60 years) with shoulder osteoarthritis, emphasizing that total shoulder arthroplasty often fails due to high activity levels and complex etiologies. Arthroscopic debridement offers mixed results, and reverse shoulders show high failure and complication rates in this group. The speaker advocates preserving anatomy and buying time with procedures like arthroscopic debridement and biological resurfacing using dermal patches, which show promising long-term outcomes (10-15 years). Tailored approaches based on joint congruency and activity needs enable young patients to return to sports and work, highlighting the need for innovative, patient-specific solutions beyond traditional shoulder replacement.
Keywords
shoulder osteoarthritis
young patients
total shoulder arthroplasty failure
arthroscopic debridement
biological resurfacing
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