AANA19 Shoulder Access Pass-Luca Libre_ Glenoid Patch for Young Active DJD-Dr. Felix H. Savoie, M.D.

Luca Libre_ Glenoid Patch for Young Active DJD-Dr. Felix H. Savoie, M.D.

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