{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T05:53:37Z","timestamp":1790142817722,"version":"4.0.1"},"reference-count":34,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2010,5,18]],"date-time":"2010-05-18T00:00:00Z","timestamp":1274140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The purpose of this study was to analyse the intermediate\u2010term results of an arthroscopic procedure to debride and resurface the arthritic glenoid, in a middle\u2010aged population, using an acellular human dermal scaffold. Between 2003 and 2005, thirty\u2010two consecutive patients underwent an arthroscopic debridement and biological glenoid resurfacing for glenohumeral arthritis. The diagnoses included primary osteoarthrosis (28 patients), arthritis after arthroscopic reconstruction for anterior instability (1 patient) and inflammatory arthritis (3 patients). All shoulders were assessed clinically using the Constant and Murley score, and results graded according to Neer\u2019s criteria. Statistical analysis was performed to determine significant parameters and associations. A significant improvement (<jats:italic>P<\/jats:italic> &lt; 0.0001) in each parameter of the subjective evaluation component (severity of pain, limitation in daily living and recreational activities) of the Constant score was observed. The Constant and Murley score increased significantly (<jats:italic>P<\/jats:italic> &lt; 0.0001) from a median of 40 points (range 26\u201363) pre\u2010operatively to 64.5 (range 19\u201384) at the final assessment. Overall, the procedure was considered as \u201csuccessful outcome\u201d in 23 patients (72%) and as a \u201cfailure\u201d in 9 patients (28%). According to Neer\u2019s criteria, the result was categorized as excellent in 9 (28%), satisfactory in 14 (44%) and unsatisfactory in 9 (28%). Within the unsatisfactory group, there were five conversions to prosthetic arthroplasty. A standard magnetic resonance imaging was performed on 22 patients in the successful outcome group; glenoid cartilage was identified in 12 (thick in 5, intermediate in 1, thin in 6) and could not be identified in 10 patients (complete\/incomplete loss in 5, technical difficulties in 5). Overall, five complications included transient axillary nerve paresis, foreign\u2010body reaction to biological material, inter\u2010layer dissociation, mild chronic non\u2010specific synovitis and post\u2010traumatic contusion. Dominance of affected extremity and generalized disease (diabetes, rheumatoid arthritis, generalized osteoarthritis) was associated with an unsatisfactory outcome (<jats:italic>P<\/jats:italic> &lt; 0.05). Arthroscopic debridement and biological resurfacing of the glenoid is a minimally invasive therapeutic option for pain relief, functional improvement and patient satisfaction, in glenohumeral osteoarthritis, in the intermediate\u2010term.<\/jats:p>","DOI":"10.1007\/s00167-010-1155-8","type":"journal-article","created":{"date-parts":[[2010,5,17]],"date-time":"2010-05-17T14:49:20Z","timestamp":1274107760000},"page":"1767-1773","source":"Crossref","is-referenced-by-count":52,"title":["Arthroscopic debridement and biological resurfacing of the glenoid in glenohumeral arthritis"],"prefix":"10.1002","volume":"18","author":[{"given":"Joe F.","family":"de Beer","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Cape Shoulder Institute Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak N.","family":"Bhatia","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Seth GS Medical College, and King Edward VII Memorial Hospital 400012 Parel, Mumbai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin S.","family":"van Rooyen","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Cape Shoulder Institute Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald F.","family":"Du Toit","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> University of Stellenbosch Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,5,18]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.05.001"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsb.2006.12.003"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.03.016"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00132589\u2010200112000\u201000004"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.btf.0000235417.46038.2b"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.03.003"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.11.018"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bte.0000135965.23606.f0"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058\u20102746(05)80019\u20109"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.sart.2006.11.017"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.120143"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198701000-00023"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.4103\/0973\u20106042.30673"},{"key":"e_1_2_8_15_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00318"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2001.116872"},{"key":"e_1_2_8_17_2","first-page":"289","volume-title":"Complex and revision problems in shoulder surgery","author":"Iannotti JP","year":"1997"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.16.4.494"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000201166.82690.23"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999\u2010007\u20100088\u20100"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00265735"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.01291"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00942"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.02.112"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.3109\/03009749009097632"},{"key":"e_1_2_8_26_2","first-page":"73","volume-title":"Rheumatoid arthritis surgery of the shoulder: rheumatology","author":"Miehlke RK","year":"1989"},{"key":"e_1_2_8_27_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198264030-00001"},{"key":"e_1_2_8_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010007\u20100375\u2010z"},{"key":"e_1_2_8_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.10.001"},{"key":"e_1_2_8_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.11.016"},{"key":"e_1_2_8_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/0007\u20101226(85)90049\u20109"},{"key":"e_1_2_8_32_2","first-page":"132","article-title":"Anatomical interposition arthroplasty with dermal graft. 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