{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:43:52Z","timestamp":1778503432707,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2017,6,29]],"date-time":"2017-06-29T00:00:00Z","timestamp":1498694400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,6,29]],"date-time":"2017-06-29T00:00:00Z","timestamp":1498694400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the outcomes of arthroscopic glenoid resurfacing (AGR) for severe glenohumeral arthritis at short\u2010 to medium\u2010term follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a multicenter retrospective review of consecutive patients undergoing AGR (2005\u20102013) with a minimum of 2\u00a0years' follow\u2010up or until revision. Patients lost to follow\u2010up and those included in a prior study were excluded. The indications for AGR were severe primary shoulder osteoarthritis without significant bone loss in younger, higher\u2010demand patients. Outcome measures included revision, pain and American Shoulder and Elbow Surgeons (ASES) scores, and range of motion. Exact logistic regression was used to assess preoperative risk factors for revision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010three shoulders with an average of 60\u00a0months' clinical follow\u2010up underwent AGR. The rate of revision to prosthetic arthroplasty was 23% (95% confidence interval [CI], 12%\u201039%) after a mean of 45\u00a0months. The visual analog scale pain score (0\u201010) improved from a median of 7 to 2 (median difference [\u0394], 4 [95% CI, 3\u20106];\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001), representing pain relief similar to total shoulder arthroplasty in young patients. Improvements in the median ASES score (from 47 to 76; \u0394, 28 [95% CI, 17\u201040];\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001), active forward elevation (from 110\u00b0 to 140\u00b0; \u0394, 20\u00b0 [95% CI, 10\u00b0\u201035\u00b0];\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001), and active external rotation (from 0\u00b0 to 20\u00b0; \u0394, 10\u00b0 [95% CI, 5\u00b0\u201020\u00b0];\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .0001) were noted. The mean age of revised shoulders (60\u00a0years [95% CI, 54\u201066\u00a0years]) was higher than that of surviving shoulders (53\u00a0years [95% CI, 50\u201057\u00a0years],\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .005). The preoperative ASES score of revised shoulders (34 [95% CI, 27\u201042]) was lower than that of surviving shoulders (47 [95% CI, 43\u201051],\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .006). No complications were noted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>AGR with dermal allograft is a safe option for joint preservation in selected patients, provides pain relief, and has an acceptable rate of revision to prosthetic arthroplasty at short\u2010term to midterm follow\u2010up. Increased age and lower preoperative ASES score were risk factors for failure of AGR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2017.04.005","type":"journal-article","created":{"date-parts":[[2017,6,28]],"date-time":"2017-06-28T13:01:06Z","timestamp":1498654866000},"page":"1920-1925","source":"Crossref","is-referenced-by-count":12,"title":["Arthroscopic Joint Preservation in Severe Glenohumeral Arthritis Using Interpositional Human Dermal Allograft"],"prefix":"10.1002","volume":"33","author":[{"given":"Robert U.","family":"Hartzler","sequence":"first","affiliation":[{"name":"The San Antonio Orthopaedic Group and Burkhart Research Institute for Orthopaedics San Antonio Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabelo","family":"Melapi","sequence":"additional","affiliation":[{"name":"Cape Shoulder Institute Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joe F.","family":"de Beer","sequence":"additional","affiliation":[{"name":"Cape Shoulder Institute Cape Town South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen S.","family":"Burkhart","sequence":"additional","affiliation":[{"name":"The San Antonio Orthopaedic Group and Burkhart Research Institute for Orthopaedics San Antonio Texas U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,29]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199804000-00002"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2007.11.004"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.05.006"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.07.016"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.09.016"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bor.0000240367.62583.51"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X0202200315"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.bte.0000135965.23606.f0"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.02.018"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.03.003"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-010-1155-8"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.10.001"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.10.028"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.11.016"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.07.008"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.5042"},{"key":"e_1_2_2_18_2","first-page":"389","volume-title":"Advanced 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