2021 AOSSM-AANA Combined Annual Meeting Recordings-Survivorship and Patient-Reported Outcomes After Comprehensive Arthroscopic Management of Glenohumeral Osteoarthritis: Minimum 10-Year Follow-up

Survivorship and Patient-Reported Outcomes After Comprehensive Arthroscopic Management of Glenohumeral Osteoarthritis: Minimum 10-Year Follow-up

Back to course

Video Transcription

Video Summary

In this video, Dr. Dan Haber from Panorama Orthopedics in Colorado discusses the CAM procedure for glenohumeral osteoarthritis in young patients. He acknowledges his co-authors, particularly Dr. Peter Millett, who pioneered this procedure. Traditional surgical techniques like arthroscopic debridement, hemiarthroplasty, biological resurfacing, and Riemann run procedures have shown high failure rates and patient dissatisfaction. The CAM procedure is a more comprehensive arthroscopic option that includes various techniques, such as osteoplasty, capsular release, nerve neurolysis, tenidesis, and microfracture. A study by Peter Millett et al. in 2016 reported favorable outcomes at five years, and this study aims to report long-term outcomes at a minimum follow-up of 10 years. The study found sustained positive patient-reported outcomes and low conversion to total shoulder arthroplasty at 10 years, with 63% of patients not progressing to arthroplasty. Flattening of the humeral head and severe joint incongruity were predictive of CAM failure. The study suggests that CAM is an effective alternative to arthroplasty or a potential bridging procedure before arthroplasty in selected patients.

Asset Caption

Daniel Haber, MD

Keywords

CAM procedure

glenohumeral osteoarthritis

young patients

arthroscopic techniques

long-term outcomes