Medium to Long Term Survivorship Analysis Following Copleand Resurfacing Hemiarthroplasty

Description

In this presentation, Aliasger Bharmal, a surgical teaching fellow at King's Mill Hospital, discusses the medium-to-long-term survivorship analysis following Copeland resurfacing hemiarthroplasties. Starting with the historical background, Bharmal introduces Steven Copeland, the pioneering surgeon behind this surgical procedure aimed at preserving bone stock and maintaining normal shoulder anatomy. The talk reviews the designs of the Copeland resurfacing prosthesis created since its first implantation in 1986, focusing on the improvements in bone preservation and fixation mechanisms.



Moving to the study details, Bharmal outlines the methodology of a retrospective cohort study involving 72 patients operated on by a single surgeon over six years. With a mean follow-up of 79 months, the results reported a significant increase in post-operative outcomes, despite some complications like superficial infections and nerve dysfunctions that led to a notable revision rate of 20% within the medium term. The Kaplan-Meier survival analysis highlights survival rates of 89%, 81%, and 79% at five, seven, and ten years, respectively.



The presentation concludes with a critical discussion regarding the transition in practice toward total shoulder replacements due to evolving surgical techniques and lower revision rates, illustrating the declining popularity of the Copeland resurfacing procedure in recent years and emphasizing the need for improved training for upcoming surgeons. Bharmal wraps up by thanking the audience and providing references, prompting applause.

DOI: 10.1302/3114-221987

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