Humeral Hemiarthroplasty With Biologic Resurfacing of the Glenoid and Acromion for Rotator Cuff Tear Arthropathy

Symptomatic rotator cuff tear arthropathy remains one of the most challenging entities in shoulder reconstruction. The appropriate surgical treatment of this patient population is highly controversial. However, it is clear that the primary goal in treating these patients remains durable and reproducible pain relief. We present here our rationale, indications, technique, and results for anatomic humeral hemiarthroplasty combined with biologic resurfacing of both the glenoid and acromion in patients with cuff tear arthropathy.