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  • RSU is advertising for shoulder fellowship to start in August-September 2019 and begining of 2020
    a post-CCT shoulder fellowship for Two years. please send CV to Prof. Levy's PA Charlotte Bourne and arrange a visit to meet Prof Levy and Mr Sforza. [Read more]
  • IDO Isometer Shoulder Muscle Strength Gauge.

    Available to buy online in - Innovative Design Orthopaedics - [Read more]
  • Groundbreaking research from the Reading Shoulder Unit by Prof. Ofer Levy and his team regarding Propionibacterium Acnes and shoulder arthritis. 
    Propionibacterium acnes: an underestimated etiology in the pathogenesis of osteoarthritis?

    This is a very important article in that it suggests the presence of propionibacterium in previously unoperated shoulders with arthritis and furthermore that 'aseptic' failures of shoulder arthroplasty may, in fact, be related to indolent infections with this slow growing organism.
    Read comments by Dr Frederick A. Matsen III, M.D.
    [Read more]
  • Listen to the BBC Radio4 programme - a day in the operating theatre at the Reading Shoulder Unit at the Royal Berkshire Hospital - Case Notes with Dr Mark Porter on Regional anaesthesia for shoulder surgery [Read more]
  • Art at the Reading Shoulder and Elbow Centre
    Original fine art prints all dealing with human body in different situations by four artists are exhibited in the Reading Shoulder and Elbow centre 

    The prints on display are available to buy, with the artist contributing a donation to research. For more information please contact the secretaries in the unit.

    [Read more]
  • The Verso stemless rTSA is approved in Australia & New Zealand by the TGA.
    and it was launched and in increase use in Australia. 

  • Due to the current state of lockdown due the Coronavirus outbreak, We offer Virtual Video consultations for post-operative patients and follow-up and offer Virtual Video consultations for advice for new patients.

    If interested please call:
    Prof. Ofer Levy - Secretary - Cherie 07800875033
    Mr. Giuseppe Sforza - Secretary - Tania 07488384479
    NHS - Secretary - Gail 0118 902 8109
      [Read more]
  • Further scientific support from Robert Hudek et al. paper to Prof. Levy’s theory on the role of C Acnes in the aetiology of Osteoarthritis (Read More)
Surface replacement arthroplasty for glenohumeral arthropathy in patients aged younger than fifty years: results after a minimum ten-year follow-up
Background: The role of cementless surface replacement arthroplasty (CSRA) in young individuals is
currently unclear. The aim of this study was to evaluate CSRA long-term results for glenohumeral arthritis
in young patients.
Methods: Between 1990 and 2003, 54 CSRAs were performed on 49 patients (25 men, 24 women) aged
younger than 50 years. Mean age was 38.9 years (range, 22-50 years). Three patients (4 shoulders) died
over time and 8 were lost to follow-up, leaving 38 patients (42 shoulders) with a mean follow-up of
14.5 years (range, 10-25 years). There were 17 total shoulder replacements with metal back glenoid,
and 37 underwent humeral head resurfacing with microfracture of the glenoid.
Results: The indications were avascular necrosis, 16; rheumatoid arthritis, 20; instability arthropathy, 7;
primary osteoarthritis, 5; fracture sequelae, 3; postinfection arthritis, 2; and psoriatic arthritis, 1. The
mean relative Constant score increased from 11.5% to 71.8% (P <.0001), and the mean patient satisfaction
at final follow-up was 8.7 of 10. The mean relative Constant score for the humeral head resurfacing with
microfracture of the glenoid improved to 77.7% compared with 58.1% for total resurfacing arthroplasty.
Two required early arthrodesis due to instability and deep infection. Seven were revised to stemmed prosthesis:
1 for traumatic fracture and 1 for glenoid erosion 16 years after the index procedure. Five shoulders
in 4 patients (4 rheumatoid arthritis, 1 avascular necrosis) were revised at 8 to 14 years after surgery for
cuff failure and loosening. Three were revised to stemless reverse total shoulder arthroplasty due to rotator
cuff failure at 23, 16, and 13 years after surgery.
Conclusions: CSRA provides good long-term symptomatic and functional results in the treatment of glenohumeral arthropathy in patients aged younger than 50 years in 81.6% of the patients. This improvement
is maintained over more than 10 years after surgery, with high patient satisfaction (8.7 of 10). However, 10
shoulders (of 54) (18.5%) underwent revision arthroplasty. Resurfacing offers a valuable tool in treating
young patients with glenohumeral arthritis, providing reasonably good long-term results in 81.6% of the patients, while allowing preservation of bone stock if the need for revision arises. All the revision arthroplasty
options are preserved, including less invasive procedures.

Level of evidence: Level IV, Case Series, Treatment Study.
(J Shoulder Elbow Surg (2014), 1-12 (Online ahead of print))