Radiographic evaluation of short-stem press-fit total shoulder arthroplasty: short-term follow-up

Casagrande, Danielle J.; Parks, Di L.; Torngren, Travis R.; Schrumpf, Mark A.; Harmsen, Samuel; Norris, Tom R.; Kelly, James D.

doi:10.1016/j.jse.2015.11.067

Cited by 73 publications

(46 citation statements)

References 20 publications

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“…Since then, several studies have reported results of anatomical shoulder replacement with uncemented short stems. In 2016, Casagrande et al reported their experience with an uncemented shortstem shoulder prosthesis in 73 patients [5]. Six of the 73 patients underwent revision surgery due to loosening of the humeral stem within a mean follow-up period of 28 months.…”

Section: Short-stem Anatomical Shoulder Replacement-a Systematic Reviewmentioning

confidence: 99%

“…Clinical results of short-stem prostheses are encouraging and are comparable to the results with other third-and fourth-generation shoulder prostheses. However, the high rate of stem loosening (8/73 shoulders) in the study by Casagrande et al has led to some uncertainty regarding the use of short-stem prostheses [5]. Szerlip et al also reported on aseptic stem loosening in three patients within 1 year of surgery [29].…”

Section: » Reduced Stem Lengths Closely Mimic the Intact Shoulder Statementioning

confidence: 99%

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Short-stem anatomical shoulder replacement—a systematic review

Schnetzke

Loew²,

Raiss³

et al. 2019

Obere Extremität

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Section: Short-stem Anatomical Shoulder Replacement-a Systematic Reviewmentioning

confidence: 99%

Section: » Reduced Stem Lengths Closely Mimic the Intact Shoulder Statementioning

confidence: 99%

Short-stem anatomical shoulder replacement—a systematic review

Schnetzke

Loew²,

Raiss³

et al. 2019

Obere Extremität

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“…Of the 20 selected articles that reported radiographic observations of uncemented humeral stems at ⩾ 2 years, published between 2000 and 2017, three studies presented outcomes for short coated stems, 13,16,22 seven studies presented outcomes for short uncoated stems, 8,11,12,16,17,21,24 one study presented outcomes for long coated stems 5 and 11 studies presented outcomes for long uncoated stems (Table 2). 10,12,14,15,18-20,23,25,26 The cohort sizes were in the range of 20 to 131 shoulders with mean follow-up in the range of 24 to 238 months.…”

Section: Resultsmentioning

confidence: 99%

Comparison of revision rates and radiographic observations of long and short, uncoated and coated humeral stem designs in total shoulder arthroplasty

Godenèche

Garret²,

Barth

et al. 2019

EFORT Open Reviews

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There is no consensus on outcomes of long versus short and uncoated versus coated uncemented stems in total shoulder arthroplasty (TSA). We reviewed the literature to compare revision rates and adverse radiographic observations at ⩾ 2 years of various uncemented humeral stem designs. We performed an electronic PubMed search for studies on uncemented primary TSA that reported one or more of the following observations at ⩾ 2 years for distinct stem designs: stem revision; subsidence; stress shielding; radiolucent lines; and humeral loosening. The search returned 258 records, from which 20 articles (22 cohorts) met the inclusion criteria. The most frequently reported designs were short uncoated stems (7/13 cohorts) at < 3 years and long uncoated stems (8/9 cohorts) at > 3 years. The incidences of revisions and adverse radiographic observations were lower for short coated designs, compared with short and long uncoated designs, but these findings should be confirmed by prospective studies with a longer follow-up. Cite this article: EFORT Open Rev 2019;4:70-76. DOI: 10.1302/2058-5241.4.180046.

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“…17 Bone resorption around the glenoid component in TSAs has been the main focus of study until recently, whereas humeral osteolysis has now gained more attention in the literature. 6,9,15,16,28,30,31 The cause of glenoid radiolucent lines (and perhaps subsequent loosening) is multifactorial. It can be related to glenoid or humeral component malposition, increased mechanical stress on the glenoid, increased friction between components, or the volume of polyethylene particles generated by the head-polyethylene articulation.…”

Section: Discussionmentioning

confidence: 99%

Proximal humeral osteolysis and glenoid radiolucent lines in an anatomic shoulder arthroplasty: a comparison of a ceramic and a metal humeral head component

Bell

Christmas

Coghlan

2020

Journal of Shoulder and Elbow Surgery

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Background: In vitro wear studies demonstrate decreased polyethylene wear with a ceramic compared with a metal humeral head. In this in vivo study, we analyzed prospectively collected 5-year data, comparing the outcomes of 2 types of humeral implants. Methods: Sixty-two anatomic total shoulder arthroplasties (TSAs) (59 patients) were performed using the same glenoid component and 2 types of modular humeral implants (metal-head long-stem prosthesis in group A vs. ceramic-head stemless prosthesis in group B). Radiographic analysis for proximal humeral osteolysis and glenoid component radiolucent lines was performed at an average of 5.5 years. Functional outcomes were prospectively evaluated according to the visual analog scale score for pain; satisfaction level; American Shoulder and Elbow Surgeons score; active elevation; Shoulder Pain and Disability Index score; and Disabilities of the Arm, Shoulder and Hand score. Results: There were 39 TSAs in group A (mean age, 68.1 years) and 23 TSAs in group B (mean age, 67 years). Clinical improvement was similar for both groups. Some proximal humeral osteolysis occurred in 56% of all TSAs. Group A showed increased osteolysis compared with group B (72% vs. 30%, P ¼ .005). Glenoid radiolucent lines were far more frequent in group A, and group A showed a direct relationship between the extent of humeral osteolysis and the severity of glenoid radiolucent lines (P < .001). Conclusion: The stemless ceramic-head replacements showed fewer glenoid radiolucent lines and less humeral osteolysis than the long-stem metal-head replacements. In the group with metal-head replacements, correlation was shown between glenoid radiolucent lines and humeral osteolysis.

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Radiographic evaluation of short-stem press-fit total shoulder arthroplasty: short-term follow-up

Cited by 73 publications

References 20 publications

Short-stem anatomical shoulder replacement—a systematic review

Short-stem anatomical shoulder replacement—a systematic review

Comparison of revision rates and radiographic observations of long and short, uncoated and coated humeral stem designs in total shoulder arthroplasty

Proximal humeral osteolysis and glenoid radiolucent lines in an anatomic shoulder arthroplasty: a comparison of a ceramic and a metal humeral head component

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