Short-stem uncemented anatomical shoulder replacement for osteoarthritis in patients older than 70 years: is it appropriate?

Outcomes of anatomic and reverse total shoulder arthroplasty in patients over the age of 70: a systematic review

“…Twenty studies reported the outcomes of RTSA with 8 studies focused solely on acute PHF. 6 , 10 , 13 , 17 , 20 , 25 , 34 , 35 Of the other 12 RTSA studies, 7 had varied diagnoses, 2 , 4 , 11 , 14 , 26 , 27 , 39 whereas 2 studies included only glenohumeral OA 28 , 46 and 3 studies included only rotator cuff arthropathy. 32 , 36 , 44 Seven studies compared the outcomes of ATSA to RTSA.…”

“… 32 , 36 , 44 Seven studies compared the outcomes of ATSA to RTSA. 2 , 28 , 32 , 36 , 39 , 44 , 46 Six studies compared the outcomes of an older cohort to a younger cohort. 4 , 18 , 27 , 32 , 36 , 38 Seven studies analyzed the outcomes of patients over the age of 80 years.…”

Two-year minimum survivorship and radiographic analysis of a pressfit short humeral stem for total shoulder arthroplasty

“…Good functional and clinical outcomes have been reported with the use of short stem. 1 , 2 , 3 , 4 , 6 , 25 , 27 , 30 , 32 Erikson et al 9 compared the functional outcomes of a short stem with a standard length stem at one year, and demonstrated no differences with respect to ASES, WOOS, and SANE scores. Similarly, Denard et al 6 reported no significant differences in the ROM, VAS, Simple Shoulder test, ASES, and SANE score between the standard length and short length humeral stems.…”

Anatomic Total Shoulder Arthroplasty Versus Reverse Total Shoulder Arthroplasty in Patients Aged Over 70 Without a Full-Thickness Rotator Cuff Tear: A Systematic Review and Meta-Analysis

“…There are numerous factors, indications, and parameters that affect clinical decision making regarding the type of optimal implant selection (aTSA or rTSA). 1,2 The most widespread indication for aTSA has been primary osteoarthritis with intact rotator cuff, 3,4 while on the other hand, rTSA has been traditionally reserved for patients with rotator cuff arthropathy. 3,5,6 During the past few decades however, concerns in regard to rotator cuff failure following aTSA in older patients with primary glenohumeral osteoarthritis, have become more prevalent.…”

“…There are numerous factors, indications, and parameters that affect clinical decision making regarding the type of optimal implant selection (aTSA or rTSA). 1 , 2 The most widespread indication for aTSA has been primary osteoarthritis with intact rotator cuff, 3 , 4 while on the other hand, rTSA has been traditionally reserved for patients with rotator cuff arthropathy. 3 , 5 , 6 …”