Short-term survival and patient-reported outcome of total stemless shoulder arthroplasty for osteoarthritis are similar to that of stemmed total shoulder arthroplasty: a study from the Danish Shoulder Arthroplasty Registry

Issa, Zaid; Brorson, Stig; Rasmussen, Jeppe Vejlgaard

doi:10.1016/j.jseint.2022.05.013

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…The stemless TSA might have an increased risk of revision due to loosening of the humeral implant [ 25 ], which is fixated entirely in the metaphyseal part of the humeral bone. However, so far, all previous publications have reported similar revision rates of stemmed and stemless TSA [ 6 , 11 - 14 ]. Our results contrasted with the previous findings.…”

Section: Discussionmentioning

confidence: 93%

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High revision rate of metal-backed glenoid component and impact on the overall revision rate of stemless total shoulder arthroplasty: a cohort study from the Danish Shoulder Arthroplasty Registry

Nyring,

Olsen,

Jensen

et al. 2024

ActaO

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Background and purpose: There is controversy regarding the results of stemmed and stemless total shoulder arthroplasty (TSA) used for osteoarthritis. Therefore, we aimed to compare revision rates of stemmed and stemless TSA and to examine the impact of metal-backed glenoid components.Methods: We included all patients reported to the Danish Shoulder Arthroplasty Register from January 1, 2012 to December 31, 2022 with an anatomical TSA used for osteoarthritis. Primary outcome was revision (removal or exchange of components) for any reason.Results: 3,338 arthroplasties were included. The hazard ratio for revision of stemless TSA adjusted for age and sex was 1.83 (95% confidence interval [CI] 1.21–2.78) with stemmed TSA as reference. When excluding all arthroplasties with a metal-backed glenoid component, the adjusted hazard ratio for revision of stemless TSA was 1.37 (CI 0.85–2.20). For the Eclipse stemless TSA system, the adjusted hazard ratio for revision of a metal-backed glenoid component was 8.75 (CI 2.40–31.9) with stemless Eclipse with an all-polyethylene glenoid component as reference.Conclusion: We showed that the risk of revision of stemless TSAs was increased and that it was related to their combination with metal-backed glenoid components.

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Section: Discussionmentioning

confidence: 93%

“…Several studies have documented equally good results comparing stemmed and stemless TSA [ 6 , 11 - 14 ]. However, in the most recent annual report from the Danish Shoulder Arthroplasty Register (DSR) [ 15 ], a comparison of stemmed and stemless TSA indicated a significantly higher revision rate for stemless TSA.…”

mentioning

confidence: 99%

High revision rate of metal-backed glenoid component and impact on the overall revision rate of stemless total shoulder arthroplasty: a cohort study from the Danish Shoulder Arthroplasty Registry

Nyring,

Olsen,

Jensen

et al. 2024

ActaO

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“… 1 , 2 , 3 Commensurate with the increasing popularity of TSA, advancements in preoperative imaging modalities, surgical techniques, and implant design have revolutionized the care of patients with glenohumeral osteoarthritis (OA). 4 , 5 , 6 , 7 …”

mentioning

confidence: 99%