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- Title
Anatomic stemless shoulder arthroplasty and related outcomes: a systematic review.
- Authors
Hawi, Nael; Tauber, Mark; Messina, Michael Joseph; Habermeyer, Peter; Martetschläger, Frank
- Abstract
<bold>Background: </bold>The latest generation of shoulder arthroplasty includes canal-sparing respectively stemless designs that have been developed to allow restoration of the glenohumeral center of rotation independently from the shaft, and to avoid stem-related complications. The stemless prosthesis design has also recently been introduced for use in reverse arthroplasty systems.<bold>Methods: </bold>We systematically reviewed the literature for studies of currently available canal-sparing respectively stemless shoulder arthroplasty systems. From the identified series, we recorded the indications, outcome measures, and humeral-sided complications.<bold>Results: </bold>We identified 11 studies of canal-sparing respectively stemless anatomic shoulder arthroplasty implants, published between 2010 and 2016. These studies included 929 cases, and had a mean follow-up of 26 months (range, 6 to 72 months). The rates of humeral component-related complications ranged between 0 and 7.9 %. The studies reported only a few isolated cases of complications of the humeral component. Some arthroplasty systems are associated with radiological changes, but without any clinical relevance.<bold>Conclusions: </bold>All of the published studies of canal-sparing respectively stemless shoulder arthroplasty reported promising clinical and radiological outcomes in short to midterm follow-up. Long-term studies are needed to demonstrate the long-term value of these kind of implants.
- Subjects
ARTHROPLASTY; META-analysis; PLASTIC surgery; SHOULDER surgery; GLENOHUMERAL joint; SHOULDER joint surgery; ARTIFICIAL joints; HUMERUS; OSTEOARTHRITIS; PROSTHETICS; RADIOGRAPHY; SHOULDER joint; SURGICAL complications; TREATMENT effectiveness; EQUIPMENT &; supplies
- Publication
BMC Musculoskeletal Disorders, 2016, Vol 17, p1
- ISSN
1471-2474
- Publication type
journal article
- DOI
10.1186/s12891-016-1235-0