Short-term results of a second generation anatomic short-stem shoulder prosthesis in primary osteoarthritis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-02

AUTHORS

Marc Schnetzke, Thomas Wittmann, Patric Raiss, Gilles Walch

ABSTRACT

INTRODUCTION: The aim of the study was to evaluate the short-term clinical results of anatomic total shoulder arthroplasty with a short-stem prosthesis in primary osteoarthritis. MATERIALS AND METHODS: 65 shoulders with a mean age of 70 years (range 47-85 years) were available for minimum follow-up of 24 months. Clinical outcome was determined by range of motion, Constant score (CS) age and sex-adjusted Constant score (CS%), and subjective shoulder value (SSV). The influence of six different factors (high bone adaptations, age > 65 years, female gender, dominant side, atrophy of the supraspinatus tendon ≥ grade 2, glenoid type B2/B3) on the clinical outcome was assessed. RESULTS: At mean follow-up of 37 months (range 24-58 months), the CS improved from 36 ± 8 to 75 ± 12 (p < 0.001). The shoulder flexion (100° ± 21° to 159° ± 19°) as well as the external rotation (3° ± 11° to 43° ± 18°) improved significantly (p < 0.001). Three complications were noted (transient neuropraxia of the radial nerve, subjective instability, hematoma with superficial wound infection) leading to one revision surgery (wound debridement). No stem loosening was observed. High bone adaptation was present in 19 out of 65 shoulders (29%). The clinical outcome was not influenced by high bone adaptations (p ≥ 0.095). Age > 65 years (n = 44) and female gender (n = 38) were associated with worse clinical outcome (p ≤ 0.043). CONCLUSIONS: In the short term, the clinical results of this anatomical short-stem shoulder prosthesis are encouraging. A low prevalence of high bone adaptations was found without any influence on the clinical outcome and stem loosening was not observed. More... »

PAGES

149-154

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00402-018-3039-1

DOI

http://dx.doi.org/10.1007/s00402-018-3039-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1107123944

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30242565


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    "description": "INTRODUCTION: The aim of the study was to evaluate the short-term clinical results of anatomic total shoulder arthroplasty with a short-stem prosthesis in primary osteoarthritis.\nMATERIALS AND METHODS: 65 shoulders with a mean age of 70\u00a0years (range 47-85\u00a0years) were available for minimum follow-up of 24\u00a0months. Clinical outcome was determined by range of motion, Constant score (CS) age and sex-adjusted Constant score (CS%), and subjective shoulder value (SSV). The influence of six different factors (high bone adaptations, age\u2009>\u200965 years, female gender, dominant side, atrophy of the supraspinatus tendon \u2265\u2009grade 2, glenoid type B2/B3) on the clinical outcome was assessed.\nRESULTS: At mean follow-up of 37\u00a0months (range 24-58\u00a0months), the CS improved from 36\u2009\u00b1\u20098 to 75\u2009\u00b1\u200912 (p\u2009<\u20090.001). The shoulder flexion (100\u00b0\u2009\u00b1\u200921\u00b0 to 159\u00b0\u2009\u00b1\u200919\u00b0) as well as the external rotation (3\u00b0\u2009\u00b1\u200911\u00b0 to 43\u00b0\u2009\u00b1\u200918\u00b0) improved significantly (p\u2009<\u20090.001). Three complications were noted (transient neuropraxia of the radial nerve, subjective instability, hematoma with superficial wound infection) leading to one revision surgery (wound debridement). No stem loosening was observed. High bone adaptation was present in 19 out of 65 shoulders (29%). The clinical outcome was not influenced by high bone adaptations (p\u2009\u2265\u20090.095). Age\u2009>\u200965\u00a0years (n\u2009=\u200944) and female gender (n\u2009=\u200938) were associated with worse clinical outcome (p\u2009\u2264\u20090.043).\nCONCLUSIONS: In the short term, the clinical results of this anatomical short-stem shoulder prosthesis are encouraging. A low prevalence of high bone adaptations was found without any influence on the clinical outcome and stem loosening was not observed.", 
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48 schema:description INTRODUCTION: The aim of the study was to evaluate the short-term clinical results of anatomic total shoulder arthroplasty with a short-stem prosthesis in primary osteoarthritis. MATERIALS AND METHODS: 65 shoulders with a mean age of 70 years (range 47-85 years) were available for minimum follow-up of 24 months. Clinical outcome was determined by range of motion, Constant score (CS) age and sex-adjusted Constant score (CS%), and subjective shoulder value (SSV). The influence of six different factors (high bone adaptations, age > 65 years, female gender, dominant side, atrophy of the supraspinatus tendon ≥ grade 2, glenoid type B2/B3) on the clinical outcome was assessed. RESULTS: At mean follow-up of 37 months (range 24-58 months), the CS improved from 36 ± 8 to 75 ± 12 (p < 0.001). The shoulder flexion (100° ± 21° to 159° ± 19°) as well as the external rotation (3° ± 11° to 43° ± 18°) improved significantly (p < 0.001). Three complications were noted (transient neuropraxia of the radial nerve, subjective instability, hematoma with superficial wound infection) leading to one revision surgery (wound debridement). No stem loosening was observed. High bone adaptation was present in 19 out of 65 shoulders (29%). The clinical outcome was not influenced by high bone adaptations (p ≥ 0.095). Age > 65 years (n = 44) and female gender (n = 38) were associated with worse clinical outcome (p ≤ 0.043). CONCLUSIONS: In the short term, the clinical results of this anatomical short-stem shoulder prosthesis are encouraging. A low prevalence of high bone adaptations was found without any influence on the clinical outcome and stem loosening was not observed.
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