Total shoulder arthroplasty: are the humeral components getting shorter?

被引:45
作者
Harmer L. [1 ]
Throckmorton T. [3 ]
Sperling J.W. [2 ]
机构
[1] Quincy Medical Group, 1118 Hampshire St, Quincy, 62301, IL
[2] Mayo Clinic, 200 First St. SW, Rochester, 55905, MN
[3] University of Tennessee-Campbell Clinic, 1211 Union Ave. Ste. 510, Memphis, 38104, TN
关键词
Short stem humerus; Shoulder arthroplasty; Stemless humerus;
D O I
10.1007/s12178-016-9313-3
中图分类号
学科分类号
摘要
Each generation of total shoulder arthroplasy has improved on the previous. The newest humeral component innovation is shortening the humeral component or eliminating the stem entirely to rely on stemless fixation in the humeral metaphysis. This offers theoretical advantages of preserved bone stock, less stress shielding, eliminating the diaphyseal stress riser, ease of stem removal at revision, and humeral head placement independent from the humeral shaft axis. There are a number of short term cohorts that have shown low complication rates and outcomes similar to previous generations of stemmed humeral components. Longer term and better designed studies are needed in order for short stems and stemless components to become the standard of care. © 2016, Springer Science+Business Media New York.
引用
收藏
页码:17 / 22
页数:5
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