Stemmed versus stemless total shoulder arthroplasty: a preliminary report and short-term results

被引:17
作者
Mariotti U. [1 ]
Motta P. [2 ]
Stucchi A. [2 ]
Ponti di Sant’Angelo F. [3 ]
机构
[1] Shoulder Unit, Cellini Clinic, Humanitas Group, Turin
[2] Shoulder Unit, Department of Orthopaedics, C.T.O. Hospital, Via Zuretti 29, Turin
[3] School of Medicine, University of Turin, Turin
关键词
Arthroplasty; Humeral osteoarthritis; Shoulder; Stemless; Stemmed; Total shoulder arthroplasty;
D O I
10.1007/s12306-014-0312-5
中图分类号
学科分类号
摘要
Methods: In this prospective longitudinal study, we randomized to treatment with stemmed (group 1) or with stemless (group 2) humeral component in nineteen subjects (2 M and 17 F) diagnosed with humeral primary osteoarthritis with indication to TSA. We evaluated the range of movement of all the participants and the functional outcome using Constant score and simple shoulder test (SST) before and after 2 years from surgery.; Results: No differences were detected after 2 years from surgery in the two groups in terms of functional scores and range of motion (p > 0.05).; Conclusion: Stemmed and stemless prostheses are comparable in terms of functional outcome. These data might be useful for the surgeon in order to choose more tissues-paring methodologies and less invasive procedures, such as stemless humeral implants.; Background: Although several studies have been performed on the use of various devices in total shoulder arthroplasty (TSA), no data are available in order to establish whether to prefer stemmed or stemless humeral components. Thus, the purpose of our study was to evaluate the short-term functional outcome in a cohort of subjects treated with TSA randomized to treatment with stemmed or stemless prosthesis. © 2014, Istituto Ortopedico Rizzoli.
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页码:195 / 200
页数:5
相关论文
共 22 条
  • [1] Neer C.S., Replacement arthroplasty for glenohumeral osteoarthritis, J Bone Joint Surg Am, 56, pp. 1-13, (1974)
  • [2] Walch G., Boileau P., Noel E., Shoulder arthroplasty evolving techniques and indications, Joint Bone Spine, 77, 6, pp. 501-505, (2010)
  • [3] Wiater J.M., Fabing M.H., Shoulder arthroplasty: prosthetic options and indications, J Am Acad Orthop Surg, 17, pp. 415-425, (2009)
  • [4] Buchner M., Eschbach N., Loew M., Comparison of the short-term functional results after surface replacement and total shoulder arthroplasty for osteoarthritis of the shoulder: a matched-pair analysis, Acta Orthop Trauma Surg, 128, pp. 347-354, (2008)
  • [5] Foruria A.M., Sperling J.W., Ankem H.K., Oh L.S., Cofield R.H., Total shoulder replacement for osteoarthritis in patients 80 years of age and older, J Bone Joint Surg Br, 92, 7, pp. 970-974, (2010)
  • [6] Mather R.C., Watters T.S., Orlando L.A., Bolognesi M.P., Moorman C.T., Cost effectiveness analysis of hemiarthroplasty and total shoulder arthroplasty, J Shoulder Elbow Surg, 19, pp. 325-334, (2010)
  • [7] Norris T.R., Iannotti J.P., Functional outcome after shoulder arthroplasty for primary osteoarthritis: a multicenter study, J Shoulder Elbow Surg, 11, 2, pp. 130-135, (2002)
  • [8] Pritchett J.W., Long-term results and patient satisfaction after shoulder resurfacing, J Shoulder Elbow Surg, 20, 5, pp. 771-777, (2011)
  • [9] Zarkadas P.C., Throckmorton T.Q., Dahm D.L., Sperling J., Schleck C.D., Cofield R., Patient reported activities after shoulder replacement: total and hemiarthroplasty, J Shoulder Elbow Surg, 20, 2, pp. 273-283, (2011)
  • [10] Brox J.I., Lereim P., Merckoll E., Finnanger A.M., Radiographic classification of glenohumeral arthrosis, Acta Orthop Scand, 74, 2, pp. 186-189, (2003)