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BMC Musculoskeletal Disorders

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Open Access 01-12-2017 | Research article

Functional midterm follow-up comparison of stemless total shoulder prostheses versus conventional stemmed anatomic shoulder prostheses using a 3D-motion-analysis

Authors: David M. Spranz, Hendrik Bruttel, Sebastian I. Wolf, Felix Zeifang, Michael W. Maier

Published in: BMC Musculoskeletal Disorders | Issue 1/2017

Abstract

Background

The aim of this study is to compare the functional midterm outcome of stemless shoulder prostheses with standard anatomical stemmed shoulder prostheses and to show that the STEMLESS results are comparable to the STEMMED with respect to active maximum range of shoulder motion (ROM) and Constant score (CS).

Methods

Seventeen patients underwent total shoulder arthroplasty (TSA) in 25 shoulder joints. Stemless TSA was performed in 12 shoulder joints (group STEMLESS), third-generation stemmed TSA in 13 shoulder joints (group STEMMED). Functional results were documented using the CS. 3D-motion-analysis using the Heidelberg upper extremity model (HUX) was conducted to measure active maximum (ROM).

Results

The group STEMLESS achieved a CS of 67.9 (SD 12.0) points and the group STEMMED of 70.2 (SD 5.8 points) without significant difference between the groups (p = 0.925). The maximum ROM of the group STEMLESS, ascertained by 3-D-motion-analysis, was in forward flexion 125.5° (SD 17.2°), in extension 49.4° (SD 13.8°), in abduction 126.2° (SD 28.5°) and in external rotation 40.3° (SD 13.9°). The maximum ROM of the group STEMMED, also ascertained by 3-D-motion analysis, was in forward flexion 135.0° (SD 16.8°), in extension 47.2° (SD 11.5°), in abduction 136.3° (SD 24.2°) and in external rotation 40.1° (SD 12.2°). The maximum ROM of the STEMLESS group was lower in forward flexion and abduction, higher in extension and almost identical in external rotation. But there was no significant difference (forward flexion p = 0.174, extension p = 0.470, abduction p = 0.345, external rotation p = 0.978).

Conclusion

Both types of shoulder prostheses achieve a similar and good active ROM and similar results in CS.

Trial registration

DRKS00013166, retrospectively registered, 11.10.2017

Bell SN, Coghlan JA. Short stem shoulder replacement. Int J Shoulder Surg. 2014;8:72–5. doi:10.4103/0973-6042.140113.CrossRefPubMedPubMedCentral

Maier MW, Lauer S, Klotz MC, Bulhoff M, Spranz D, Zeifang F. Are there differences between stemless and conventional stemmed shoulder prostheses in the treatment of glenohumeral osteoarthritis? BMC Musculoskelet Disord. 2015;16:275. doi:10.1186/s12891-015-0723-y.CrossRefPubMedPubMedCentral

Churchill RS. Stemless shoulder arthroplasty: current status. J Shoulder Elb Surg. 2014;23:1409–14. doi:10.1016/j.jse.2014.05.005.CrossRef

Bohsali KI, Wirth MA, Rockwood CA Jr. Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006;88:2279–92. doi:10.2106/JBJS.F.00125.PubMed

Chin PY, Sperling JW, Cofield RH, Schleck C. Complications of total shoulder arthroplasty: are they fewer or different? J Shoulder Elb Surg. 2006;15:19–22. doi:10.1016/j.jse.2005.05.005.CrossRef

Farng E, Zingmond D, Krenek L, Soohoo NF. Factors predicting complication rates after primary shoulder arthroplasty. J Shoulder Elb Surg. 2011;20:557–63. doi:10.1016/j.jse.2010.11.005.CrossRef

Berth A, Pap G. Stemless shoulder prosthesis versus conventional anatomic shoulder prosthesis in patients with osteoarthritis: a comparison of the functional outcome after a minimum of two years follow-up. J Orthop Traumatol. 2013;14:31–7. doi:10.1007/s10195-012-0216-9.CrossRefPubMed

Geurts GF, van Riet RP, Jansen N, Declercq G. Placement of the stemless humeral component in the Total Evolutive Shoulder System (TESS). Tech Hand Up Extrem Surg. 2010;14:214–7. doi:10.1097/BTH.0b013e3181e397c5.CrossRefPubMed

Huguet D, DeClercq G, Rio B, Teissier J, Zipoli B, Group T. Results of a new stemless shoulder prosthesis: radiologic proof of maintained fixation and stability after a minimum of three years’ follow-up. J Shoulder Elb Surg. 2010;19:847–52. doi:10.1016/j.jse.2009.12.009.CrossRef

10.

Kadum B, Mafi N, Norberg S, Sayed-Noor AS. Results of the Total Evolutive Shoulder System (TESS): a single-centre study of 56 consecutive patients. Arch Orthop Trauma Surg. 2011;131:1623–9. doi:10.1007/s00402-011-1368-4.CrossRefPubMed

11.

Habermeyer P, Lichtenberg S, Tauber M, Magosch P. Midterm results of stemless shoulder arthroplasty: a prospective study. J Shoulder Elb Surg. 2015;24:1463–72. doi:10.1016/j.jse.2015.02.023.CrossRef

12.

Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;214:160–4.

13.

Constant CR, Gerber C, Emery RJ, Sojbjerg JO, Gohlke F, Boileau P. A review of the constant score: modifications and guidelines for its use. J Shoulder Elb Surg. 2008;17:355–61. doi:10.1016/j.jse.2007.06.022.CrossRef

14.

Rettig O, Fradet L, Kasten P, Raiss P, Wolf SI. A new kinematic model of the upper extremity based on functional joint parameter determination for shoulder and elbow. Gait Posture. 2009;30:469–76. doi:10.1016/j.gaitpost.2009.07.111.CrossRefPubMed

15.

Gamage SS, Lasenby J. New least squares solutions for estimating the average centre of rotation and the axis of rotation. J Biomech. 2002;35:87–93.CrossRefPubMed

16.

Wolf SI, Fradet L, Rettig O. Conjunct rotation: Codman’s paradox revisited. Med Biol Eng Comput. 2009;47:551–6. doi:10.1007/s11517-009-0484-6.CrossRefPubMed

17.

Wu G, van der Helm FC, Veeger HE, Makhsous M, Van Roy P, Anglin C, Nagels J, Karduna AR, McQuade K, Wang X, Werner FW, Buchholz B, International Society of B. ISB recommendation on definitions of joint coordinate systems of various joints for the reporting of human joint motion--part II: shoulder, elbow, wrist and hand. J Biomech. 2005;38:981–92.CrossRefPubMed

18.

Raiss P, Schmitt M, Bruckner T, Kasten P, Pape G, Loew M, Zeifang F. Results of cemented total shoulder replacement with a minimum follow-up of ten years. J Bone Joint Surg Am. 2012;94:e1711–0. doi:10.2106/JBJS.K.00580.CrossRefPubMed

19.

Khan A, Bunker TD, Kitson JB. Clinical and radiological follow-up of the Aequalis third-generation cemented total shoulder replacement: a minimum ten-year study. J Bone Joint Surg Br. 2009;91:1594–600. doi:10.1302/0301-620X.91B12.22139.CrossRefPubMed

20.

Mariotti U, Motta P, Stucchi A, Ponti di Sant’Angelo F. Stemmed versus stemless total shoulder arthroplasty: a preliminary report and short-term results. Musculoskelet Surg. 2014;98:195–200. doi:10.1007/s12306-014-0312-5.CrossRefPubMed

21.

Kasten P, Maier M, Wendy P, Rettig O, Raiss P, Wolf S, Loew M. Can shoulder arthroplasty restore the range of motion in activities of daily living? A prospective 3D video motion analysis study. J Shoulder Elb Surg. 2010;19:59–65. doi:10.1016/j.jse.2009.10.012.CrossRef

22.

Rettig O, Maier MW, Gantz S, Raiss P, Zeifang F, Wolf SI. Does the reverse shoulder prosthesis medialize the center of rotation in the glenohumeral joint? Gait Posture. 2013;37:29–31. doi:10.1016/j.gaitpost.2012.04.019.CrossRefPubMed

23.

Maier MW, Niklasch M, Dreher T, Wolf SI, Zeifang F, Loew M, Kasten P. Proprioception 3 years after shoulder arthroplasty in 3D motion analysis: a prospective study. Arch Orthop Trauma Surg. 2012;132:1003–10. doi:10.1007/s00402-012-1495-6.CrossRefPubMed

24.

Schoch CHJ, Aghajev E, Bauer G, Mauch F. Die metaphysär verankerte Prothese beimposttraumatischer und primärer Omarthrose. Obere Extremität. 2011;4:275–81.CrossRef

Title: Functional midterm follow-up comparison of stemless total shoulder prostheses versus conventional stemmed anatomic shoulder prostheses using a 3D-motion-analysis
Authors: David M. Spranz
Hendrik Bruttel
Sebastian I. Wolf
Felix Zeifang
Michael W. Maier
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2017
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-017-1835-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Functional midterm follow-up comparison of stemless total shoulder prostheses versus conventional stemmed anatomic shoulder prostheses using a 3D-motion-analysis

Abstract

Background

Methods

Results

Conclusion

Trial registration

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Trial registration

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