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BMC Musculoskeletal Disorders

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Open Access 01-12-2022 | Research article

Mid-term outcomes of a stemless ceramic head anatomic total shoulder replacement

Authors: Maciej J. K. Simon, Jennifer A. Coghlan, Jeff Hughes, Warwick Wright, Richard J. Dallalana, Simon N. Bell

Published in: BMC Musculoskeletal Disorders | Issue 1/2022

Abstract

Background

In an anatomic shoulder replacement (aTSR) good results have been reported with the use of a stemless humeral prosthesis. In vitro a ceramic articulation with polyethylene has been shown to produce less polyethylene wear particles than with metal. This study aims to evaluate clinical and radiographic results of a stemless aTSR with a ceramic head articulating with a polyethylene glenoid component, with mid-term follow-up.

Methods

All patients (n = 92) in this prospective study had an aTSR utilizing a stemless humeral component with a ceramic head and a cemented double pegged cemented polyethylene glenoid component for glenohumeral osteoarthritis. Pre- and postoperative clinical evaluations at 2 years were performed using the ASES score, Constant score, SPADI score, DASH score, VAS pain score, patient satisfaction and range of motion. There was a 5-year evaluation of SPADI, ASES, pain, and satisfaction, plus radiographic assessment of glenoid component radiolucent lines and humeral osteolysis.

Results

Seventy-four cases (68.1 ± 7.1 years) had a five-year follow-up and demonstrated active elevation improvement from 91.3° preoperatively to 151.1° (p < 0.001). Further improvement was identified with the ASES from 41.6 to 94.3, the SPADI from 62.9 to 4.3, VAS pain from 5.6 to 0.4 (0–10), and satisfaction levels were at 96%. Sixty-two cases had no glenoid radiolucent lines with a maximum Lazarus score of 2 in one patient. Constant scores, available up to 2 years, improved significantly from 30.3 to 77.9 (p < 0.001). There was one case that required revision for glenoid loosening.

Conclusions

Overall, the 5-year results of this ceramic head prosthesis demonstrated good radiographic and clinical outcomes.

Trial registration

ACTRN12613001183774. Registered: 29 October 2013 - Retrospectively registered.

Australian New Zealand Clinical Trials Registry (ANZCTR).

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Title: Mid-term outcomes of a stemless ceramic head anatomic total shoulder replacement
Authors: Maciej J. K. Simon
Jennifer A. Coghlan
Jeff Hughes
Warwick Wright
Richard J. Dallalana
Simon N. Bell
Publication date: 01-12-2022
Publisher: BioMed Central
Published in: BMC Musculoskeletal Disorders / Issue 1/2022
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-021-04988-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mid-term outcomes of a stemless ceramic head anatomic total shoulder replacement

Abstract

Background

Methods

Results

Conclusions

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

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