Top

MUSCULOSKELETAL SURGERY

Published in:

01-12-2014 | Original Article

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

Authors: U. Mariotti, P. Motta, A. Stucchi, F. Ponti di Sant’Angelo

Published in: MUSCULOSKELETAL SURGERY | Issue 3/2014

Abstract

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.

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.

Neer CS II (1974) Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 56:1–13PubMed

Walch G, Boileau P, Noel E (2010) Shoulder arthroplasty evolving techniques and indications. Joint Bone Spine 77(6):501–505PubMedCrossRef

Wiater JM, Fabing MH (2009) Shoulder arthroplasty: prosthetic options and indications. J Am Acad Orthop Surg 17:415–425PubMed

Buchner M, Eschbach N, Loew M (2008) 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 128:347–354CrossRef

Foruria AM, Sperling JW, Ankem HK, Oh LS, Cofield RH (2010) Total shoulder replacement for osteoarthritis in patients 80 years of age and older. J Bone Joint Surg Br 92(7):970–974PubMedCrossRef

Mather RC III, Watters TS, Orlando LA, Bolognesi MP, Moorman CT III (2010) Cost effectiveness analysis of hemiarthroplasty and total shoulder arthroplasty. J Shoulder Elbow Surg 19:325–334PubMedCrossRef

Norris TR, Iannotti JP (2002) Functional outcome after shoulder arthroplasty for primary osteoarthritis: a multicenter study. J Shoulder Elbow Surg 11(2):130–135PubMedCrossRef

Pritchett JW (2011) Long-term results and patient satisfaction after shoulder resurfacing. J Shoulder Elbow Surg 20(5):771–777PubMedCrossRef

Zarkadas PC, Throckmorton TQ, Dahm DL, Sperling J, Schleck CD, Cofield R (2011) Patient reported activities after shoulder replacement: total and hemiarthroplasty. J Shoulder Elbow Surg 20(2):273–283PubMedCrossRef

10.

Brox JI, Lereim P, Merckoll E, Finnanger AM (2003) Radiographic classification of glenohumeral arthrosis. Acta Orthop Scand 74(2):186–189PubMedCrossRef

11.

Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Molé D (2004) Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Joint Surg Br 86(3):388–395PubMedCrossRef

12.

Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164PubMed

13.

Lippitt SB, Harryman DT II, Matsen FA III (1992) A practical tool for evaluating function: the simple shoulder test. In: Matsen FA, Fu FH, Hawkins RJ (eds) The shoulder: a balance of mobility and stability. American Academy of Orthopaedic Surgeons, Rosemont, pp 501–518

14.

Lazarus MD, Jensen KL, Southworth C, Matsen FA 3rd (2002) The radiographic evaluation of keeled and pegged glenoid component insertion. J Shoulder Elbow Surg 84-A:1174–1182

15.

Sperling JW, Cofield RH, Driscoll SW, Torchia ME, Rowland CM (2000) Radiographic assessment of ingrowth total shoulder arthroplasty. J Shoulder Elbow Surg 9:507–513PubMedCrossRef

16.

Bailie DS, Llinas PJ, Ellenbecker TS (2008) Cementless humeral resurfacing arthroplasty in active patients less than fifty-five years of age. J Bone Joint Surg Am 90(1):110–117PubMedCrossRef

17.

Radnay CS, Setter KJ, Chambers L, Levine WN, Bigliani LU, Ahmad CS (2007) Total shoulder replacement compared with humeral head replacement for the treatment of primary glenohumeral osteoarthritis: a systematic review. J Shoulder Elbow Surg 16:396–402PubMedCrossRef

18.

Bohsali KI, Wirth MA, Rockwood CA (2006) Complications of total shoulder arthroplasty. J Bone Joint Surg Am 88A:2279–2292CrossRef

19.

Ricchetti ET, Abboud JA, Kuntz AF, Ramsey ML, Glaser DL, Williams GRJ (2011) Total shoulder arthroplasty in older patients: increased perioperative morbidity? Clin Orthop Relat Res 469(4):1042–1049PubMedCentralPubMedCrossRef

20.

Khan A, Bunker TD, Kitson JB (2009) Clinical and radiological follow-up of the Aequalis third generation cemented total shoulder replacement, a minimum ten-year study. J Bone Joint Surg Br 91B:1594–1600CrossRef

21.

Izquierdo R, Voloshin I, Edwards S, Freehill MQ, Stanwood W, Wiater JM et al (2011) American academy of orthopaedic surgeons clinical practice guideline on: the treatment of glenohumeral joint osteoarthritis. J Bone Joint Surg Am 93:203–205PubMed

22.

Merolla G, Bianchi P, Lollino N, Rossi R, Paladini P, Porcellini G, Merolla G (2013) Clinical and radiographic mid-term outcomes after shoulder resurfacing in patients aged 50 years old or younger. Musculoskelet Surg 97(Suppl 1):23–29PubMedCrossRef

Title: Stemmed versus stemless total shoulder arthroplasty: a preliminary report and short-term results
Authors: U. Mariotti
P. Motta
A. Stucchi
F. Ponti di Sant’Angelo
Publication date: 01-12-2014
Publisher: Springer Milan
Published in: MUSCULOSKELETAL SURGERY / Issue 3/2014
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-014-0312-5

At a glance: The STEP trials

Springer Medicine

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

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 3/2014

Comparison of the POSSUM score and P-POSSUM score in patients with femoral neck fracture

Congenital bowing of the tibia due to infantile lipofibromatosis corrected with a Taylor Spatial Frame

The outcome of paediatric LCP hip plate use in children with and without neuromuscular disease

Fixation techniques for the anterior cruciate ligament reconstruction: early follow-up. A systematic review of level I and II therapeutic studies

Efficacy, usability and tolerability of a dynamic elbow orthosis after collateral ligament reconstruction: a prospective randomized study

Liposarcoma: a soft tissue tumor with many presentations