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Erschienen in: Current Reviews in Musculoskeletal Medicine 1/2016

01.03.2016 | Shoulder Arthroplasty (G Athwal, Section Editor)

Total shoulder arthroplasty: are the humeral components getting shorter?

verfasst von: Luke Harmer, Thomas Throckmorton, John W. Sperling

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 1/2016

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Abstract

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.
Literatur
1.
Zurück zum Zitat Neer CS. Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg [Am]. 1974;56:1–13. Neer CS. Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg [Am]. 1974;56:1–13.
2.
Zurück zum Zitat Boileau P, Sinnerton RJ, Chuinard C, et al. Arthroplasty of the shoulder. J Bone Joint Surg [Br]. 2006;88:562–75.CrossRef Boileau P, Sinnerton RJ, Chuinard C, et al. Arthroplasty of the shoulder. J Bone Joint Surg [Br]. 2006;88:562–75.CrossRef
3.
Zurück zum Zitat Sperling JW, Cofield RH, O’Driscoll SW, et al. Radiographic assessment of ingrowth total shoulder arthroplasty. J Should Elbow Surg. 2000;9:507–13.CrossRef Sperling JW, Cofield RH, O’Driscoll SW, et al. Radiographic assessment of ingrowth total shoulder arthroplasty. J Should Elbow Surg. 2000;9:507–13.CrossRef
4.
Zurück zum Zitat Walch G, Boileau P. Prosthetic adaptability: a new concept for shoulder arthroplasty. J Should Elbow Surg. 1999;8:443–51.CrossRef Walch G, Boileau P. Prosthetic adaptability: a new concept for shoulder arthroplasty. J Should Elbow Surg. 1999;8:443–51.CrossRef
5.
Zurück zum Zitat Godenèche A, Boileau P, Favard L, et al. Prosthetic replacement in the treatment of osteoarthritis of the shoulder: early results of 268 cases. J Should Elbow Surg. 2002;11:11–8.CrossRef Godenèche A, Boileau P, Favard L, et al. Prosthetic replacement in the treatment of osteoarthritis of the shoulder: early results of 268 cases. J Should Elbow Surg. 2002;11:11–8.CrossRef
6.
Zurück zum Zitat Ambacher T. Moglichkeiten und Grenzen der schaftfreien Oberarmkopfprothese. Der Orthopade. 2013;42:495–500.CrossRefPubMed Ambacher T. Moglichkeiten und Grenzen der schaftfreien Oberarmkopfprothese. Der Orthopade. 2013;42:495–500.CrossRefPubMed
7.
Zurück zum Zitat Raiss P, Edwards TB, Deutsch A, et al. Radiographic changes around humeral components in shoulder arthroplasty. J Bone Joint Surg [Am]. 2014;96:e54.CrossRef Raiss P, Edwards TB, Deutsch A, et al. Radiographic changes around humeral components in shoulder arthroplasty. J Bone Joint Surg [Am]. 2014;96:e54.CrossRef
8.
Zurück zum Zitat Verborgt O, El-Abiad R, Gazielly DF. Long-term results of uncemented humeral components in shoulder arthroplasty. J Should Elbow Surg. 2007;16:S13–8.CrossRef Verborgt O, El-Abiad R, Gazielly DF. Long-term results of uncemented humeral components in shoulder arthroplasty. J Should Elbow Surg. 2007;16:S13–8.CrossRef
9.
Zurück zum Zitat Matsen FA, Iannotti JP, Rockwood CA. Humeral fixation by press-fitting of a tapered metaphyseal stem: a prospective radiographic study. J Bone Joint Surg [Am]. 2003;85-A:304–8. Matsen FA, Iannotti JP, Rockwood CA. Humeral fixation by press-fitting of a tapered metaphyseal stem: a prospective radiographic study. J Bone Joint Surg [Am]. 2003;85-A:304–8.
10.
Zurück zum Zitat Sanchez-Sotelo J, O’Driscoll SW, Torchia ME, et al. Radiographic assessment of cemented humeral components in shoulder arthroplasty. J Should Elbow Surg. 2001;10:526–31.CrossRef Sanchez-Sotelo J, O’Driscoll SW, Torchia ME, et al. Radiographic assessment of cemented humeral components in shoulder arthroplasty. J Should Elbow Surg. 2001;10:526–31.CrossRef
11.
Zurück zum Zitat Sanchez-Sotelo J, Wright TW, O’Driscoll SW, et al. Radiographic assessment of uncemented humeral components in total shoulder arthroplasty. J Arthroplas. 2001;16:180–7.CrossRef Sanchez-Sotelo J, Wright TW, O’Driscoll SW, et al. Radiographic assessment of uncemented humeral components in total shoulder arthroplasty. J Arthroplas. 2001;16:180–7.CrossRef
12.
Zurück zum Zitat Throckmorton TW, Zarkadas PC, Sperling JW, et al. Radiographic stability of ingrowth humeral stems in total shoulder arthroplasty. Clin Orthop. 2010;468:2122–8.PubMedCentralCrossRefPubMed Throckmorton TW, Zarkadas PC, Sperling JW, et al. Radiographic stability of ingrowth humeral stems in total shoulder arthroplasty. Clin Orthop. 2010;468:2122–8.PubMedCentralCrossRefPubMed
13.
Zurück zum Zitat Cil A, Veillette CJH, Sanchez Sotelo J, et al. Revision of the humeral component for aseptic loosening in arthroplasty of the shoulder. J Bone Joint Surg [Br]. 2009;91:75–81.CrossRef Cil A, Veillette CJH, Sanchez Sotelo J, et al. Revision of the humeral component for aseptic loosening in arthroplasty of the shoulder. J Bone Joint Surg [Br]. 2009;91:75–81.CrossRef
14.
Zurück zum Zitat Sahota S, Sperling JW, Cofield RH. Humeral windows and longitudinal splits for component removal in revision shoulder arthroplasty. J Should Elbow Surg. 2014;23:1485–91.CrossRef Sahota S, Sperling JW, Cofield RH. Humeral windows and longitudinal splits for component removal in revision shoulder arthroplasty. J Should Elbow Surg. 2014;23:1485–91.CrossRef
15.
Zurück zum Zitat Nagels J, Stokdijk M, Rozing PM. Stress shielding and bone resorption in shoulder arthroplasty. J Should Elbow Surg. 2003;12:35–9.CrossRef Nagels J, Stokdijk M, Rozing PM. Stress shielding and bone resorption in shoulder arthroplasty. J Should Elbow Surg. 2003;12:35–9.CrossRef
16.
Zurück zum Zitat Lee M, Chebli C, Mounce D, et al. Intramedullary reaming for press-fit fixation of a humeral component removes cortical bone asymmetrically. J Should Elbow Surg. 2008;17:150–5.CrossRef Lee M, Chebli C, Mounce D, et al. Intramedullary reaming for press-fit fixation of a humeral component removes cortical bone asymmetrically. J Should Elbow Surg. 2008;17:150–5.CrossRef
17.
Zurück zum Zitat Singh JA, Sperling J, Schleck C, et al. Periprosthetic fractures associated with primary total shoulder arthroplasty and primary humeral head replacement. J Bone Joint Surg [Am]. 2012;94:1777–9.CrossRef Singh JA, Sperling J, Schleck C, et al. Periprosthetic fractures associated with primary total shoulder arthroplasty and primary humeral head replacement. J Bone Joint Surg [Am]. 2012;94:1777–9.CrossRef
18.
Zurück zum Zitat Cil A, Veillette CJH, Sanchez-Sotelo J, et al. Survivorship of the humeral component in shoulder arthroplasty. J Should Elbow Surg. 2010;19:143–50.CrossRef Cil A, Veillette CJH, Sanchez-Sotelo J, et al. Survivorship of the humeral component in shoulder arthroplasty. J Should Elbow Surg. 2010;19:143–50.CrossRef
19.
Zurück zum Zitat Ballmer FT, Sidles J, Lippitt S, et al. Humeral head prosthetic arthroplasty: surgically relevant geometric considerations. J Should Elbow Surg. 1993;2:296–304.CrossRef Ballmer FT, Sidles J, Lippitt S, et al. Humeral head prosthetic arthroplasty: surgically relevant geometric considerations. J Should Elbow Surg. 1993;2:296–304.CrossRef
20.
Zurück zum Zitat Geurts GF, van Riet RP, Jansen N, et al. Placement of the stemless humeral component in the Total Evolutive Shoulder System (TESS). Tech Hand Upper Extrem Surg. 2010;14:214–7.CrossRef Geurts GF, van Riet RP, Jansen N, et al. Placement of the stemless humeral component in the Total Evolutive Shoulder System (TESS). Tech Hand Upper Extrem Surg. 2010;14:214–7.CrossRef
21.
Zurück zum Zitat Owens CJ, Sperling JW, Cofield RH. Long-stemmed humeral components in primary shoulder arthroplasty. J Should Elbow Surg. 2014;23:1492–8.CrossRef Owens CJ, Sperling JW, Cofield RH. Long-stemmed humeral components in primary shoulder arthroplasty. J Should Elbow Surg. 2014;23:1492–8.CrossRef
22.•
Zurück zum Zitat Churchill RS. Stemless shoulder arthroplasty: current status. J Should Elbow Surg. 2014;23:1409–14. An excellent brief summary of the stemless humeral options available at time of publication.CrossRef Churchill RS. Stemless shoulder arthroplasty: current status. J Should Elbow Surg. 2014;23:1409–14. An excellent brief summary of the stemless humeral options available at time of publication.CrossRef
24.
Zurück zum Zitat Huguet D, DeClercq G, Rio B, et al. Results of a new stemless shoulder prosthesis: radiologic proof of maintained fixation and stability after a minimum of three years follow-up. J Should Elbow Surg. 2010;19:847–52.CrossRef Huguet D, DeClercq G, Rio B, et al. Results of a new stemless shoulder prosthesis: radiologic proof of maintained fixation and stability after a minimum of three years follow-up. J Should Elbow Surg. 2010;19:847–52.CrossRef
25.
Zurück zum Zitat Kadum B, Mafi N, Norberg S, et al. Results of the Total Evolutive Shoulder System (TESS): a single-centre study of 56 consecutive patients. Arch Orthop Trauma Surg. 2011;131:1623–9.CrossRefPubMed Kadum B, Mafi N, Norberg S, et al. Results of the Total Evolutive Shoulder System (TESS): a single-centre study of 56 consecutive patients. Arch Orthop Trauma Surg. 2011;131:1623–9.CrossRefPubMed
26.•
Zurück zum Zitat Razmjou H, Holtby R, Christakis M, et al. Impact of prosthetic design on clinical and radiologic outcomes of total shoulder arthroplasty: a prospective study. J Should Elbow Surg. 2013;22:206–14.CrossRef Razmjou H, Holtby R, Christakis M, et al. Impact of prosthetic design on clinical and radiologic outcomes of total shoulder arthroplasty: a prospective study. J Should Elbow Surg. 2013;22:206–14.CrossRef
27.
Zurück zum Zitat Berth A, Pap G. Stemless shoulder prosthesis versus conventional anatomic shoulder prosthesis in patients with osteoarthritis. J Orthop Traumatol. 2012;14:31–7.PubMedCentralCrossRefPubMed Berth A, Pap G. Stemless shoulder prosthesis versus conventional anatomic shoulder prosthesis in patients with osteoarthritis. J Orthop Traumatol. 2012;14:31–7.PubMedCentralCrossRefPubMed
28.
Zurück zum Zitat Ballas R, Béguin L. Results of a stemless reverse shoulder prosthesis at more than 58 months mean without loosening. J Should Elbow Surg. 2013;22:e1–6.CrossRef Ballas R, Béguin L. Results of a stemless reverse shoulder prosthesis at more than 58 months mean without loosening. J Should Elbow Surg. 2013;22:e1–6.CrossRef
29.
Zurück zum Zitat Schoch C, Huth J, Aghajev E, et al. Die metaphysar verankerte Prothese bei posttraumatischer und primarer Omarthrose. Obere Extremitat. 2011;6:275–81.CrossRef Schoch C, Huth J, Aghajev E, et al. Die metaphysar verankerte Prothese bei posttraumatischer und primarer Omarthrose. Obere Extremitat. 2011;6:275–81.CrossRef
30.
Zurück zum Zitat Brunner UH, Fruth M, Ruckl K, et al. Die schaftfreie Eclipse-Prothese-Indikation und mittelfristige Ergebnisse. Obere Extremitat. 2012;7:22–8.CrossRef Brunner UH, Fruth M, Ruckl K, et al. Die schaftfreie Eclipse-Prothese-Indikation und mittelfristige Ergebnisse. Obere Extremitat. 2012;7:22–8.CrossRef
31.
Zurück zum Zitat Joudet T, Pap G, Kelly C, et al. Short stem prosthesis in shoulder replacement—a new trend? AOA NZOA Combined Meet. 2011;1–2. Joudet T, Pap G, Kelly C, et al. Short stem prosthesis in shoulder replacement—a new trend? AOA NZOA Combined Meet. 2011;1–2.
32.
Zurück zum Zitat Bell S, Coghlan J. Short stem shoulder replacement. Int J Should Surg. 2014;8:72–11.CrossRef Bell S, Coghlan J. Short stem shoulder replacement. Int J Should Surg. 2014;8:72–11.CrossRef
33.
34.
Zurück zum Zitat Jost PW, Dines JS, Griffith MH, et al. Total shoulder arthroplasty utilizing mini-stem humeral components: technique and short-term results. HSS J. 2011;7:213–7.PubMedCentralCrossRefPubMed Jost PW, Dines JS, Griffith MH, et al. Total shoulder arthroplasty utilizing mini-stem humeral components: technique and short-term results. HSS J. 2011;7:213–7.PubMedCentralCrossRefPubMed
35.
Zurück zum Zitat Giuseffi SA, Streubel P, Sperling J, et al. Short-stem uncemented primary reverse shoulder arthroplasty: clinical and radiological outcomes. Bone Jt J. 2014;96-B:526–9.CrossRef Giuseffi SA, Streubel P, Sperling J, et al. Short-stem uncemented primary reverse shoulder arthroplasty: clinical and radiological outcomes. Bone Jt J. 2014;96-B:526–9.CrossRef
36.•
Zurück zum Zitat AOA. Demographics and Outcomes of Shoulder Arthroplasty. 2014:1-74. This is the seventh annual report from the Australian Joint Registry regarding shoulder arthroplasty. It tracks every shoulder arthroplasty procedure in Australia and reports on outcomes. AOA. Demographics and Outcomes of Shoulder Arthroplasty. 2014:1-74. This is the seventh annual report from the Australian Joint Registry regarding shoulder arthroplasty. It tracks every shoulder arthroplasty procedure in Australia and reports on outcomes.
Metadaten
Titel
Total shoulder arthroplasty: are the humeral components getting shorter?
verfasst von
Luke Harmer
Thomas Throckmorton
John W. Sperling
Publikationsdatum
01.03.2016
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 1/2016
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-016-9313-3

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