nach oben

MUSCULOSKELETAL SURGERY

Erschienen in:

18.05.2021 | Review

Stemless reverse total shoulder arthroplasty: a systematic review of contemporary literature

verfasst von: L. Kostretzis, P. Konstantinou, I. Pinto, M. Shahin, K. Ditsios, P. Papadopoulos

Erschienen in: MUSCULOSKELETAL SURGERY | Ausgabe 3/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Reverse shoulder prostheses are increasingly used for treatment of rotator cuff tear arthropathy and other degenerative shoulder diseases. In recent years, aiming for bone stock preservation has led to the design of metaphyseal humeral components without a stem. The aims of this study were to evaluate the complication and reintervention rates, as well as the clinical and radiographic outcomes in patients who underwent reverse shoulder arthroplasty (RSA) with stemless implants.

Methods

A systematic review of the literature was completed until May 2020 using PubMed, EMBASE, CINAHL and Cochrane databases, according to PRISMA guidelines.

Results

The literature search revealed 2942 studies, of which 13 were included in this review, with a total of 517 patients and a mean follow-up between 6.4 and 101.6 months. The total complication rate was 6.5%, while 3.3% were humeral associated complications. Finally, the rate of shoulders that underwent a reintervention was 6.7%, with 1.4% relating to a humeral component reason. Stemless RSA led to substantial improvements in patient reported outcome measures and range of motion across all studies. Scapular notching was reported in 15.2%, and lucencies around humeral component were reported in 0.8% of shoulders.

Conclusion

Stemless RSA resulted in low complication and reintervention rates at the mid-term follow-up. The reported clinical and radiological outcomes showed that these prostheses have at least equivalent outcomes with their stemmed counterparts. Further studies are required to investigate the long-term longevity and performance of the stemless humeral implants.

Level of evidence

Level IV; Systematic Review

Nur mit Berechtigung zugänglich

Baulot E, Sirveaux F, Boileau P (2011) Grammont’s idea: The story of Paul Grammont’s functional surgery concept and the development of the reverse principle. Clin Orthop Relat Res 469:2425–2431. https://doi.org/10.1007/s11999-010-1757-yCrossRefPubMedPubMedCentral

Erickson BJ, Bohl DD, Cole BJ, et al (2018) Reverse total shoulder arthroplasty: indications and techniques across the World. Am J Orthop (Belle Mead NJ) 47. https://doi.org/https://doi.org/10.12788/ajo.2018.0079

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

Kumar S, Sperling JW, Haidukewych GH, Cofield RH (2004) Periprosthetic humeral fractures after shoulder arthroplasty. J Bone Joint Surg Am 86:680–689. https://doi.org/10.2106/00004623-200404000-00003CrossRefPubMed

Raiss P, Edwards TB, Deutsch A et al (2014) Radiographic changes around humeral components in shoulder arthroplasty. J Bone Joint Surg Am 96:e54. https://doi.org/10.2106/JBJS.M.00378CrossRefPubMed

Sahota S, Sperling JW, Cofield RH (2014) Humeral windows and longitudinal splits for component removal in revision shoulder arthroplasty. J Shoulder Elb Surg 23:1485–1491. https://doi.org/10.1016/j.jse.2014.02.004CrossRef

Wright JG, Swiontkowski MF, Heckman JD (2003) Introducing levels of evidence to the journal. J Bone Joint Surg Am 85:1–3CrossRef

Coleman BD, Khan KM, Maffulli N et al (2000) Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Scand J Med Sci Sports 10:2–11. https://doi.org/10.1034/j.1600-0838.2000.010001002.xCrossRefPubMed

Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33:159–174CrossRef

10.

Atoun E, Van Tongel A, Hous N et al (2014) Reverse shoulder arthroplasty with a short metaphyseal humeral stem. Int Orthop 38:1213–1218. https://doi.org/10.1007/s00264-014-2328-8CrossRefPubMedPubMedCentral

11.

Ballas R, Béguin L (2013) Results of a stemless reverse shoulder prosthesis at more than 58 months mean without loosening. J Shoulder Elb Surg 22:e1-6. https://doi.org/10.1016/j.jse.2012.12.005CrossRef

12.

Natera L, Bruguera J, Atoun E, Levy O (2016) Revision shoulder arthroplasty from resurfacing to non-cemented short-stem reverse prosthesis. Rev Esp Cir Ortop Traumatol 60:175–183. https://doi.org/10.1016/j.recot.2016.01.001CrossRefPubMed

13.

Teissier P, Teissier J, Kouyoumdjian P, Asencio G (2015) The TESS reverse shoulder arthroplasty without a stem in the treatment of cuff-deficient shoulder conditions: clinical and radiographic results. J Shoulder Elb Surg 24:45–51. https://doi.org/10.1016/j.jse.2014.04.005CrossRef

14.

Engelhardt LV, Manzke M, Filler TJ, Jerosch J (2015) Short-term results of the reverse Total Evolutive Shoulder System (TESS) in cuff tear arthropathy and revision arthroplasty cases. Arch Orthop Trauma Surg 135:897–904. https://doi.org/10.1007/s00402-015-2218-6CrossRef

15.

Beck S, Patsalis T, Busch A et al (2019) Long-term results of the reverse Total Evolutive Shoulder System (TESS). Arch Orthop Trauma Surg 139:1039–1044. https://doi.org/10.1007/s00402-019-03135-5CrossRefPubMed

16.

Jerosch J, Manzke M, Filler T (2014) Klinische Ergebnisse nach Implantation einer metaphysären inversen Kurzschaftprothese. OUP 10:470–479

17.

Kadum B, Mukka S, Englund E et al (2014) Clinical and radiological outcome of the Total Evolutive Shoulder System (TESS®) reverse shoulder arthroplasty: a prospective comparative non-randomised study. Int Orthop 38:1001–1006. https://doi.org/10.1007/s00264-013-2277-7CrossRefPubMedPubMedCentral

18.

Leonidou A, Virani S, Buckle C et al (2019) Reverse shoulder arthroplasty with a cementless short metaphyseal humeral prosthesis without a stem: survivorship, early to mid - term clinical and radiological outcomes in a prospective study from an independent centre. Eur J Orthop Surg Traumatol 30:89–96. https://doi.org/10.1007/s00590-019-02531-2CrossRefPubMed

19.

Levy O, Narvani A, Hous N et al (2016) Reverse shoulder arthroplasty with a cementless short metaphyseal humeral implant without a stem: clinical and radiologic outcomes in prospective 2- to 7-year follow-up study. J Shoulder Elb Surg 25:1362–1370. https://doi.org/10.1016/j.jse.2015.12.017CrossRef

20.

Levy O, Orth M, Walecka J et al (2017) Bilateral reverse total shoulder arthroplasty — functional outcome and activities of daily living. J Shoulder Elb Surg 26:e85–e96. https://doi.org/10.1016/j.jse.2016.09.010CrossRef

21.

Micheloni GM, Salmaso G, Berti M et al (2019) Cementless metaphyseal reverse shoulder arthroplasty : our preliminary experience. Acta Biomed 90:47–53PubMed

22.

Moroder P, Ernstbrunner L, Zweiger C et al (2016) Short to mid-term results of stemless reverse shoulder arthroplasty in a selected patient population compared to a matched control group with stem. Int Orthop 40:2115–2120. https://doi.org/10.1007/s00264-016-3249-5CrossRefPubMed

23.

Zumstein M, a., Pinedo M, Old J, Boileau P, (2011) Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elb Surg 20:146–157. https://doi.org/10.1016/j.jse.2010.08.001CrossRef

24.

Grey B, Rodseth RN, Roche SJ (2018) Humeral stem loosening following reverse shoulder arthroplasty: a systematic review and meta-analysis. JBJS Rev 6:e5. https://doi.org/10.2106/JBJS.RVW.17.00129CrossRefPubMed

25.

Andersen JR, Williams CD, Cain R et al (2013) Surgically treated humeral shaft fractures following shoulder arthroplasty. J Bone Joint Surg Am 95:9–18. https://doi.org/10.2106/JBJS.K.00863CrossRefPubMed

26.

Samitier G, Alentorn-Geli E, Torrens C, Wright TW (2015) Reverse shoulder arthroplasty. Part 1: systematic review of clinical and functional outcomes. Int J Shoulder Surg 9:24–31. https://doi.org/10.4103/0973-6042.150226CrossRefPubMedPubMedCentral

27.

Wellmann M, Struck M, Pastor MF et al (2013) Short and midterm results of reverse shoulder arthroplasty according to the preoperative etiology. Arch Orthop Trauma Surg 133:463–471. https://doi.org/10.1007/s00402-013-1688-7CrossRefPubMed

28.

Wall B, Nové-Josserand L, O’Connor DP et al (2007) Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am 89:1476–1485. https://doi.org/10.2106/JBJS.F.00666CrossRefPubMed

29.

Melis B, DeFranco M, Lädermann A et al (2011) An evaluation of the radiological changes around the Grammont reverse geometry shoulder arthroplasty after eight to 12 years. J Bone Joint Surg Br 93:1240–1246. https://doi.org/10.1302/0301-620X.93B9.25926CrossRefPubMed

30.

Sirveaux F, Favard L, Oudet D et al (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 86:388–395CrossRef

31.

Simovitch RW, Zumstein MA, Lohri E et al (2007) Predictors of scapular notching in patients managed with the delta III reverse total shoulder replacement. J Bone Joint Surg Am 89:588–600. https://doi.org/10.2106/JBJS.F.00226CrossRefPubMed

32.

Scarlat MM (2013) Complications with reverse total shoulder arthroplasty and recent evolutions. Int Orthop 37:843–851. https://doi.org/10.1007/s00264-013-1832-6CrossRefPubMedPubMedCentral

33.

Mizuno N, Denard PJ, Raiss P, Walch G (2012) The clinical and radiographical results of reverse total shoulder arthroplasty with eccentric glenosphere. Int Orthop 36:1647–1653. https://doi.org/10.1007/s00264-012-1539-0CrossRefPubMedPubMedCentral

34.

Coleman BD, Khan KM, Maffulli N et al (2000) Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Scand J Med Sci Sport 10:2–11. https://doi.org/10.1034/j.1600-0838.2000.010001002.xCrossRef

35.

Boileau P, Watkinson DJ, Hatzidakis AM, Balg F (2005) Grammont reverse prosthesis: design, rationale, and biomechanics. J Shoulder Elb Surg 14:147–161. https://doi.org/10.1016/j.jse.2004.10.006CrossRef

36.

Kempton LB, Balasubramaniam M, Ankerson E, Wiater JM (2011) A radiographic analysis of the effects of glenosphere position on scapular notching following reverse total shoulder arthroplasty. J Shoulder Elb Surg 20:968–974. https://doi.org/10.1016/j.jse.2010.11.026CrossRef

37.

Erickson BJ, Frank RM, Harris JD et al (2015) The influence of humeral head inclination in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elb Surg 24:988–993. https://doi.org/10.1016/j.jse.2015.01.001CrossRef

Titel: Stemless reverse total shoulder arthroplasty: a systematic review of contemporary literature
verfasst von: L. Kostretzis
P. Konstantinou
I. Pinto
M. Shahin
K. Ditsios
P. Papadopoulos
Publikationsdatum: 18.05.2021
Verlag: Springer Milan
Erschienen in: MUSCULOSKELETAL SURGERY / Ausgabe 3/2021
Print ISSN: 2035-5106
Elektronische ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-021-00710-1

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

18.04.2024 | Wirbelsäulenmetastase | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Stemless reverse total shoulder arthroplasty: a systematic review of contemporary literature

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Zwei neue Alternativen zu TNF-Inhibitoren bei axSpA

Update Orthopädie und Unfallchirurgie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2021

Minimally versus conventional-invasive transforaminal lumbar interbody fusion in patients with failed back surgery syndrome

Hidden blood loss in direct anterior total hip arthroplasty: a prospective, double blind, randomized controlled trial on topical versus intravenous tranexamic acid

ARoCuS Web application promotes standardized treatment and documentation of rotator cuff tears

Reduction in pain from corticosteroid injection for the treatment of trigger finger with subcutaneous single-injection digital block: a randomized controlled trial

Conservative or surgical treatment of carpal tunnel syndrome based on the severity and patient risk factors

Curve severity and apical vertebral rotation and their association with curve flexibility in adolescent idiopathic scoliosis

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Brustkrebs in der Vorgeschichte macht Gelenkersatz komplikationsträchtiger

Zwei neue Alternativen zu TNF-Inhibitoren bei axSpA

Update Orthopädie und Unfallchirurgie