Radiographic changes differ between two different short press-fit humeral stem designs in total shoulder arthroplasty

The purpose of this study was to compare the radiographic changes of the humerus in the short term after total shoulder arthroplasty with two different short-stem humeral components. The hypothesis was that there would be no difference in radiographic changes or functional outcome based on component...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of shoulder and elbow surgery 2018-02, Vol.27 (2), p.217-223
Hauptverfasser: Denard, Patrick J., Noyes, Matthew P., Walker, J. Brock, Shishani, Yousef, Gobezie, Reuben, Romeo, Anthony A., Lederman, Evan
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 223
container_issue 2
container_start_page 217
container_title Journal of shoulder and elbow surgery
container_volume 27
creator Denard, Patrick J.
Noyes, Matthew P.
Walker, J. Brock
Shishani, Yousef
Gobezie, Reuben
Romeo, Anthony A.
Lederman, Evan
description The purpose of this study was to compare the radiographic changes of the humerus in the short term after total shoulder arthroplasty with two different short-stem humeral components. The hypothesis was that there would be no difference in radiographic changes or functional outcome based on component type. A retrospective review was conducted of primary total shoulder arthroplasties performed with a short press-fit humeral component. Group A included a collarless humeral stem with an oval geometry and curved stem (Ascend or Ascend Flex; Wright Medical, Memphis, TN, USA). Group B included a humeral stem with a metaphyseal collar, rectangular geometry, and straight stem (Apex; Arthrex, Inc., Naples, FL, USA). Radiographic changes and functional outcome were evaluated at a minimum of 2 years postoperatively. There were 42 patients in group A and 35 patients in group B available for analysis. There was no difference in functional outcome between the groups. In group A, the mean total radiographic change score of the humerus was 3.9, with changes classified as low in 38% and high in 62%. In group B, the mean total radiographic change score of the humerus was 2.5, with changes classified as low in 77% and high in 23% (P 
doi_str_mv 10.1016/j.jse.2017.08.010
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1945717780</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1058274617305165</els_id><sourcerecordid>1945717780</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-b46a68a5e972d7a75851e16d89356d1dd037f55457c5013d9ce3487977a99bf23</originalsourceid><addsrcrecordid>eNp9kMuK3DAQRc2QYV7JB2QTtMzGTsm2XmQVhjwGBgJDshZqqdxWY1uOJGeYv4-a7mSZVRXFuRfqVNVbCg0Fyj8cmkPCpgUqGpANULiobijr2pozgFdlBybrVvT8urpN6QAAqof2qrpupeKMS3lTbU_G-bCPZh29JXY0yx4TcX4YMJId5mfEheTncD7hkkkaQ8xkjZhSPfhMxm3GaCaSMs7EYfL7JRFfUiEfr2PYJlfKTMxjDOtkUn55XV0OZkr45jzvqp9fPv-4_1Y_fv_6cP_psbY9Vbne9dxwaRgq0TphBJOMIuVOqo5xR52DTgyM9UxYBrRzymLXS6GEMErthra7q96fetcYfm2Ysp59sjhNZsGwJU1VyVIhJBSUnlAbQ0oRB71GP5v4oinoo2190MW2PtrWIHWxXTLvzvXbbkb3L_FXbwE-ngAsT_72GHWyHheLzke0Wbvg_1P_B99nkbc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1945717780</pqid></control><display><type>article</type><title>Radiographic changes differ between two different short press-fit humeral stem designs in total shoulder arthroplasty</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Denard, Patrick J. ; Noyes, Matthew P. ; Walker, J. Brock ; Shishani, Yousef ; Gobezie, Reuben ; Romeo, Anthony A. ; Lederman, Evan</creator><creatorcontrib>Denard, Patrick J. ; Noyes, Matthew P. ; Walker, J. Brock ; Shishani, Yousef ; Gobezie, Reuben ; Romeo, Anthony A. ; Lederman, Evan</creatorcontrib><description>The purpose of this study was to compare the radiographic changes of the humerus in the short term after total shoulder arthroplasty with two different short-stem humeral components. The hypothesis was that there would be no difference in radiographic changes or functional outcome based on component type. A retrospective review was conducted of primary total shoulder arthroplasties performed with a short press-fit humeral component. Group A included a collarless humeral stem with an oval geometry and curved stem (Ascend or Ascend Flex; Wright Medical, Memphis, TN, USA). Group B included a humeral stem with a metaphyseal collar, rectangular geometry, and straight stem (Apex; Arthrex, Inc., Naples, FL, USA). Radiographic changes and functional outcome were evaluated at a minimum of 2 years postoperatively. There were 42 patients in group A and 35 patients in group B available for analysis. There was no difference in functional outcome between the groups. In group A, the mean total radiographic change score of the humerus was 3.9, with changes classified as low in 38% and high in 62%. In group B, the mean total radiographic change score of the humerus was 2.5, with changes classified as low in 77% and high in 23% (P &lt; .001). Medial calcar osteolysis was present in 71% of group A compared with 28.5% of group B (P &lt; .001). At short-term follow-up, there is no difference in functional outcome or revision between 2 different humeral stem designs. However, bone adaptive changes and the rate of medial calcar osteolysis are significantly different.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2017.08.010</identifier><identifier>PMID: 28965688</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Shoulder - methods ; bone adaptations ; Female ; Humans ; humeral loosening ; Male ; metaphyseal fixation ; Middle Aged ; press fit ; Prostheses and Implants ; Prosthesis Design ; Radiography - methods ; Retrospective Studies ; short stem ; Shoulder Joint - diagnostic imaging ; Shoulder Joint - surgery ; stress shielding ; Total shoulder arthroplasty</subject><ispartof>Journal of shoulder and elbow surgery, 2018-02, Vol.27 (2), p.217-223</ispartof><rights>2017 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-b46a68a5e972d7a75851e16d89356d1dd037f55457c5013d9ce3487977a99bf23</citedby><cites>FETCH-LOGICAL-c419t-b46a68a5e972d7a75851e16d89356d1dd037f55457c5013d9ce3487977a99bf23</cites><orcidid>0000-0002-2641-5920</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jse.2017.08.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28965688$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Denard, Patrick J.</creatorcontrib><creatorcontrib>Noyes, Matthew P.</creatorcontrib><creatorcontrib>Walker, J. Brock</creatorcontrib><creatorcontrib>Shishani, Yousef</creatorcontrib><creatorcontrib>Gobezie, Reuben</creatorcontrib><creatorcontrib>Romeo, Anthony A.</creatorcontrib><creatorcontrib>Lederman, Evan</creatorcontrib><title>Radiographic changes differ between two different short press-fit humeral stem designs in total shoulder arthroplasty</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>The purpose of this study was to compare the radiographic changes of the humerus in the short term after total shoulder arthroplasty with two different short-stem humeral components. The hypothesis was that there would be no difference in radiographic changes or functional outcome based on component type. A retrospective review was conducted of primary total shoulder arthroplasties performed with a short press-fit humeral component. Group A included a collarless humeral stem with an oval geometry and curved stem (Ascend or Ascend Flex; Wright Medical, Memphis, TN, USA). Group B included a humeral stem with a metaphyseal collar, rectangular geometry, and straight stem (Apex; Arthrex, Inc., Naples, FL, USA). Radiographic changes and functional outcome were evaluated at a minimum of 2 years postoperatively. There were 42 patients in group A and 35 patients in group B available for analysis. There was no difference in functional outcome between the groups. In group A, the mean total radiographic change score of the humerus was 3.9, with changes classified as low in 38% and high in 62%. In group B, the mean total radiographic change score of the humerus was 2.5, with changes classified as low in 77% and high in 23% (P &lt; .001). Medial calcar osteolysis was present in 71% of group A compared with 28.5% of group B (P &lt; .001). At short-term follow-up, there is no difference in functional outcome or revision between 2 different humeral stem designs. However, bone adaptive changes and the rate of medial calcar osteolysis are significantly different.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Shoulder - methods</subject><subject>bone adaptations</subject><subject>Female</subject><subject>Humans</subject><subject>humeral loosening</subject><subject>Male</subject><subject>metaphyseal fixation</subject><subject>Middle Aged</subject><subject>press fit</subject><subject>Prostheses and Implants</subject><subject>Prosthesis Design</subject><subject>Radiography - methods</subject><subject>Retrospective Studies</subject><subject>short stem</subject><subject>Shoulder Joint - diagnostic imaging</subject><subject>Shoulder Joint - surgery</subject><subject>stress shielding</subject><subject>Total shoulder arthroplasty</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMuK3DAQRc2QYV7JB2QTtMzGTsm2XmQVhjwGBgJDshZqqdxWY1uOJGeYv4-a7mSZVRXFuRfqVNVbCg0Fyj8cmkPCpgUqGpANULiobijr2pozgFdlBybrVvT8urpN6QAAqof2qrpupeKMS3lTbU_G-bCPZh29JXY0yx4TcX4YMJId5mfEheTncD7hkkkaQ8xkjZhSPfhMxm3GaCaSMs7EYfL7JRFfUiEfr2PYJlfKTMxjDOtkUn55XV0OZkr45jzvqp9fPv-4_1Y_fv_6cP_psbY9Vbne9dxwaRgq0TphBJOMIuVOqo5xR52DTgyM9UxYBrRzymLXS6GEMErthra7q96fetcYfm2Ysp59sjhNZsGwJU1VyVIhJBSUnlAbQ0oRB71GP5v4oinoo2190MW2PtrWIHWxXTLvzvXbbkb3L_FXbwE-ngAsT_72GHWyHheLzke0Wbvg_1P_B99nkbc</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Denard, Patrick J.</creator><creator>Noyes, Matthew P.</creator><creator>Walker, J. Brock</creator><creator>Shishani, Yousef</creator><creator>Gobezie, Reuben</creator><creator>Romeo, Anthony A.</creator><creator>Lederman, Evan</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2641-5920</orcidid></search><sort><creationdate>201802</creationdate><title>Radiographic changes differ between two different short press-fit humeral stem designs in total shoulder arthroplasty</title><author>Denard, Patrick J. ; Noyes, Matthew P. ; Walker, J. Brock ; Shishani, Yousef ; Gobezie, Reuben ; Romeo, Anthony A. ; Lederman, Evan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-b46a68a5e972d7a75851e16d89356d1dd037f55457c5013d9ce3487977a99bf23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Shoulder - methods</topic><topic>bone adaptations</topic><topic>Female</topic><topic>Humans</topic><topic>humeral loosening</topic><topic>Male</topic><topic>metaphyseal fixation</topic><topic>Middle Aged</topic><topic>press fit</topic><topic>Prostheses and Implants</topic><topic>Prosthesis Design</topic><topic>Radiography - methods</topic><topic>Retrospective Studies</topic><topic>short stem</topic><topic>Shoulder Joint - diagnostic imaging</topic><topic>Shoulder Joint - surgery</topic><topic>stress shielding</topic><topic>Total shoulder arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Denard, Patrick J.</creatorcontrib><creatorcontrib>Noyes, Matthew P.</creatorcontrib><creatorcontrib>Walker, J. Brock</creatorcontrib><creatorcontrib>Shishani, Yousef</creatorcontrib><creatorcontrib>Gobezie, Reuben</creatorcontrib><creatorcontrib>Romeo, Anthony A.</creatorcontrib><creatorcontrib>Lederman, Evan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Denard, Patrick J.</au><au>Noyes, Matthew P.</au><au>Walker, J. Brock</au><au>Shishani, Yousef</au><au>Gobezie, Reuben</au><au>Romeo, Anthony A.</au><au>Lederman, Evan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Radiographic changes differ between two different short press-fit humeral stem designs in total shoulder arthroplasty</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2018-02</date><risdate>2018</risdate><volume>27</volume><issue>2</issue><spage>217</spage><epage>223</epage><pages>217-223</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>The purpose of this study was to compare the radiographic changes of the humerus in the short term after total shoulder arthroplasty with two different short-stem humeral components. The hypothesis was that there would be no difference in radiographic changes or functional outcome based on component type. A retrospective review was conducted of primary total shoulder arthroplasties performed with a short press-fit humeral component. Group A included a collarless humeral stem with an oval geometry and curved stem (Ascend or Ascend Flex; Wright Medical, Memphis, TN, USA). Group B included a humeral stem with a metaphyseal collar, rectangular geometry, and straight stem (Apex; Arthrex, Inc., Naples, FL, USA). Radiographic changes and functional outcome were evaluated at a minimum of 2 years postoperatively. There were 42 patients in group A and 35 patients in group B available for analysis. There was no difference in functional outcome between the groups. In group A, the mean total radiographic change score of the humerus was 3.9, with changes classified as low in 38% and high in 62%. In group B, the mean total radiographic change score of the humerus was 2.5, with changes classified as low in 77% and high in 23% (P &lt; .001). Medial calcar osteolysis was present in 71% of group A compared with 28.5% of group B (P &lt; .001). At short-term follow-up, there is no difference in functional outcome or revision between 2 different humeral stem designs. However, bone adaptive changes and the rate of medial calcar osteolysis are significantly different.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28965688</pmid><doi>10.1016/j.jse.2017.08.010</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2641-5920</orcidid></addata></record>
fulltext fulltext
identifier ISSN: 1058-2746
ispartof Journal of shoulder and elbow surgery, 2018-02, Vol.27 (2), p.217-223
issn 1058-2746
1532-6500
language eng
recordid cdi_proquest_miscellaneous_1945717780
source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Shoulder - methods
bone adaptations
Female
Humans
humeral loosening
Male
metaphyseal fixation
Middle Aged
press fit
Prostheses and Implants
Prosthesis Design
Radiography - methods
Retrospective Studies
short stem
Shoulder Joint - diagnostic imaging
Shoulder Joint - surgery
stress shielding
Total shoulder arthroplasty
title Radiographic changes differ between two different short press-fit humeral stem designs in total shoulder arthroplasty
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T15%3A44%3A41IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Radiographic%20changes%20differ%20between%20two%20different%20short%20press-fit%20humeral%20stem%20designs%20in%20total%20shoulder%20arthroplasty&rft.jtitle=Journal%20of%20shoulder%20and%20elbow%20surgery&rft.au=Denard,%20Patrick%20J.&rft.date=2018-02&rft.volume=27&rft.issue=2&rft.spage=217&rft.epage=223&rft.pages=217-223&rft.issn=1058-2746&rft.eissn=1532-6500&rft_id=info:doi/10.1016/j.jse.2017.08.010&rft_dat=%3Cproquest_cross%3E1945717780%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1945717780&rft_id=info:pmid/28965688&rft_els_id=S1058274617305165&rfr_iscdi=true