PURPOSE: This study compares the radiographic and functional outcomes of uncemented and cemented humeral fixation in reverse total shoulder arthroplasty (RTSA). METHODS: A prospective research database was reviewed for RTSA patients from 2007 to 2010. Inclusion criteria were primary RTSA from one manufacturer (Exactech Equinoxe®) with a grit-blasted metaphyseal humeral stem and two year minimum follow-up. Exclusion criteria included shoulder arthroplasty for fractures, fracture sequelae or inflammatory arthropathy. Radiographic and functional outcomes were compared between the uncemented and cemented groups. RESULTS: A total of 97 patients (58 women, 39 men) with 100 RTSAs met the inclusion criteria. Radiographic and clinical two year follow-up was available in 80 % (51 RTSAs) of the uncemented group and 89 % (32 RTSAs) of the cemented group (mean follow-up 3.5 years). Average age at surgery was 72 years. Both groups showed significant improvements in the 12-item Simple Shoulder Test (SST-12), 12-item Short Form (SF-12), Shoulder Pain and Disability Index 130 (SPADI-130), American Society of Shoulder and Elbow Surgeons (ASES) score and normalised Constant scores. One humeral loosening was seen in each group (2 % uncemented, 3 % cemented). Both groups' overall component revision rate was 6 % (one in each group relating to humeral component failure). There were no significant differences in complication rates, change in functional scores and range of motion improvement. CONCLUSIONS: Humeral component press-fitting in RTSA provides similar outcomes as cementation at a minimum two year follow-up.
PURPOSE: This study compares the radiographic and functional outcomes of uncemented and cemented humeral fixation in reverse total shoulder arthroplasty (RTSA). METHODS: A prospective research database was reviewed for RTSA patients from 2007 to 2010. Inclusion criteria were primary RTSA from one manufacturer (Exactech Equinoxe®) with a grit-blasted metaphyseal humeral stem and two year minimum follow-up. Exclusion criteria included shoulder arthroplasty for fractures, fracture sequelae or inflammatory arthropathy. Radiographic and functional outcomes were compared between the uncemented and cemented groups. RESULTS: A total of 97 patients (58 women, 39 men) with 100 RTSAs met the inclusion criteria. Radiographic and clinical two year follow-up was available in 80 % (51 RTSAs) of the uncemented group and 89 % (32 RTSAs) of the cemented group (mean follow-up 3.5 years). Average age at surgery was 72 years. Both groups showed significant improvements in the 12-item Simple Shoulder Test (SST-12), 12-item Short Form (SF-12), Shoulder Pain and Disability Index 130 (SPADI-130), American Society of Shoulder and Elbow Surgeons (ASES) score and normalised Constant scores. One humeral loosening was seen in each group (2 % uncemented, 3 % cemented). Both groups' overall component revision rate was 6 % (one in each group relating to humeral component failure). There were no significant differences in complication rates, change in functional scores and range of motion improvement. CONCLUSIONS: Humeral component press-fitting in RTSA provides similar outcomes as cementation at a minimum two year follow-up.
Authors: Robert B Litchfield; Micheal D McKee; Robert Balyk; Scott Mandel; Richard Holtby; Robert Hollinshead; Darren Drosdowech; S Elizabeth Wambolt; Sharon H Griffin; Robert McCormack Journal: J Shoulder Elbow Surg Date: 2011-06 Impact factor: 3.019
Authors: Carlos García-Fernández; Yaiza Lópiz-Morales; Alberto Rodríguez; Luis López-Durán; Fernando Marco Martínez Journal: Int Orthop Date: 2015-08-29 Impact factor: 3.075
Authors: Derek D Berglund; Dragomir Mijic; Tsun Yee Law; Jennifer Kurowicki; Samuel Rosas; Jonathan C Levy Journal: J Shoulder Elbow Surg Date: 2018-11-02 Impact factor: 3.019
Authors: Johannes H M van Ochten; Marco van der Pluijm; Martin Pouw; Quinten T M Felsch; Petra Heesterbeek; Maarten J de Vos Journal: J Orthop Date: 2019-03-24
Authors: Sarav S Shah; Benjamin T Gaal; Alexander M Roche; Surena Namdari; Brian M Grawe; Macy Lawler; Stewart Dalton; Joseph J King; Joshua Helmkamp; Grant E Garrigues; Thomas W Wright; Bradley S Schoch; Kyle Flik; Randall J Otto; Richard Jones; Andrew Jawa; Peter McCann; Joseph Abboud; Gabe Horneff; Glen Ross; Richard Friedman; Eric T Ricchetti; Douglas Boardman; Robert Z Tashjian; Lawrence V Gulotta Journal: JSES Int Date: 2020-09-07
Authors: Sarav S Shah; Alexander M Roche; Spencer W Sullivan; Benjamin T Gaal; Stewart Dalton; Arjun Sharma; Joseph J King; Brian M Grawe; Surena Namdari; Macy Lawler; Joshua Helmkamp; Grant E Garrigues; Thomas W Wright; Bradley S Schoch; Kyle Flik; Randall J Otto; Richard Jones; Andrew Jawa; Peter McCann; Joseph Abboud; Gabe Horneff; Glen Ross; Richard Friedman; Eric T Ricchetti; Douglas Boardman; Robert Z Tashjian; Lawrence V Gulotta Journal: JSES Int Date: 2020-09-10