Mid-term results of a stemless ceramic on polyethylene shoulder prosthesis - A prospective multicentre study.
| Autor: | Jordan RW; Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, England., Kelly CP; Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, England., Pap G; Helios Park-Hospital Leipzig, Leipzig, Germany., Joudet T; Clinique du Libournais, Libourne, France., Nyffeler RW; Sonnenhof, Bern, Switzerland., Reuther F; DRK Clinic Berlin Koepenick, Berlin, Germany., Irlenbusch U; Sports Clinic Erfurt, Erfurt, Germany. |
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| Jazyk: | angličtina |
| Zdroj: | Shoulder & elbow [Shoulder Elbow] 2021 Feb; Vol. 13 (1), pp. 67-77. Date of Electronic Publication: 2019 Aug 14. |
| DOI: | 10.1177/1758573219866431 |
| Abstrakt: | Introduction: Early reports of stemless shoulder arthroplasty have shown promising clinical and radiological outcomes. The purpose of this study was to report on the mid-term results of an implant that utilises a ceramic humeral head. Methods: A prospective, consecutive, multicentre study of stemless shoulder prosthesis with a minimum of four years of follow-up was conducted between August 2009 and May 2012. The adjusted Constant-Murley Score (CMS), revision rate and presence of radiolucent lines were recorded at intervals. Results: A total of 207 patients were eligible for study inclusion; 62.8% were female and mean age was 64.8 years (range 30-86). Mean follow-up was 70.7 months (range 48-100), 73% underwent TSA and 27% hemiarthroplasty. The mean CMS improvement was 42.6 (p < 0.0001) at 48 months. Radiolucencies were present in 2.7% of humeral zones and 14% of glenoid zones at 48-month follow-up. The revision rate was 6.3% with rotator cuff failure (2.9%) the most common indication. Conclusions: Mid-term results demonstrate that the studied stemless implant with a ceramic humeral head had clinical and radiological outcomes that are comparable to other reported studies. Competing Interests: Declaration of Conflicting Interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: RWJ is undertaking a fellowship funded by Mathys Ltd., Bettlach; CPK, GP, TJ, RWN, FR and UI are consultants for Mathys Ltd., Bettlach. (© 2019 The British Elbow & Shoulder Society.) |
| Databáze: | MEDLINE |
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