Short-stem uncemented primary reverse shoulder arthroplasty: Clinical and radiological outcomes

S. A. Giuseffi, P. Streubel, J. Sperling, J. Sanchez-Sotelo

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Short uncemented humeral stems can preserve humeral bone stock and facilitate revision surgery but may be prone to malalignment or loosening, especially when used in reverse total shoulder replacement (TSR). We undertook a retrospective review of 44 patients with a mean age of 76 years (59 to 92) who underwent primary reverse TSR with a short uncemented humeral stem. There were 29 females. The indications for joint replacement included cuff tear associated arthropathy (33), avascular necrosis (six), post-traumatic arthritis (two), and inflammatory arthritis (three). At a mean follow-up of 27 months (24 to 40), pain was rated as mild or none in 43 shoulders (97.7%). The mean active elevation improved from 54° (SD 20°) to 142° (SD 25°) and the mean active external rotation from 14° (SD 13°) to 45° (SD 9°). The outcome, as assessed by the modified Neer score, was excellent in 27 (61.3%), satisfactory in 15 (34.1%), and unsatisfactory in two shoulders (4.5%). Stems were well-positioned, without evidence of significant valgus or varus malalignment in 42 TSRs (95.5%). There was no radiological evidence of loosening of the humeral stem in any patient; 13 TSRs (29.5%) had evidence of proximal humeral remodelling and scapular notching was noted in three (6.8%).

Original languageEnglish (US)
Pages (from-to)526-529
Number of pages4
JournalBone and Joint Journal
Volume96 B
Issue number4
DOIs
StatePublished - Apr 2014

Fingerprint

Arthroplasty
Arthritis
Replacement Arthroplasties
Reoperation
Necrosis
Bone and Bones
Pain
Shoulder Replacement Arthroplasty
Rotator Cuff Tear Arthropathy

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Short-stem uncemented primary reverse shoulder arthroplasty : Clinical and radiological outcomes. / Giuseffi, S. A.; Streubel, P.; Sperling, J.; Sanchez-Sotelo, J.

In: Bone and Joint Journal, Vol. 96 B, No. 4, 04.2014, p. 526-529.

Research output: Contribution to journalArticle

Giuseffi, S. A. ; Streubel, P. ; Sperling, J. ; Sanchez-Sotelo, J. / Short-stem uncemented primary reverse shoulder arthroplasty : Clinical and radiological outcomes. In: Bone and Joint Journal. 2014 ; Vol. 96 B, No. 4. pp. 526-529.
@article{b9b35d06e8074d7ea937d1d9f0e92da3,
title = "Short-stem uncemented primary reverse shoulder arthroplasty: Clinical and radiological outcomes",
abstract = "Short uncemented humeral stems can preserve humeral bone stock and facilitate revision surgery but may be prone to malalignment or loosening, especially when used in reverse total shoulder replacement (TSR). We undertook a retrospective review of 44 patients with a mean age of 76 years (59 to 92) who underwent primary reverse TSR with a short uncemented humeral stem. There were 29 females. The indications for joint replacement included cuff tear associated arthropathy (33), avascular necrosis (six), post-traumatic arthritis (two), and inflammatory arthritis (three). At a mean follow-up of 27 months (24 to 40), pain was rated as mild or none in 43 shoulders (97.7{\%}). The mean active elevation improved from 54° (SD 20°) to 142° (SD 25°) and the mean active external rotation from 14° (SD 13°) to 45° (SD 9°). The outcome, as assessed by the modified Neer score, was excellent in 27 (61.3{\%}), satisfactory in 15 (34.1{\%}), and unsatisfactory in two shoulders (4.5{\%}). Stems were well-positioned, without evidence of significant valgus or varus malalignment in 42 TSRs (95.5{\%}). There was no radiological evidence of loosening of the humeral stem in any patient; 13 TSRs (29.5{\%}) had evidence of proximal humeral remodelling and scapular notching was noted in three (6.8{\%}).",
author = "Giuseffi, {S. A.} and P. Streubel and J. Sperling and J. Sanchez-Sotelo",
year = "2014",
month = "4",
doi = "10.1302/0301-620X.96B3.32702",
language = "English (US)",
volume = "96 B",
pages = "526--529",
journal = "Bone and Joint Journal",
issn = "2049-4394",
publisher = "British Editorial Society of Bone and Joint Surgery",
number = "4",

}

TY - JOUR

T1 - Short-stem uncemented primary reverse shoulder arthroplasty

T2 - Clinical and radiological outcomes

AU - Giuseffi, S. A.

AU - Streubel, P.

AU - Sperling, J.

AU - Sanchez-Sotelo, J.

PY - 2014/4

Y1 - 2014/4

N2 - Short uncemented humeral stems can preserve humeral bone stock and facilitate revision surgery but may be prone to malalignment or loosening, especially when used in reverse total shoulder replacement (TSR). We undertook a retrospective review of 44 patients with a mean age of 76 years (59 to 92) who underwent primary reverse TSR with a short uncemented humeral stem. There were 29 females. The indications for joint replacement included cuff tear associated arthropathy (33), avascular necrosis (six), post-traumatic arthritis (two), and inflammatory arthritis (three). At a mean follow-up of 27 months (24 to 40), pain was rated as mild or none in 43 shoulders (97.7%). The mean active elevation improved from 54° (SD 20°) to 142° (SD 25°) and the mean active external rotation from 14° (SD 13°) to 45° (SD 9°). The outcome, as assessed by the modified Neer score, was excellent in 27 (61.3%), satisfactory in 15 (34.1%), and unsatisfactory in two shoulders (4.5%). Stems were well-positioned, without evidence of significant valgus or varus malalignment in 42 TSRs (95.5%). There was no radiological evidence of loosening of the humeral stem in any patient; 13 TSRs (29.5%) had evidence of proximal humeral remodelling and scapular notching was noted in three (6.8%).

AB - Short uncemented humeral stems can preserve humeral bone stock and facilitate revision surgery but may be prone to malalignment or loosening, especially when used in reverse total shoulder replacement (TSR). We undertook a retrospective review of 44 patients with a mean age of 76 years (59 to 92) who underwent primary reverse TSR with a short uncemented humeral stem. There were 29 females. The indications for joint replacement included cuff tear associated arthropathy (33), avascular necrosis (six), post-traumatic arthritis (two), and inflammatory arthritis (three). At a mean follow-up of 27 months (24 to 40), pain was rated as mild or none in 43 shoulders (97.7%). The mean active elevation improved from 54° (SD 20°) to 142° (SD 25°) and the mean active external rotation from 14° (SD 13°) to 45° (SD 9°). The outcome, as assessed by the modified Neer score, was excellent in 27 (61.3%), satisfactory in 15 (34.1%), and unsatisfactory in two shoulders (4.5%). Stems were well-positioned, without evidence of significant valgus or varus malalignment in 42 TSRs (95.5%). There was no radiological evidence of loosening of the humeral stem in any patient; 13 TSRs (29.5%) had evidence of proximal humeral remodelling and scapular notching was noted in three (6.8%).

UR - http://www.scopus.com/inward/record.url?scp=84898422475&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84898422475&partnerID=8YFLogxK

U2 - 10.1302/0301-620X.96B3.32702

DO - 10.1302/0301-620X.96B3.32702

M3 - Article

C2 - 24692622

AN - SCOPUS:84898422475

VL - 96 B

SP - 526

EP - 529

JO - Bone and Joint Journal

JF - Bone and Joint Journal

SN - 2049-4394

IS - 4

ER -