Comparison of revision rates and radiographic observations of long and short, uncoated and coated humeral stem designs in total shoulder arthroplasty
- Resource Type
- Authors
- Johannes Barth; Jérôme Garret; Arnaud Godenèche; Laurent Geais; Aude Michelet
- Source
- EFORT Open Reviews
- Subject
- 030222 orthopedics
business.industry
Radiodensity
medicine.medical_treatment
Radiography
Shoulder & Elbow
Dentistry
030229 sport sciences
Stress shielding
Humerus
Arthroplasty
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Stem Designs
medicine
Orthopedics and Sports Medicine
Surgery
business
Prospective cohort study
Total Shoulder Arthroplasty
- Language
- English
- ISSN
- 2058-5241
There is no consensus on outcomes of long versus short and uncoated versus coated uncemented stems in total shoulder arthroplasty (TSA). We reviewed the literature to compare revision rates and adverse radiographic observations at ⩾ 2 years of various uncemented humeral stem designs. We performed an electronic PubMed search for studies on uncemented primary TSA that reported one or more of the following observations at ⩾ 2 years for distinct stem designs: stem revision; subsidence; stress shielding; radiolucent lines; and humeral loosening. The search returned 258 records, from which 20 articles (22 cohorts) met the inclusion criteria. The most frequently reported designs were short uncoated stems (7/13 cohorts) at < 3 years and long uncoated stems (8/9 cohorts) at > 3 years. The incidences of revisions and adverse radiographic observations were lower for short coated designs, compared with short and long uncoated designs, but these findings should be confirmed by prospective studies with a longer follow-up. Cite this article: EFORT Open Rev 2019;4:70-76. DOI: 10.1302/2058-5241.4.180046.