Skip to main content
SpringerLink
Log in

Platform systems in shoulder arthroplasty

  • Shoulder Arthroplasty (G Athwal, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

A platform system for shoulder arthroplasty can include a convertible modular humeral stem and/or a metal-backed glenoid component to facilitate straightforward conversion from either a hemiarthroplasty or anatomic total shoulder arthroplasty to a subsequent anatomic total shoulder arthroplasty, or more frequently, reverse total shoulder arthroplasty without any revision to the stem and/or glenoid baseplate. Recent studies have demonstrated a decreased rate of intraoperative humeral fracture, complications, and blood loss when a platform system is used and the humeral stem is not exchanged during revision arthroplasty. Future studies with larger patient cohorts are necessary to truly evaluate the potential value and limitations of this technology.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Kim SH, Wise BL, Zhang Y, Szabo RM. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am. 2011;93:2249–54.

    PubMed  Google Scholar 

  2. Trofa D, Rajaee SS, Smith EL. Nationwide trends in total shoulder arthroplasty and hemiarthroplasty for osteoarthritis. Am J Orthop (Belle Mead NJ). 2014;43:166–72.

    Google Scholar 

  3. Schairer WW, Nwachukwu BU, Lyman S, Craig EV, Gulotta LV. National utilization of reverse total shoulder arthroplasty in the United States. J Shoulder Elb Surg. 2015;24:91–7. Highlights the substantial increase in the use of reverse total shoulder arthroplasty over the past decade.

    Article  Google Scholar 

  4. Day JS, Lau E, Ong KL, Williams GR, Ramsey ML, Kurtz SM. Prevalence and projections of total shoulder and elbow arthroplasty in the United States to 2015. J Shoulder Elb Surg. 2010;19:1115–20.

    Article  Google Scholar 

  5. Hollatz MF, Stang A. Nationwide shoulder arthroplasty rates and revision burden in Germany: analysis of the national hospitalization data 2005 to 2006. J Shoulder Elb Surg. 2014;23:e267–74.

    Article  Google Scholar 

  6. Matsen 3rd FA, Li N, Gao H, Yuan S, Russ SM, Sampson PD. Factors affecting length of stay, readmission, and revision after shoulder arthroplasty: a population-based study. J Bone Joint Surg Am. 2015;97:1255–63.

    Article  PubMed  Google Scholar 

  7. Abboud JA, Anakwenze OA, Hsu JE. Soft-tissue management in revision total shoulder arthroplasty. J Am Acad Orthop Surg. 2013;21:23–31.

    Article  PubMed  Google Scholar 

  8. Austin L, Zmistowski B, Chang ES, Williams Jr GR. Is reverse shoulder arthroplasty a reasonable alternative for revision arthroplasty? Clin Orthop Relat Res. 2011;469:2531–7.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Chuinard C. CORR insights(R): conversion of stemmed hemi- or total to reverse total shoulder arthroplasty—advantages of a modular stem design. Clin Orthop Relat Res. 2015;473:661–2. One of few studies describing clinical outcomes using a platform system for conversion of a previous arthroplasty to reverse shoulder arthroplasty.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Kany J, Amouyel T, Flamand O, Katz D, Valenti P. A convertible shoulder system: is it useful in total shoulder arthroplasty revisions? Int Orthop. 2015;39:299–304. A small, but important, study highlighting clinical outcomes using a platform system for shoulder arthroplasty.

    Article  PubMed  Google Scholar 

  11. Gohlke F, Rolf O. Revision of failed fracture hemiarthroplasties to reverse total shoulder prosthesis through the transhumeral approach : method incorporating a pectoralis-major-pedicled bone window. Oper Orthop Traumatol. 2007;19:185–208.

    Article  PubMed  Google Scholar 

  12. Wall B, Nove-Josserand L, O'Connor DP, Edwards TB, Walch G. Reverse total shoulder arthroplasty: a review of results according to etiology. J Bone Joint Surg Am. 2007;89:1476–85.

    Article  PubMed  Google Scholar 

  13. Dilisio MF, Miller LR, Siegel EJ, Higgins LD. Conversion to reverse shoulder arthroplasty: humeral stem retention versus revision. Orthopedics. 2015;38:e773–9.

    Article  PubMed  Google Scholar 

  14. Sperling JW, Cofield RH. Humeral windows in revision shoulder arthroplasty. J Shoulder Elb Surg. 2005;14:258–63.

    Article  Google Scholar 

  15. Sahota S, Sperling JW, Cofield RH. Humeral windows and longitudinal splits for component removal in revision shoulder arthroplasty. J Shoulder Elb Surg. 2014;23:1485–91.

    Article  Google Scholar 

  16. Flury MP, Frey P, Goldhahn J, Schwyzer HK, Simmen BR. Reverse shoulder arthroplasty as a salvage procedure for failed conventional shoulder replacement due to cuff failure—midterm results. Int Orthop. 2011;35:53–60.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Wieser K, Borbas P, Ek ET, Meyer DC, Gerber C. Conversion of stemmed hemi- or total to reverse total shoulder arthroplasty: advantages of a modular stem design. Clin Orthop Relat Res. 2015;473:651–60. Highlights advantages of using a modular stem for revision shoulder arthroplasty, including less blood loss and less operative time.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Castagna A, Delcogliano M, de Caro F, et al. Conversion of shoulder arthroplasty to reverse implants: clinical and radiological results using a modular system. Int Orthop. 2013;37:1297–305.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Torchia ME, Cofield RH, Settergren CR. Total shoulder arthroplasty with the Neer prosthesis: long-term results. J Shoulder Elb Surg. 1997;6:495–505.

    Article  CAS  Google Scholar 

  20. Chin PY, Sperling JW, Cofield RH, Schleck C. Complications of total shoulder arthroplasty: are they fewer or different? J Shoulder Elb Surg. 2006;15:19–22.

    Article  Google Scholar 

  21. Neer 2nd CS, Morrison DS. Glenoid bone-grafting in total shoulder arthroplasty. J Bone Joint Surg Am. 1988;70:1154–62.

    PubMed  Google Scholar 

  22. Taunton MJ, McIntosh AL, Sperling JW, Cofield RH. Total shoulder arthroplasty with a metal-backed, bone-ingrowth glenoid component. medium to long-term results. J Bone Joint Surg Am. 2008;90:2180–8.

    Article  PubMed  Google Scholar 

  23. Boileau P, Avidor C, Krishnan SG, Walch G, Kempf JF, Mole D. Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study. J Shoulder Elb Surg. 2002;11:351–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Hospital for Special Surgery, New York, NY, USA

    Brian C. Werner, Joshua S. Dines & David M. Dines

Authors
  1. Brian C. Werner
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Joshua S. Dines
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. David M. Dines
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Brian C. Werner.

Ethics declarations

Conflict of interest

Brian C. Werner declares that he has no conflict of interest.

Joshua S. Dines reports grants and personal fees from Arthrex, personal fees from Conmed Linvatec, and personal fees from Ossur, outside the submitted work.

David M. Dines reports royalties received from Biomet Inc. and consulting fees from Tornier Inc.. In addition he is the developer of the Biomet Comprehensive Reverse Total Shoulder System.

Human and animal rights and informed consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

This article is part of the Topical Collection on Shoulder Arthroplasty

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Werner, B.C., Dines, J.S. & Dines, D.M. Platform systems in shoulder arthroplasty. Curr Rev Musculoskelet Med 9, 49–53 (2016). https://doi.org/10.1007/s12178-016-9317-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12178-016-9317-z

Keywords

Search

Navigation