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Stemless Shoulder Arthroplasty in Treating Severe Deformity

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Abstract

Shoulder arthroplasty has undergone rapid evolution with significant advancements in design, materials, indications, and technique. Stemless shoulder arthroplasty offers many potential advantages including greater versatility in matching native anatomy, bone preservation, and less difficult revision surgery. Stemless implants also provide the theoretical advantage of decreased surgical times and less blood loss. These advantages may offer particular benefits in the setting of severe deformity. The currently available short- to midterm results are promising, but more research is needed to determine long-term survivability of the implant. Stemless reverse arthroplasty is also available, and the limited reported outcomes appear similar to the stemmed reverse implants. However, there may be a higher failure rate, and the specific indications and risks for failure have not been identified.

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References

  1. Churchill RS. Stemless shoulder arthroplasty: current status. J Shoulder Elb Surg. 2014;23(9):1409–14.

    Article  Google Scholar 

  2. Collin P, Matsukawa T, Boileau P, Brunner U, Walch G. Is the humeral stem useful in anatomic total shoulder arthroplasty? Int Orthop (SICOT). 2017;41(5):1035–9.

    Article  Google Scholar 

  3. Bohsali KI, Wirth MA, Rockwood CA. Complications of total shoulder arthroplasty. J Bone Joint Surg Am. 2006;88(10):2279–92.

    PubMed  Google Scholar 

  4. Gonzalez J-F, Alami GB, Baque F, Walch G, Boileau P. Complications of unconstrained shoulder prostheses. J Shoulder Elb Surg. 2011;20(4):666–82.

    Article  Google Scholar 

  5. Churchill RS, Athwal GS. Stemless shoulder arthroplasty-current results and designs. Curr Rev Musculoskelet Med. 2016;9(1):10–6.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Athwal GS, Sperling JW, Rispoli DM, Cofield RH. Periprosthetic humeral fractures during shoulder arthroplasty. J Bone Joint Surg Am. 2009;91(3):594–603.

    Article  PubMed  Google Scholar 

  7. Boyd AD, Thornhill TS, Barnes CL. Fractures adjacent to humeral prostheses. J Bone Joint Surg Am. 1992;74(10):1498–504.

    Article  PubMed  Google Scholar 

  8. Worland RL, Kim DY, Arredondo J. Periprosthetic humeral fractures: management and classification. J Shoulder Elb Surg. 1999;8(6):590–4.

    Article  CAS  Google Scholar 

  9. Huguet D, Declercq G, Rio B, Teissier J, Zipoli B, TESS Group. Results of a new stemless shoulder prosthesis: radiologic proof of maintained fixation and stability after a minimum of three years’ follow-up. J Shoulder Elb Surg. 2010;19(6):847–52.

    Google Scholar 

  10. Petriccioli D, Bertone C, Marchi G. Stemless shoulder arthroplasty: a literature review. Joints. 2015;3(1):38–41.

    PubMed  PubMed Central  Google Scholar 

  11. Athwal GS. Spare the canal: stemless shoulder arthroplasty is finally here: commentary on an article by R. Sean Churchill, MD, et al.: “clinical and radiographic outcomes of the simpliciti canal-sparing shoulder arthroplasty system. A prospective two-year multicenter study”. J Bone Joint Surg Am. 2016;98(7):e28.

    Article  PubMed  Google Scholar 

  12. Beck S, Beck V, Wegner A, Dudda M, Patsalis T, Jäger M. Long-term survivorship of stemless anatomical shoulder replacement. Int Orthop (SICOT). 2018.

    Google Scholar 

  13. Hawi N, Magosch P, Tauber M, Lichtenberg S, Habermeyer P. Nine-year outcome after anatomic stemless shoulder prosthesis: clinical and radiologic results. J Shoulder Elb Surg. 2017;26(9):1609–15.

    Article  Google Scholar 

  14. Bell SN, Coghlan JA. Short stem shoulder replacement. Int J Shoulder Surg. 2014;8(3):72–5.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Ballas R, Teissier P, Teissier J. Stemless shoulder prosthesis for treatment of proximal humeral malunion does not require tuberosity osteotomy. Int Orthop (SICOT). 2016;40(7):1473–9.

    Article  Google Scholar 

  16. Maier MW, Lauer S, Klotz MC, Bülhoff M, Spranz D, Zeifang F. Are there differences between stemless and conventional stemmed shoulder prostheses in the treatment of glenohumeral osteoarthritis? BMC Musculoskelet Disord. 2015;16(1):275.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Cruickshank DW, Bicknell RT. Stemless shoulder replacement: a new concept for shoulder arthritis. Curr Orthop Pract. 2017;28(2):153–0.

    Article  Google Scholar 

  18. Boileau P, Trojani C, Walch G, Krishnan SG, Romeo A, Sinnerton R. Shoulder arthroplasty for the treatment of the sequelae of fractures of the proximal humerus. J Shoulder Elb Surg. 2001;10(4):299–308.

    Article  CAS  Google Scholar 

  19. Mariotti U, Motta P, Stucchi A, di Sant’Angelo FP. Stemmed versus stemless total shoulder arthroplasty: a preliminary report and short-term results. Musculoskelet Surg. 2014;98(3):195–200.

    Article  CAS  PubMed  Google Scholar 

  20. Uschok S, Magosch P, Moe M, Lichtenberg S, Habermeyer P. Is the stemless humeral head replacement clinically and radiographically a secure equivalent to standard stem humeral head replacement in the long-term follow-up? A prospective randomized trial. J Shoulder Elb Surg. 2017;26(2):225–32.

    Article  Google Scholar 

  21. Churchill RS, Chuinard C, Wiater JM, Friedman R, Freehill M, Jacobson S, et al. Clinical and radiographic outcomes of the simpliciti canal-sparing shoulder arthroplasty system: a prospective two-year multicenter study. J Bone Joint Surg Am. 2016;98(7):552–60.

    Article  PubMed  Google Scholar 

  22. Habermeyer P, Lichtenberg S, Tauber M, Magosch P. Midterm results of stemless shoulder arthroplasty: a prospective study. J Shoulder Elb Surg. 2015;24(9):1463–72.

    Article  Google Scholar 

  23. Razmjou H, Holtby R, Christakis M, Axelrod T, Richards R. Impact of prosthetic design on clinical and radiologic outcomes of total shoulder arthroplasty: a prospective study. J Shoulder Elb Surg. 2013;22(2):206–14.

    Article  Google Scholar 

  24. Neer CS. The classic: articular replacement for the humeral head 1955. Clin Orthop Relat Res. 2011;469:2409–21.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Berth A, Pap G. Stemless shoulder prosthesis versus conventional anatomic shoulder prosthesis in patients with osteoarthritis: a comparison of the functional outcome after a minimum of two years follow-up. J Orthop Traumatol. 2013;14(1):31–7.

    Article  PubMed  Google Scholar 

  26. Ballas R, Béguin L. Results of a stemless reverse shoulder prosthesis at more than 58 months mean without loosening. J Shoulder Elb Surg. 2013;22(9):e1–6.

    Article  Google Scholar 

  27. Teissier P, Teissier J, Kouyoumdjian P, Asencio G. The TESS reverse shoulder arthroplasty without a stem in the treatment of cuff-deficient shoulder conditions: clinical and radiographic results. J Shoulder Elb Surg. 2015;24(1):45–51.

    Article  Google Scholar 

  28. Engelhardt v LV, Manzke M, Filler TJ, Jerosch J. Short-term results of the reverse Total Evolutive Shoulder System (TESS) in cuff tear arthropathy and revision arthroplasty cases. Arch Orthop Trauma Surg. 2015;135(7):897–904.

    Article  Google Scholar 

  29. Kadum B, Hassany H, Wadsten M, Sayed-Noor A, Sjödén G. Geometrical analysis of stemless shoulder arthroplasty: a radiological study of seventy TESS total shoulder prostheses. Int Orthop (SICOT). 2016;40(4):751–8.

    Article  Google Scholar 

  30. Kadum B, Mukka S, Englund E, Sayed-Noor A, Sjödén G. Clinical and radiological outcome of the Total Evolutive Shoulder System (TESS®) reverse shoulder arthroplasty: a prospective comparative non-randomised study. Int Orthop (SICOT). 2014;38(5):1001–6.

    Article  Google Scholar 

  31. Moroder P, Ernstbrunner L, Zweiger C, Schatz M, Seitlinger G, Skursky R, et al. Short to mid-term results of stemless reverse shoulder arthroplasty in a selected patient population compared to a matched control group with stem. Int Orthop (SICOT). 2016;40(10):2115–20.

    Article  Google Scholar 

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Assiry, B., Armstrong, M., Bicknell, R.T. (2019). Stemless Shoulder Arthroplasty in Treating Severe Deformity. In: Tashjian, R. (eds) Complex and Revision Shoulder Arthroplasty . Springer, Cham. https://doi.org/10.1007/978-3-030-02756-8_3

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  • DOI: https://doi.org/10.1007/978-3-030-02756-8_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-02755-1

  • Online ISBN: 978-3-030-02756-8

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