Skip to main content
SpringerLink
Log in

Kurzschaftprothesen der Schulter

Konzept und erste Ergebnisse

Short stem shoulder prosthesis

Concept and first results

  • Leitthema
  • Published:
Der Orthopäde Aims and scope Submit manuscript

Zusammenfassung

Der Trend in der Schulterendoprothetik geht weg von langen, zementiert eingebrachten Prothesenschäften hin zu zementfreien, schaftlosen, metaphysär verankerten humeralen Implantaten und zum ausschließlichen Gelenkflächenersatz. Die zementfreie Kurzschaftprothese stellt ein Konzept dar, das die Vorteile einer knochensparenden Implantation mit einer unkomplizierten Wechseloption vereinbaren soll. Zudem kann der Schaft als Träger für ein konvertierbares anatomisch-inverses Modulsystem dienen. Das Konzept besteht in einer stabilen proximalen Verankerung der Prothese durch Kompaktierung der metaphysären Spongiosa. Im Kurzzeitverlauf erwies sich die Kurzschaftprothese als komplikationsarmes Implantat mit klinischen Resultaten, die den bewährten Prothesensystemen entsprechen.

Abstract

The trend in shoulder arthroplasty is moving away from long stemmed, cemented humeral components to cementless, stemless and metaphyseal fixed implants and to humeral resurfacing. The cementless short stem prosthesis presents a concept that combines the advantages of a bone-saving implantation with a straightforward revision option. Furthermore, the stem may serve as a carrier for a convertible anatomic and reversed modular system. The concept consists of a stabile proximal fixation of the prosthesis by compaction of metaphyseal cancellous bone. After 1 year follow-up the short stem prosthesis proved to be an implant with few complications and clinical results comparable to those of established prosthetic systems.

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

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5
Abb. 6
Abb. 7
Abb. 8

Literatur

  1. Aldinger P, Raiß P, Rickert M, Loew M (2010) Complications in shoulder arthroplasty – an analysis of 485 cases. Int Orthop 34:517–524

    Article  PubMed  Google Scholar 

  2. Ambacher T, Franke S (2012) Schaftfreier Kopfersatz – Übersicht der aktuellen Implantate. Obere Extremität 7:6–10

    Article  Google Scholar 

  3. Ballas R, Béguin L (2013) Results of a stemless reverse shoulder prosthesis at more than 58 months mean without loosening. J Shoulder Elbow Surg [Epub ahead of print]

  4. Bohsali KI, Wirth MA, Rockwood CA Jr (2006) Complications of total shoulder arthroplasty. J Bone Joint Surg [Am] 88:2279–2292

    Google Scholar 

  5. Brunner U, Fruth M, Rückl K et al (2012) Die schaftfreie Eclipse-Prothese – Indikation und mittelfristige Ergebnisse

  6. Gerhardt C, Stein V, Greiner S, Scheibel M (2012) Schaftfreier Humeruskopfersatz – Probleme, Fallstricke und Grenzen des Verfahrens. Obere Extremität 7:17–21

    Article  Google Scholar 

  7. Huguet D, DeClercq G, Rio B et al (2010) Results of a new stemless shoulder prosthesis: radiologic proof of maintained fixation and stability after a minimum of three years‘ follow-up. J Shoulder Elbow Surg 19:847–852

    Article  PubMed  Google Scholar 

  8. Kasten P, Pape G, Raiss P et al (2010) Mid-term survivorship analysis of a shoulder replacement with a keeled glenoid and a modern cementing technique. J Bone Joint Surg 92:387–392

    CAS  Google Scholar 

  9. Khan A, Bunker TD, Kitson JB (2009) Clinical and radiological follow-up of the Aequalis third-generation cemented total shoulder replacement: a minimum ten-year study. J Bone Joint Surg [Br] 91:1594–1600

    Google Scholar 

  10. Löhr J, Loew M (2010) Revisionen und Wechsel. In: Loew M (Hrsg) AE-Manual der Endoprothetik Schulter. Springer, Berlin Heidelberg New York, S 251–263

  11. Loew M, Löhr J (2010) Spätkomplikationen. In: Loew M (Hrsg) AE-Manual der Endoprothetik Schulter. Springer, Berlin Heidelberg New York, S 241–250

  12. Magosch P, Habermeyer P, Bachmaier S, Metcalfe N (2012) Biomechanische Grundlagen des metaphysär verankerten Humeruskopfersatzes. Obere Extremität 7:11–16

    Article  Google Scholar 

  13. Matsen FA III, Iannotti JP, Rockwood CA Jr (2003) Humeral fixation by press-fitting of a tapered metaphyseal stem: a prospective radiographic study. J Bone Joint Surg [Am] 85-A:304–308

    Google Scholar 

  14. Nagels J, Stokdijk M, Rozing PM (2003) Stress shielding and bone resorption in shoulder arthroplasty. J Shoulder Elbow Surg 12:35–39

    Article  PubMed  Google Scholar 

  15. Pape G, Raiß P, Aldinger P, Loew M (2010) Die CUP Prothese mit einer zementierten Schultergelenkpfanne im Vergleich zur konventionellen anatomischen Totalendoprothese – eine matched-pair Analyse. Z Orthop Unfall 147:674–679

    Google Scholar 

  16. Raiss P, Aldinger PR, Kasten P et al (2008) Total shoulder replacement in young and middle-aged patients with glenohumeral osteoarthritis. J Bone Joint Surg [Br] 90:764–769

    Google Scholar 

  17. Raiss P, Schmitt M, Bruckner K et al (2012) Results of cemented total shoulder replacement with minimum follow-up of 10 years. J Bone Joint Surg [Am] 94:e171(1–10)

    Google Scholar 

  18. Sanchez-Sotelo J, O’Driscoll SW, Torchia ME et al (2001) Radiographic assessment of cemented humeral components in shoulder arthroplasty. J Shoulder Elbow Surg 10:526–531

    Article  PubMed  CAS  Google Scholar 

  19. Sperling JW, Cofield RH, Rowland CM (1998) Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less. Long-term results. J Bone Joint Surg [Am] 80:464–473

    Google Scholar 

  20. Sperling JW, Cofield RH, O’Driscoll SW et al (2000) Radiographic assessment of ingrowth total shoulder arthroplasty. J Shoulder Elbow Surg 9:507–513

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  22. Throckmorton TW, Zarkadas PC, Sperling JW, Cofield RH (2010) Radiographic stability of ingrowth humeral stems in total shoulder arthroplasty. Clin Orthop Relat Res 468:2122–2128

    Article  PubMed  Google Scholar 

  23. Verborgt O, El Abiad R, Gazielly DF (2007) Long-term results of uncemented humeral components in shoulder arthroplasty. J Shoulder Elbow Surg 16:S13–S18

    Article  PubMed  Google Scholar 

  24. Walch G, Boileau P (1999) Prosthetic adaptability: a new concept for shoulder arthroplasty. J Shoulder Elbow Surg 8:443–451

    Article  PubMed  CAS  Google Scholar 

  25. Wolff J (1986) The law of bone remodeling. Springer, Berlin Heidelberg New York

Download references

Interessenkonflikt

Keine Angabe.

Author information

Authors and Affiliations

  1. Zentrum für Schulter- und Ellbogenchirurgie, ATOS-Klinik Heidelberg, Bismarckstr. 9–15, 69115, Heidelberg, Deutschland

    M. Loew

Authors
  1. M. Loew
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Loew.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Loew, M. Kurzschaftprothesen der Schulter. Orthopäde 42, 501–506 (2013). https://doi.org/10.1007/s00132-012-2021-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-012-2021-9

Schlüsselwörter

Keywords

Search

Navigation