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Uncemented versus cemented humeral stem fixation in reverse shoulder arthroplasty

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Abstract

Purpose

This study compares the radiographic and functional outcomes of uncemented and cemented humeral fixation in reverse total shoulder arthroplasty (RTSA).

Methods

A prospective research database was reviewed for RTSA patients from 2007 to 2010. Inclusion criteria were primary RTSA from one manufacturer (Exactech Equinoxe®) with a grit-blasted metaphyseal humeral stem and two year minimum follow-up. Exclusion criteria included shoulder arthroplasty for fractures, fracture sequelae or inflammatory arthropathy. Radiographic and functional outcomes were compared between the uncemented and cemented groups.

Results

A total of 97 patients (58 women, 39 men) with 100 RTSAs met the inclusion criteria. Radiographic and clinical two year follow-up was available in 80 % (51 RTSAs) of the uncemented group and 89 % (32 RTSAs) of the cemented group (mean follow-up 3.5 years). Average age at surgery was 72 years. Both groups showed significant improvements in the 12-item Simple Shoulder Test (SST-12), 12-item Short Form (SF-12), Shoulder Pain and Disability Index 130 (SPADI-130), American Society of Shoulder and Elbow Surgeons (ASES) score and normalised Constant scores. One humeral loosening was seen in each group (2 % uncemented, 3 % cemented). Both groups’ overall component revision rate was 6 % (one in each group relating to humeral component failure). There were no significant differences in complication rates, change in functional scores and range of motion improvement.

Conclusions

Humeral component press-fitting in RTSA provides similar outcomes as cementation at a minimum two year follow-up.

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Acknowledgments

This study received no outside funding.

Conflict of interest

One or more of the authors (K.F. and T.W.) has received funding from Exactech. No other author has a potential conflict of interest.

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Authors and Affiliations

  1. Department of Orthopaedics and Rehabilitation, University of Florida, 3450 Hull Road, 3rd Floor, Gainesville, FL, 32608, USA

    Joseph J. King, Kevin W. Farmer, Aimee M. Struk & Thomas W. Wright

Authors
  1. Joseph J. King
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  2. Kevin W. Farmer
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  3. Aimee M. Struk
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  4. Thomas W. Wright
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Corresponding author

Correspondence to Thomas W. Wright.

Additional information

Level of evidence: level III cohort therapeutic study

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King, J.J., Farmer, K.W., Struk, A.M. et al. Uncemented versus cemented humeral stem fixation in reverse shoulder arthroplasty. International Orthopaedics (SICOT) 39, 291–298 (2015). https://doi.org/10.1007/s00264-014-2593-6

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  • DOI: https://doi.org/10.1007/s00264-014-2593-6

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