دورية أكاديمية
Does humeral fixation technique affect long-term outcomes of total shoulder arthroplasty?
| العنوان: | Does humeral fixation technique affect long-term outcomes of total shoulder arthroplasty? |
|---|---|
| المؤلفون: | Li T; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Levy KH; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Duey AH; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Patel AV; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., White CA; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Cirino CM; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Williams A; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Whitelaw K; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Shukla D; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Parsons BO; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Flatow EL; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA., Cagle PJ; Department of Orthopedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA. |
| المصدر: | Clinics in shoulder and elbow [Clin Shoulder Elb] 2023 Sep; Vol. 26 (3), pp. 245-251. Date of Electronic Publication: 2023 Aug 17. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Korean Shoulder and Elbow Society, Department of Orthopedic Surgery, Seoul National University Bundang Hospital Country of Publication: Korea (South) NLM ID: 101658558 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2288-8721 (Electronic) Linking ISSN: 12269344 NLM ISO Abbreviation: Clin Shoulder Elb Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Seongnam, Korea : Korean Shoulder and Elbow Society, Department of Orthopedic Surgery, Seoul National University Bundang Hospital, [2014]. |
| مستخلص: | Background: For anatomic total arthroscopic repair, cementless humeral fixation has recently gained popularity. However, few studies have compared clinical, radiographic, and patient-reported outcomes between cemented and press-fit humeral fixation, and none have performed follow-up for longer than 5 years. In this study, we compared long-term postoperative outcomes in patients receiving a cemented versus press-fit humeral stem anatomic arthroscopic repair. Methods: This study retrospectively analyzed 169 shoulders that required primary anatomic total shoulder arthroplasty (aTSA). Shoulders were stratified by humeral stem fixation technique: cementation or press-fit. Data were collected pre- and postoperatively. Primary outcome measures included range of motion, patient reported outcomes, and radiographic measures. Results: One hundred thirty-eight cemented humeral stems and 31 press-fit stems were included. Significant improvements in range of motion were seen in all aTSA patients with no significant differences between final cemented and press-fit stems (forward elevation: P=0.12, external rotation: P=0.60, and internal rotation: P=0.77). Patient reported outcome metrics also exhibited sustained improvement through final follow-up. However, at final follow-up, the press-fit stem cohort had significantly better overall scores when compared to the cemented cohort (visual analog score: P=0.04, American Shoulder and Elbow Surgeon Score: P<0.01, Simple Shoulder Test score: P=0.03). Humeral radiolucency was noted in two cemented implants and one press-fit implant. No significant differences in implant survival were observed between the two cohorts (P=0.75). Conclusions: In this series, we found that irrespective of humeral fixation technique, aTSA significantly improves shoulder function. However, within this cohort, press-fit stems provided significantly better outcomes than cemented stems in terms of patient reported outcome scores. Level of evidence: III. |
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| فهرسة مساهمة: | Keywords: Cemented; Long-term outcomes; Press-fit; Shoulder; Replacement arthroplasty |
| تواريخ الأحداث: | Date Created: 20230822 Latest Revision: 20230915 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10497929 |
| DOI: | 10.5397/cise.2023.00199 |
| PMID: | 37607863 |
| قاعدة البيانات: | MEDLINE |
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