PDF(Pubmed)
Abstract：
UNASSIGNED: Stemless shoulder arthroplasty using 4 open-fin press-fit anchors has been showing promising short-term clinical and radiographic results for patients\' primary osteoarthritis. This prospective, multicenter study presents 5-year postoperative clinical and radiological outcomes of a stemless shoulder arthroplasty for primary osteoarthritis.
UNASSIGNED: Between November 2012 and December 2015, 100 patients were treated for primary osteoarthritis with the Sidus stem-free shoulder system at 7 European centers. Clinical assessment included the Constant-Murley Score, American Shoulder and Elbow Standardized Shoulder Assessment Form score, Subjective Shoulder Value, and range of motion. True anteroposterior, axial and lateral radiographs were reviewed for osteolysis, glenoid and humerus loosening, heterotopic ossification, radiolucent lines, component migration and humeral bone resorption. In addition to a Kaplan-Meier survival analysis, a comparative analysis between total shoulder arthroplasty and hemiarthroplasty was performed.
UNASSIGNED: Seventy-one patients (36 females) with a mean age of 63.8 years (range: 47-79 years) were available for the 5-year clinical and radiographic follow-up (range: 52-79 months). There was a significant increase (P < .0001) in all outcome scores compared to baseline values. Patients with total shoulder arthroplasty (n = 48) achieved significantly better functional outcome than patients with shoulder hemiarthroplasty (n = 23) with regard to the absolute and relative Constant-Murley Score, American Shoulder and Elbow Standardized Shoulder Assessment Form score, and Subjective Shoulder Value as well as greater abduction strength and range of motion in forward elevation and external rotation (P ≤ .004). There were no cases of osteolysis or humeral loosening. There were some cases of heterotopic ossification (1.4%), radiolucency around the humerus (1.4%) or glenoid (25%), glenoid migration (2.1%), inferior osteophytes (1.4%) or humerus bone resorption (9.9%). The 5-year survival was 94%.
UNASSIGNED: Patients treated with the Sidus stem-free shoulder system for primary osteoarthritis continue to achieve good clinical and radiographic results without any signs of aseptic humeral implant loosening at 5 years postsurgery.
UNASSIGNED: Between November 2012 and December 2015, 100 patients were treated for primary osteoarthritis with the Sidus stem-free shoulder system at 7 European centers. Clinical assessment included the Constant-Murley Score, American Shoulder and Elbow Standardized Shoulder Assessment Form score, Subjective Shoulder Value, and range of motion. True anteroposterior, axial and lateral radiographs were reviewed for osteolysis, glenoid and humerus loosening, heterotopic ossification, radiolucent lines, component migration and humeral bone resorption. In addition to a Kaplan-Meier survival analysis, a comparative analysis between total shoulder arthroplasty and hemiarthroplasty was performed.
UNASSIGNED: Seventy-one patients (36 females) with a mean age of 63.8 years (range: 47-79 years) were available for the 5-year clinical and radiographic follow-up (range: 52-79 months). There was a significant increase (P < .0001) in all outcome scores compared to baseline values. Patients with total shoulder arthroplasty (n = 48) achieved significantly better functional outcome than patients with shoulder hemiarthroplasty (n = 23) with regard to the absolute and relative Constant-Murley Score, American Shoulder and Elbow Standardized Shoulder Assessment Form score, and Subjective Shoulder Value as well as greater abduction strength and range of motion in forward elevation and external rotation (P ≤ .004). There were no cases of osteolysis or humeral loosening. There were some cases of heterotopic ossification (1.4%), radiolucency around the humerus (1.4%) or glenoid (25%), glenoid migration (2.1%), inferior osteophytes (1.4%) or humerus bone resorption (9.9%). The 5-year survival was 94%.
UNASSIGNED: Patients treated with the Sidus stem-free shoulder system for primary osteoarthritis continue to achieve good clinical and radiographic results without any signs of aseptic humeral implant loosening at 5 years postsurgery.
摘要：
UNASSIGNED：使用4个开鳍压型锚的无柄肩关节置换术对原发性骨关节炎患者的短期临床和影像学结果具有良好的前景。这个未来,多中心研究介绍了原发性骨关节炎无柄肩关节置换术后5年的临床和放射学结果。
UNASSIGNED：在2012年11月至2015年12月之间，在7个欧洲中心使用Sidus无茎肩系统治疗了100例原发性骨关节炎。临床评估包括Constant-Murley评分,美国肩肘标准化肩关节评估表评分，主观肩值,和运动范围。真正的前后，对骨溶解的轴向和横向X光片进行了回顾，关节盂和肱骨松动,异位骨化,射线可透的线,成分迁移和肱骨骨吸收。除了Kaplan-Meier生存分析，对全肩关节置换术和半肩关节置换术进行了比较分析.
UNASSIGNED：71名患者（36名女性），平均年龄63.8岁（范围：47-79岁），可进行5年的临床和影像学随访（范围：52-79个月）。与基线值相比，所有结果评分均显着增加（P<0.0001）。在绝对和相对Constant-Murley评分方面，全肩关节置换术患者（n=48）的功能结局明显优于肩关节置换术患者（n=23）。美国肩肘标准化肩关节评估表评分，和主观肩关节值，以及更大的外展强度和运动范围在前高和外部旋转（P≤.004）。无骨质溶解或肱骨松动病例。有一些异位骨化（1.4％），肱骨（1.4%）或关节盂（25%）关节盂移位（2.1%），下骨赘（1.4％）或肱骨骨吸收（9.9％）。5年生存率为94%。
UNASSIGNED：使用Sidus无茎肩系统治疗原发性骨关节炎的患者在术后5年继续取得良好的临床和影像学结果，没有任何无菌性肱骨植入物松动的迹象。
UNASSIGNED：在2012年11月至2015年12月之间，在7个欧洲中心使用Sidus无茎肩系统治疗了100例原发性骨关节炎。
UNASSIGNED：71名患者（36名女性），平均年龄63.8岁（范围：47-79岁），可进行5年的临床和影像学随访（范围：52-79个月）。
UNASSIGNED：使用Sidus无茎肩系统治疗原发性骨关节炎的患者在术后5年继续取得良好的临床和影像学结果，没有任何无菌性肱骨植入物松动的迹象。
