PDF(Pubmed)
Abstract：
Stemless anatomic total shoulder arthroplasty (aTSA) is a promising option for the treatment of degenerative disease in patients. This novel technique avoids the stem-related complications associated with the traditional stemmed aTSA. Stemless aTSA offers additional benefits such as decreased operative time, preservation of bone stock, improved radiographic outcomes, and easier revision. Moreover, loading of the metaphyseal region rather than the diaphysial region with traditional stemmed implants can decrease stress shielding. When compared to stemmed-implants, stemless aTSA has demonstrated similar outcomes and complication rates. The purpose of this article is to analyze published outcomes and complications following the utilization of stemless aTSA. Additionally, key aspects of the surgical technique that may promote optimal results in stemless aTSA implantation are presented.
摘要：
无茎解剖全肩关节置换术（aTSA）是治疗患者退行性疾病的有希望的选择。这项新技术避免了与传统茎状aTSA相关的茎相关并发症。无支柱aTSA提供额外的好处，例如减少手术时间，骨原料的保存，改善射线照相结果，更容易修改。此外，用传统的茎状植入物加载干端部位而不是干端部位可以降低应力屏蔽。与茎状植入物相比，无茎aTSA已显示出相似的结局和并发症发生率.本文的目的是分析使用无茎aTSA后发表的结果和并发症。此外,提出了可以促进无茎aTSA植入最佳结果的外科技术的关键方面。
