%0 Journal Article
%T Short-term results of a new anatomic stemless shoulder arthroplasty - A prospective multicentre study.
%A Smith T
%A Horstmann H
%A Karkosch R
%A Tsamassiotis S
%A Bowsher N
%A Ellwein A
%A Pastor MF
%A Smith T
%A Horstmann H
%A Karkosch R
%A Tsamassiotis S
%A Bowsher N
%A Ellwein A
%A Pastor MF
%J Orthop Rev (Pavia)
%V 14
%N 4
%D 2022
%M 35910546
暂无%R 10.52965/001c.37042
%X <B>UNASSIGNED: </B>Anatomic total shoulder arthroplasty (TSA) has been continuously developed and current designs include stemless or canal-sparing humeral components. In the literature stemless and canal sparing TSA showed good clinical and radiographic results, which were comparable to stemmed TSA.<BR><B>UNASSIGNED: </B>The aim of this study was to determine the short-term clinical and radiological outcomes of a new stemless TSA design.<BR><B>UNASSIGNED: </B>A prospective multicentre study including 154 total shoulder arthroplasty patients with a follow up of 12 months was performed. At the time of follow up 129 patients were available for review. The adjusted Constant Murley score,1 Oxford Shoulder Score, EQ-5D-5L score and radiographs were examined preoperatively, 3 and 12 months after the implantation of the new stemless TSA implant GLOBAL ICON™ (DePuy Synthes, Warsaw, IN, USA). Complications were documented.<BR><B>UNASSIGNED: </B>Implant Kaplan-Meier survivorship was 98.7% at 12 months. From baseline to 12 months follow-up, all scores showed a progressive significant mean improvement. The mean adjusted Constant score increased from 42.3 to 96.1 points (p<0.001). The Oxford Shoulder Score showed an increase of 21.6 points (p<0.001). The postoperative radiographs showed no continuous radiolucent lines, subsidence, aseptic loosening or progressive radiolucency, but one osteolytic lesion was observed. Only 2 prostheses were revised.<BR><B>UNASSIGNED: </B>The new GLOBAL ICON stemless TSA showed good clinical and radiographic results at short-term follow up which were comparable to early results of other stemless TSA. Further studies with longer follow up are needed in the future.