{Reference Type}: Journal Article
{Title}: Anatomic stemless shoulder arthroplasty and related outcomes: a systematic review.
{Author}: Hawi N;Tauber M;Messina MJ;Habermeyer P;Martetschläger F;
{Journal}: BMC Musculoskelet Disord
{Volume}: 17
{Issue}: 1
{Year}: 08 2016 30
{Factor}: 2.562
{DOI}: 10.1186/s12891-016-1235-0
{Abstract}: The latest generation of shoulder arthroplasty includes canal-sparing respectively stemless designs that have been developed to allow restoration of the glenohumeral center of rotation independently from the shaft, and to avoid stem-related complications. The stemless prosthesis design has also recently been introduced for use in reverse arthroplasty systems.<BR>We systematically reviewed the literature for studies of currently available canal-sparing respectively stemless shoulder arthroplasty systems. From the identified series, we recorded the indications, outcome measures, and humeral-sided complications.<BR>We identified 11 studies of canal-sparing respectively stemless anatomic shoulder arthroplasty implants, published between 2010 and 2016. These studies included 929 cases, and had a mean follow-up of 26 months (range, 6 to 72 months). The rates of humeral component-related complications ranged between 0 and 7.9 %. The studies reported only a few isolated cases of complications of the humeral component. Some arthroplasty systems are associated with radiological changes, but without any clinical relevance.<BR>All of the published studies of canal-sparing respectively stemless shoulder arthroplasty reported promising clinical and radiological outcomes in short to midterm follow-up. Long-term studies are needed to demonstrate the long-term value of these kind of implants.