Do the humeral radiographic changes at 5-year follow-up affect the clinical outcomes of press-fit humeral stems in primary reverse shoulder arthroplasties?

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dc.contributor.authorGarcía Fernández, Carlos
dc.contributor.authorLópiz Morales, María Yaiza
dc.contributor.authorGarríguez Pérez, Daniel
dc.contributor.authorArvinius, Camilla
dc.contributor.authorPonz, Virginia
dc.contributor.authorEchevarria, Marta
dc.contributor.authorGarrido, Ana
dc.contributor.authorMarco Martínez, Fernando
dc.date.accessioned2024-08-19T08:21:45Z
dc.date.available2024-08-19T08:21:45Z
dc.date.issued2024-03-03
dc.description.abstractIntroduction: The purposes of this study were to analyze and compare the functional outcomes and radiological changes around the press-fit humeral components in two contemporary medialized reverse total shoulder arthroplasty (RTSA) systems at a minimum of 5-year follow-up. Materials and methods: Between December 2003 and December 2015, 249 consecutive RTSAs were performed at our hospital. Of these, 68 primary uncemented RTSA met our inclusion criteria. The Constant-Murley score (CMS), the modified Constant score, a visual analog scale (VAS) and active shoulder range of motion (ROM) were measured pre- and postoperatively. Radiological assessment was performed by plain radiographs at a minimum of 5 years postoperatively. Results: At a mean follow-up of 80.2 months, there was no significant difference (p = .59) between the postoperative functional scores and range of motion of the two groups (Delta Xtend and Lima SMR). Radiological data of stress-shielding were observed in 38 patients (55.9%) being slightly more frequent in the Lima SMR group (21 patients) than in the Delta Xtend group (17 patients) (p = .62). Conclusions: Our study shows that the good functional results are similar between the two uncemented RTSA systems used and that they do not depend on the presence of radiological changes (stress-shielding) in the humeral stem at a minimum 5-year follow-up.
dc.description.departmentDepto. de Cirugía
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.citationGarcía-Fernández C, Lopiz Y, Garríguez-Pérez D, Arvinius C, Ponz V, Echevarria M, Garrido A, Marco F. Do the humeral radiographic changes at 5-year follow-up affect the clinical outcomes of press-fit humeral stems in primary reverse shoulder arthroplasties? Eur J Orthop Surg Traumatol. 2024 May;34(4):1851-1863. doi: 10.1007/s00590-024-03864-3. Epub 2024 Mar 3. PMID: 38431896.
dc.identifier.doi10.1007/s00590-024-03864-3
dc.identifier.essn1432-1068
dc.identifier.issn1633-8065
dc.identifier.officialurlhttps://doi.org/10.1007/s00590-024-03864-3
dc.identifier.relatedurlhttp://link.springer.com/journal/590
dc.identifier.urihttps://hdl.handle.net/20.500.14352/107471
dc.issue.number4
dc.journal.titleEuropean Journal of Orthopaedic Surgery & Traumatology
dc.language.isoeng
dc.page.final1863
dc.page.initial1851
dc.publisherSpringuer
dc.rights.accessRightsrestricted access
dc.subject.cdu616.7-76-089
dc.subject.keywordDelta Xtend
dc.subject.keywordLima SMR
dc.subject.keywordReverse shoulder arthroplasty
dc.subject.keywordStress shielding
dc.subject.keywordUncemented humeral stem.
dc.subject.ucmCiencias Biomédicas
dc.subject.unesco32 Ciencias Médicas
dc.titleDo the humeral radiographic changes at 5-year follow-up affect the clinical outcomes of press-fit humeral stems in primary reverse shoulder arthroplasties?
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number34
dspace.entity.typePublication
relation.isAuthorOfPublicationac13f2b2-91f6-40be-8d94-1b716483e3b1
relation.isAuthorOfPublicatione160ced6-aec8-4bde-9f5f-5d5872dadf87
relation.isAuthorOfPublication.latestForDiscoveryac13f2b2-91f6-40be-8d94-1b716483e3b1
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