Results of Cemented Total Shoulder Replacement with a Minimum Follow-up of Ten Years

Abstract

With the implants, cementation, and surgical technique utilized in this group of patients with primary glenohumeral osteoarthritis, radiographic loosening of the glenoid component and rotator cuff deficiency were very common at the ten to fifteen-year review. The follow-up was not long enough to fully identify the clinical sequelae of these findings.

What Factors are Predictive of Patient-reported Outcomes? A Prospective Study of 337 Shoulder Arthroplasties

“…First, the patients were those of two experienced surgeons (FAM, WJM), with similar selection criteria for the different surgical interventions and similar surgical and rehabilitation techniques; thus the outcomes reported here may not be generalizable to other practices with different combinations of patients, surgeons, diagnoses, and procedures. Second, the study design sought outcomes at a defined 2-year time; because some adverse outcomes, such as glenoid component failure may not appear until 5 or more years after the index procedure, the results with longer periods of followup might be different [47,60]. Third, while this appears to be the largest truly prospective study of its type, the sample size of 337 shoulders is still relatively small; in the future these results should be refined through the study of a larger population, ideally one drawn from multiple practice sites.…”

“…Although the different types of shoulder arthroplasty usually are successful for treatment of a wide range of glenohumeral disorders [4,10,15,20,31,32,46,47,49,52], the results of these procedures are unpredictably variable: a substantial number of patients having shoulder arthroplasty experience minimal to no improvement or complications. Some of the factors previously associated with poorer results include patients with shoulders with multiple surgeries before the arthroplasty, patients with shoulders with work acquired injuries, patients with comorbidities, and surgeons with limited arthroplasty experience [3, 5, 7, 17, 21, 25, 27-29, 41, 54, 56, 57].…”

Radiographic changes and clinical outcomes associated with an adjustable diaphyseal press-fit humeral stem in primary reverse shoulder arthroplasty

“…Historically, successful humeral fixation with low loosening rates has been achieved with cementation techniques. 23,24,39,43 Recently, however, the use of press-fit humeral components has become more prevalent. 12,14,18,28,38,45,54 Proposed advantages of press-fit fixation include decreased operative time and lower complication rates with stem removal during revision surgery.…”

Staged bilateral total shoulder arthroplasty: improved outcomes with less than 6 months between surgeries

“…[9][10][11][12]14,18,25,27,31 However, in contradistinction to hip 1,[3][4][5]23,29,30 and knee replacement, 6,8,17,20,21,24,28 there remains a paucity of data regarding the effectiveness of bilateral shoulder arthroplasty.…”