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June 28, 2024Journal of Clinical MedicineOpen Access

Evolution of Stemless Reverse Shoulder Arthroplasty: Current Indications, Outcomes, and Future Prospects

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Why the study?

Stemless reverse total shoulder arthroplasty offers potential advantages such as bone stock preservation and reduced complications, but comprehensive evaluation of clinical outcomes was needed.

Does stemless reverse total shoulder arthroplasty improve shoulder function and provide safe outcomes in patients with shoulder disorders?

Population

637 shoulders across 14 clinical studies

Comparison

Stemless rTSA vs stemmed rTSA

Design

Systematic review of 14 clinical studies

Authors

THTaku HattaRMRyosuke MashikoJKJun Kawakami

Discussion

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Overview

Supports consideration of stemless reverse TSA; extends pooled evidence but leaves randomized comparisons open.

Structured PICO

Does stemless reverse total shoulder arthroplasty improve shoulder function and provide safe outcomes in patients with shoulder disorders?

P
Population
637 shoulders from 14 clinical studies in patients with shoulder disorders with deteriorated rotator cuff and glenohumeral joints
I
Intervention
Stemless reverse total shoulder arthroplasty (rTSA)
C
Comparator
Stemmed rTSA (in some recent studies discussed)
O
Outcome
Shoulder function measured by Constant-Murley Score (CS), complication rates, and revision ratespatient reported

Stemless reverse total shoulder arthroplasty provides significant functional improvement with acceptable complication and revision rates.

Limitations

  • Lack of long-term studies comparing survivorship between stemless and stemmed rTSA

Cite This Study

Hatta et al. (2024) studied this question.

synapsesocial.com/papers/6a199cc9e7f8932c5eea77fehttps://doi.org/10.3390/jcm13133813
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Radiologic, clinical, and patient-reported outcomes in stemless reverse shoulder arthroplasty at a mean of 46 months2023 · 12 citations
  2. 2REVERSE TOTAL SHOULDER ARTHROPLASTY2006 · 269 citations
  3. 3Patient-specific instrumentation reduces deviations between planned and postosteotomy humeral retrotorsion and height in shoulder arthroplasty2022 · 11 citations
  4. 4Long-Term Outcomes of Reverse Total Shoulder Arthroplasty2017 · 391 citations