Stemless Humeral Prosthesis in Shoulder Arthroplasty: Systematic Review
Orthopaedic Spot, 2024
Stemless Humeral Prosthesis in Shoulder Arthroplasty: Systematic Review
Keywords: Arthroplasty, Replacement Shoulder; Shoulder Joint/surgery; Shoulder Prosthesis
download
Rómulo Silva 1 , Gabriela Almeida 2 , Filomena Ferreira 1 , António Barros 3 , Manuel Gutierres 4
1 Orthopedics Department; Unidade Local de Saúde do Alto Minho (ULSAM); Viana do Castelo, Portugal
2 Intensive Care Medicine Department; Centro Hospitalar Universitário de Coimbra; Coimbra, Portugal
3 Department of Surgery and Physiology; Faculty of Medicine (FMUP); Porto, Portugal
4 Orthopedics Department; Centro Hospitalar de São João (CHSJ); Porto, Portugal
Abstract:
Introduction: Stemless shoulder prostheses were introduced as a new shoulder replacement system designed to reduce the potential risks associated with the humeral component and achieve better functional results by lowering the surgical complication rates. This systematic review aims to assess the latest available published findings regarding stemless shoulder replacement.
Methods: A search in PubMed, Scopus, and Clarivate Web of Science s was performed, selecting publications that reported the constant score for functional assessment in patients submitted to shoulder arthroplasty with a stemless prosthesis.
Results: Three types of shoulder arthroplasties were identified, with a constant score average between 63.4% and 73.3% and with a revision rate average between 2.8% and 3.4%. These results were similar among studies with different follow?up duration: 6 months to 9 years.
Conclusion: Shoulder arthroplasty with stemless prosthesis is very promising with favourable results in the short and medium?terms regarding improvement in the shoulder function, pain relief and patient satisfaction and low rates of complications.
Keywords: Arthroplasty, Replacement Shoulder; Shoulder Joint/surgery; Shoulder Prosthesis
download