Short-stem uncemented primary reverse shoulder arthroplasty: Clinical and radiological outcomes

S. A. Giuseffi, P. Streubel, J. Sperling, J. Sanchez-Sotelo

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Short uncemented humeral stems can preserve humeral bone stock and facilitate revision surgery but may be prone to malalignment or loosening, especially when used in reverse total shoulder replacement (TSR). We undertook a retrospective review of 44 patients with a mean age of 76 years (59 to 92) who underwent primary reverse TSR with a short uncemented humeral stem. There were 29 females. The indications for joint replacement included cuff tear associated arthropathy (33), avascular necrosis (six), post-traumatic arthritis (two), and inflammatory arthritis (three). At a mean follow-up of 27 months (24 to 40), pain was rated as mild or none in 43 shoulders (97.7%). The mean active elevation improved from 54° (SD 20°) to 142° (SD 25°) and the mean active external rotation from 14° (SD 13°) to 45° (SD 9°). The outcome, as assessed by the modified Neer score, was excellent in 27 (61.3%), satisfactory in 15 (34.1%), and unsatisfactory in two shoulders (4.5%). Stems were well-positioned, without evidence of significant valgus or varus malalignment in 42 TSRs (95.5%). There was no radiological evidence of loosening of the humeral stem in any patient; 13 TSRs (29.5%) had evidence of proximal humeral remodelling and scapular notching was noted in three (6.8%).

Original languageEnglish (US)
Pages (from-to)526-529
Number of pages4
JournalBone and Joint Journal
Volume96 B
Issue number4
DOIs
StatePublished - Apr 2014

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ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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