Evidence map›Paper›PMID 29058027›Full record

ArticleDer Orthopade2017

[Results from the German shoulder- and elbow arthroplasty register (SEPR) : Anatomic or reverse shoulder arthroplasty in B2-glenoids?]

P Magosch, P Habermeyer, S Lichtenberg, M Tauber, F Gohlke, F Mauch, D Boehm, M Loew, F Zeifang, W Pötzl

Abstract read
PubMed Publisher
In one paragraph

Article in Der Orthopade, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. [Shoulder arthroplasty].Der Orthopade · 2021
    Review
  5. Review
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

P MagoschDeutsches Gelenkzentrum Heidelberg, ATOS Klinik Heidelberg, Bismarckstraße 9‑15, 69115, Heidelberg, Deutschland. petra.magosch@atos.de.
P HabermeyerDeutsches Schulterzentrum, ATOS Klinik München, Effnerstraße 38, 81925, München, Deutschland.
S LichtenbergDeutsches Gelenkzentrum Heidelberg, ATOS Klinik Heidelberg, Bismarckstraße 9‑15, 69115, Heidelberg, Deutschland.
M TauberDeutsches Schulterzentrum, ATOS Klinik München, Effnerstraße 38, 81925, München, Deutschland.
F GohlkeKlinik für Schulterchirurgie, Rhön Klinikum, Campus Bad Neustadt, Salzburger Leite 1, 97616, Bad Neustadt a. d. Saale, Deutschland.
F MauchDepartment Sportorthopädie, Sporttraumatologie, Obere Extremität, Schulterprothetik, Kernspintomographie, Sportklinik Stuttgart, Taubenheimstraße 8, 70372, Stuttgart, Deutschland.
D BoehmOrtho Mainfranken, Bismarckstraße 16, 97080, Würzburg, Deutschland.
M LoewDeutsches Gelenkzentrum Heidelberg, ATOS Klinik Heidelberg, Bismarckstraße 9‑15, 69115, Heidelberg, Deutschland.
F ZeifangSektion Schulter- und Ellenbogenchirurgie, Klinik für Orthopädie und Unfallchirurgie, Schlierbacher Landstraße 200a, 69118, Heidelberg, Deutschland.
W PötzlSchulter- und Ellenbogenchirurgie, Vulpius Klinik GmbH, Vulpiusstraße 29, 74906, Bad Rappenau, Deutschland.
Klinikum Stuttgart · DERhön-Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnatomic shoulder arthroplasty in osteoarthritis with biconcave glenoid wear results in decreased functional results and a higher rate of early glenoid loosening.

aimThe aim of the data analysis of the German shoulder arthroplasty register was to clarify whether reverse shoulder arthroplasty can provide better functional results and a lower complication rate than anatomic arthroplasty in osteoarthritis with biconcave glenoid wear.

methodsThe analysis included 1052 completely documented primary implanted arthroplasties with a minimum follow-up of 2 years. In 119 cases, a B2-type glenoid was present. Out of these cases, 86 were treated with an anatomic shoulder arthroplasty, and in 33 cases a reverse shoulder arthroplasty was implanted. The mean follow-up was 47.6 months.

resultsThe Constant score with its subcategories, as well as the active range of movement improved significantly after anatomic and after reverse shoulder arthroplasty. DISCUSSION: We observed no difference in functional results between both types of arthroplasty; however, reverse arthroplasty showed a significant higher revision rate (21.2%) (3% glenoid loosening, 6% prosthetic instability) than anatomic shoulder arthroplasty (12.8%) (11.6% glenoid loosening, 1.2% prosthetic instability), whereas anatomic shoulder arthroplasty showed a higher rate of glenoid loosening. Functional and radiographic results of both types of arthroplasty are comparable with the results reported in the literature, although our analysis represents results from an implant registry (data pertaining to medical care quality).

Indexed as

Glenoid CavityProsthesis DesignProsthesis FailureRegistriesAgedArthroplasty, Replacement, ShoulderFemaleFollow-Up StudiesGermanyHumansMaleMiddle AgedOsteoarthritisOsteolysisPostoperative ComplicationsReoperationHumerusOsteoarthrosisScapulaShoulder arthroplastyTotal joint replacement

Identifiers

PMID29058027
OpenAlexW2767105280

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.