ArticleArchives of orthopaedic and trauma surgery2023
Complications and revisions in anatomic and reverse short stem shoulder arthroplasty.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.
- Evaluating the incidence and associated factors of subscapularis failure following anatomical total shoulder arthroplasty: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Whether the Indications for Reverse Shoulder Arthroplasty Should Continue to Be Expanded? A Systematic Review and Meta-Analysis.Orthopaedic surgery · 2025Pooled it
- Long-term clinical and radiographic outcomes of anatomic total shoulder arthroplasty with a short-stem humeral component: a ten-year follow-up study.International orthopaedics · 2026Article
- Does upper limb dominance influence outcomes in adults undergoing primary anatomic or reverse total shoulder arthroplasty? A systematic review.Journal of shoulder and elbow arthroplasty · 2026Review
- Optimization of implant selection and positioning for reverse total shoulder arthroplasty using three-dimensional computed tomography-guided simulation software with scapulothoracic motion.Journal of shoulder and elbow arthroplasty · 2026Article
- Perioperative testosterone therapy linked to higher 5-year risk of periprosthetic joint infection without increased 90-day major complications or revision rates in total shoulder arthroplasty.Shoulder & elbow · 2026Article
- Influence of Arthroplasty Type, Comorbidities, and Fracture Status on Outcomes After Shoulder Replacement: Analysis of 664,545 Cases.Healthcare (Basel, Switzerland) · 2026Article
- Primary stability of short stem prostheses for the shoulder-a biomechanical comparative study of two short stem designs.Archives of orthopaedic and trauma surgery · 2025Article
- Outcomes of anatomic total shoulder arthroplasty: evaluation of implant-related, radiographic, and demographic factors influencing durability and revision rates.International orthopaedics · 2025Article
- Complications following shoulder arthroplasty: A review of the recent literature.Journal of clinical orthopaedics and trauma · 2025Article
- Trends in Shoulder Arthroplasty in Germany: A 10-Year Epidemiological Analysis of Patients with Primary Osteoarthritis of the Shoulder.Healthcare (Basel, Switzerland) · 2024Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOne current trend in the field of shoulder arthroplasty is a design shift to shorter and metaphyseal fixed humeral stem components. The aim of this investigation is to analyze complications resulting in revision surgery after anatomic (ASA) and reverse (RSA) short stem arthroplasty. We hypothesize that complications are influenced by the type of prosthesis and indication for arthroplasty. MATERIALS AND
methodsA total of 279 short stem shoulder prostheses were implanted by the same surgeon (162 ASA; 117 RSA), and 223 of these prostheses were implanted as primary procedures; in 54 cases, arthroplasty was performed secondary to prior open surgery. Main indications were osteoarthritis (OA) (n = 134), cuff tear arthropathy (CTA) (n = 74) and posttraumatic deformities (PTr) (n = 59). Patients were evaluated at 6 weeks (follow-up 1; FU1), 2 years (FU2) and the time span of the last follow-up defined as FU3 with a minimum FU of 2 years. Complications were categorized into early complications (within FU1), intermediate complications (within FU2) and late complications (> 2 years; FU3).
resultsIn total, 268 prostheses (96.1%) were available for FU1; 267 prostheses (95.7%) were available for FU2 and 218 prostheses (77.8%) were available for FU3. The average time for FU3 was 53.0 months (range 24-95). A complication leading to revision occurred in 21 prostheses (7.8%), 6 (3.7%) in the ASA group and 15 (12.7%) in the RSA group (p < 0.005). The most frequent cause for revision was infection (n = 9; 42.9%). After primary implantation, 3 complications (2.2%) occurred in the ASA and 10 complications (11.0%) in the RSA group (p < 0.005). The complication rate was 2.2% in patients with OA, 13.5% in CTA and 11.9% in PTr.
conclusionsPrimary reverse shoulder arthroplasty had a significantly higher rate of complications and revisions than primary and secondary anatomic shoulder arthroplasty, respectively. Therefore, indications for reverse shoulder arthroplasty should be critically questioned in each individual case.
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