ArticleInternational orthopaedics2024
Clinical and radiological results of the SIMPLICITI* stemless shoulder arthroplasty: a twenty five patients retrospective cohort.
Article in International orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeFor preserving the humeral bone stock, some surgeons proposed a stemless humeral prosthetic component. This study reports the functional and radiologic results of the stemless anatomic prosthesis Simpliciti*(Tornier, Wright, Stryker), with the hypothesis that it can achieve a good metaphyseal fixation.
methods28 patients underwent 30 shoulder replacements with the Simpliciti* humeral prosthesis followed for an average of three years (2 months to 8 years). The clinical outcome used the Constant-Murley score and the Bankes resistance and force evaluation. The radiologic assessment looked after radiolucent lines, signs of implant migration, osteolysis or loosening.
resultsThe Constant score improved from 19.03 preoperatively to 54.03 points post operatively. Radiographic analysis showed one early component loosening, and at the longer follow-up, one radiolucent line. All the other implants appeared well fixed.
conclusionThis study verified the quality of the metaphyseal fixation of this stemless implant, with achieving a significant functional improvement. LEVEL OF EVIDENCE: Level IV, Case Series, Treatment Study.
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