ArticleInternational orthopaedics2025
Outcomes of anatomic total shoulder arthroplasty: evaluation of implant-related, radiographic, and demographic factors influencing durability and revision rates.
Article in International orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Seven-year outcome of a stemless impaction shoulder arthroplasty: a prospective, multicenter study.Journal of shoulder and elbow arthroplasty · 2026Article
- 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
- Anatomic shoulder arthroplasty: a single surgeon's consecutive series of four hundred and fifty eight patients.International orthopaedics · 2026Article
- Does the rate of revision vary in primary total stemmed anatomic shoulder arthroplasty with short or conventional humeral stems?JSES international · 2026Article
- Stemless anatomic total shoulder arthroplasty with a novel anatomically shaped side-specific humeral component: technical tips and literature review.JSES reviews, reports, and techniques · 2025Article
- Glenoid Radiolucent Lines and Subsidence Show Limited Impact on Clinical and Functional Long-Term Outcomes After Anatomic Total Shoulder Arthroplasty: A Retrospective Analysis of Cemented Polyethylene Glenoid Components.Journal of clinical medicine · 2025Article
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6 authors.
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Abstract
purposeTo evaluate the impact of implant-associated and radiographic factors on survival rates and revisions of total shoulder arthroplasty (TSA) in patients with primary osteoarthritis (OA).
methodsThis retrospective study included 68 patients who underwent TSA for primary OA at a single institution between 2008 and 2015, with a minimum follow-up of 60 months. Patients with prior shoulder surgeries, perioperative infections, or revisions within 12 months postoperatively were excluded. Patients were divided into Group A (Survivors) and Group B (Revisions) based on implant survival. Radiographic parameters analyzed included critical shoulder angle (CSA), acromiohumeral distance (AHD), lateral offset (LO), humeral head-stem index (HSI), centre of rotation (COR), and glenoid erosion, categorized using Sirveaux, Lévigne, Franceschi, and Walch classifications. Demographic data were also assessed.
resultsOf 68 patients, 57 were in Group A (mean age: 58.5 ± 10.1 years; follow-up: 115.8 months) and 11 in Group B (mean age: 61.4 ± 8.3 years; follow-up: 113.9 months). Implant survival was 84% after 115.8 ± 34.5 months. Baseline demographics were comparable (e.g., smoking: p = 0.75), as was osteolysis prevalence (Group A: 47%; Group B: 45%; p = 0.91). HSI was significantly higher in Group B (0.5 ± 0.1 vs. 0.4 ± 0.1; p = 0.03). No other radiographic differences were significant.
conclusionPatients undergoing anatomic total shoulder arthroplasty can expect favourable mid- to long-term outcomes, with implant survival rates of 84% and relatively low complication rates. Although osteolysis is common, it rarely necessitates revision surgery. The role of the humeral head-stem index (HSI) warrants further investigation. STUDY
designLevel IV; retrospective case study.
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