Evidence map›Paper›PMID 40615755›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Promising short-term results after anatomical total shoulder arthroplasty for glenohumeral osteoarthritis with a novel stemless humeral implant in combination with a pegged all-polyethylene bone ingrowth glenoid component.

Spiros Tsamassiotis, Tomas Smith, Karen Rychlik, Roman F Karkosch, Hauke Horstmann, Gunnar Jensen

Abstract read
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Stemless versus stemmed anatomic total shoulder arthroplasty: minimum 2- year follow-up of the global ICON and global unite systems.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    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

6 authors.

Spiros TsamassiotisDepartment of Orthopaedic Surgery, Hannover Medical School, Diakovere Annastift, Hannover, Germany. spiros.tsamassiotis@diakovere.de.
Tomas SmithDepartment of Orthopaedic Surgery, Hannover Medical School, Diakovere Annastift, Hannover, Germany.
Karen RychlikDePuy Synthes, Warsaw, United States.
Roman F KarkoschDepartment of Orthopaedic Surgery, Hannover Medical School, Diakovere Annastift, Hannover, Germany.
Hauke HorstmannDepartment of Orthopaedic Surgery, Hannover Medical School, Diakovere Annastift, Hannover, Germany.
Gunnar JensenDepartment of Orthopaedic Surgery, Hannover Medical School, Diakovere Annastift, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStemless anatomical shoulder arthroplasty offers numerous potential advantages over stemmed systems. The aim of this prospective study was to evaluate the clinical and radiological 2-year results of a novel metaphyseal anchored stemless shoulder system (Global Icon™ Stemless Shoulder System, DePuy Synthes, Warsaw, IN, USA).

methodsThirty patients with primary osteoarthritis, 14 males and 6 females, were prospectively included in the study. Two-year follow-up data were analyzed for 20 patients. The average age and BMI were 63.4 years and 27.6 kg/m2. The adjusted Constant-Murley Score (aCS), Oxford Shoulder Score (OSS), and EQ-5D-5L were used as primary endpoints to reflect postoperative clinical improvement. Postoperative radiographs in two planes were analyzed for implant loosening and migration.

resultsThere was an overall clinical improvement 2 years postoperatively. The aCS increased from 58.3 ± 17.7 to 113.7 ± 15.6 points (p < 0.0001). The OSS score improved from 25.5 ± 6.1 to 43.9 ± 6.1 points (p < 0.0001). The EQ-5D-5L value score increased on average from 0.7 ± 0.2 to 0.9 ± 0.1 (p = 0.0004). There was no implant loosening or migration. No revisions were required.

conclusionIn summary, the examined prosthesis system achieved very good clinical and radiographic results 2 years postoperatively without implant failure. Shoulder function and quality of life improved significantly. These results are encouraging for prostheses with bone-preserving designs which rely on peripheral humeral fixation, though more long-term results are needed. LEVEL OF EVIDENCE: Level IV; Case Series; Treatment Study.

Indexed as

Arthroplasty, Replacement, ShoulderOsteoarthritisShoulder JointShoulder ProsthesisAgedFemaleFollow-Up StudiesHumansHumerusMaleMiddle AgedPolyethyleneProspective StudiesProsthesis DesignProsthesis FailureQuality of LifePolyethyleneAnatomic shoulder arthroplastyArthritis shoulderClinical and radiological outcomesStemless shoulder arthroplasty

Identifiers

PMID40615755
PMCPMC12227341

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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.