ArticleJSES international2025
Factors associated with humeral stem extraction difficulty in revision shoulder arthroplasty.
Article in JSES international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Removal of the humeral stem during revision shoulder arthroplasty can be challenging and is associated with complications. The primary objective of this study was to identify risk factors for intraoperative humerus fractures or the need for a humerotomy. The secondary objective was to determine factors associated with the use of a standard or long revision stem. Methods: In this retrospective monocentric study, a total of 127 consecutive shoulder arthroplasty revisions (53 men, 74 women, mean age 68 ± 11 years) were included. All included patients underwent a complete revision of the humeral component. Preoperative periprosthetic fractures were excluded. Assessed risk factors included patient-related factors, the etiology and characteristics of the primary prosthesis, time between the primary arthroplasty and revision, and the etiology of the revision. All risk factors were evaluated through a multivariate analysis with logarithmic regression. Results: A humerotomy was required in 7.9% (10/127), while an iatrogenic humerus fracture occurred in 24.4% (31/127) of cases, resulting in a total of 32.3% (41/127). Factors associated with difficulties during stem extraction included chronic infection ( Conclusion: Difficulties and complications extracting the humeral stem were encountered in 32.3% of cases in our series. Chronic infection as the cause of revision and the use of a long or cemented stem were significant associated factors.
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