Clinical and radiological results of the SIMPLICITI* stemless shoulder arthroplasty: a twenty five patients retrospective cohort.

IF 2 3区医学 Q2 ORTHOPEDICS

International Orthopaedics Pub Date : 2024-12-01 Epub Date: 2024-09-25 DOI:10.1007/s00264-024-06309-y

Agathe Couturaud, Jonathan Curado, Fabrice Duparc

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引用次数: 0

Abstract

Purpose: For 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.

Methods: 28 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.

Results: The 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.

Conclusion: This 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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SIMPLICITI*无茎肩关节置换术的临床和放射学结果：25 名患者的回顾性队列。

目的：为保留肱骨骨量，一些外科医生提出了无柄肱骨假体组件。本研究报告了无柄解剖型假体Simpliciti*（Tornier, Wright, Stryker）的功能和放射学结果，假设它能实现良好的骺固定。方法：28名患者接受了30例使用Simpliciti*肱骨假体的肩关节置换术，平均随访3年（2个月至8年）。临床结果采用 Constant-Murley 评分和 Bankes 阻力和力量评估。放射学评估关注放射线、假体移位迹象、骨溶解或松动：结果：Constant评分从术前的19.03分提高到术后的54.03分。X光片分析显示有一个早期组件松动，长期随访发现有一条放射线。结论：这项研究验证了基台的质量：这项研究验证了这种无茎种植体的骨骺固定质量，并显著改善了功能：IV级，病例系列，治疗研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.