High revision rate of metal-backed glenoid component and impact on the overall revision rate of stemless total shoulder arthroplasty: a cohort study from the Danish Shoulder Arthroplasty Registry
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| Název: | High revision rate of metal-backed glenoid component and impact on the overall revision rate of stemless total shoulder arthroplasty: a cohort study from the Danish Shoulder Arthroplasty Registry |
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| Autoři: | Marc R K Nyring, Bo S Olsen, Steen L Jensen, Jeppe V Rasmussen |
| Zdroj: | Acta Orthop Acta Orthopaedica, Vol 95 (2024) Nyring, M R K, Olsen, B S, Jensen, S L & Rasmussen, J V 2024, 'High revision rate of metal-backed glenoid component and impact on the overall revision rate of stemless total shoulder arthroplasty: a cohort study from the Danish Shoulder Arthroplasty Registry', Acta Orthopaedica, vol. 95, pp. 386-391. https://doi.org/10.2340/17453674.2024.41014 |
| Informace o vydavateli: | MJS Publishing, Medical Journals Sweden AB, 2024. |
| Rok vydání: | 2024 |
| Témata: | Osteoarthrosis, Reoperation, Male, Shoulder, Denmark, Prosthesis Design, Article, Arthroplasty, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Osteoarthritis, Humans, Osteoarthritis/surgery, Registries, Shoulder Joint/surgery, Aged, Orthopedic surgery, Aged, 80 and over, Shoulder Joint, Shoulder Prosthesis, Arthroplasty, Replacement, Shoulder/methods, Middle Aged, Denmark/epidemiology, Prosthesis Failure, Reoperation/statistics & numerical data, Arthroplasty, Replacement, Shoulder, Metals, Female, RD701-811 |
| Popis: | Background and purpose: There is controversy regarding the results of stemmed and stemless total shoulder arthroplasty (TSA) used for osteoarthritis. Therefore, we aimed to compare revision rates of stemmed and stemless TSA and to examine the impact of metal-backed glenoid components.Methods: We included all patients reported to the Danish Shoulder Arthroplasty Register from January 1, 2012 to December 31, 2022 with an anatomical TSA used for osteoarthritis. Primary outcome was revision (removal or exchange of components) for any reason.Results: 3,338 arthroplasties were included. The hazard ratio for revision of stemless TSA adjusted for age and sex was 1.83 (95% confidence interval [CI] 1.21–2.78) with stemmed TSA as reference. When excluding all arthroplasties with a metal-backed glenoid component, the adjusted hazard ratio for revision of stemless TSA was 1.37 (CI 0.85–2.20). For the Eclipse stemless TSA system, the adjusted hazard ratio for revision of a metal-backed glenoid component was 8.75 (CI 2.40–31.9) with stemless Eclipse with an all-polyethylene glenoid component as reference.Conclusion: We showed that the risk of revision of stemless TSAs was increased and that it was related to their combination with metal-backed glenoid components. |
| Druh dokumentu: | Article Other literature type |
| Popis souboru: | application/pdf |
| ISSN: | 1745-3682 1745-3674 |
| DOI: | 10.2340/17453674.2024.41014 |
| Přístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/39016083 https://doaj.org/article/72a8647b2bd8442cad78c7c3ab109ee6 http://www.scopus.com/inward/record.url?scp=85200234200&partnerID=8YFLogxK https://vbn.aau.dk/da/publications/1189b109-410e-4489-8c27-637609ad9c4e https://doi.org/10.2340/17453674.2024.41014 https://vbn.aau.dk/ws/files/737453436/Nyring_et_al._2024_._High_revision_rate_of_metal-backed_glenoid_component_and_impact_on_the_overall_revision_rate_of_stemless_total_shoulder_arthroplasty_-_a_cohort_study_from_the_Danish_Shoulder_Arthroplasty_Registry.pdf |
| Rights: | CC BY URL: http://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits sharing, adapting, and using the material for any purpose, including commercial use, with the condition of providing full attribution to the original publication. |
| Přístupové číslo: | edsair.doi.dedup.....f820199af97ef7fa42f68da07c6b71ee |
| Databáze: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Background and purpose: There is controversy regarding the results of stemmed and stemless total shoulder arthroplasty (TSA) used for osteoarthritis. Therefore, we aimed to compare revision rates of stemmed and stemless TSA and to examine the impact of metal-backed glenoid components.Methods: We included all patients reported to the Danish Shoulder Arthroplasty Register from January 1, 2012 to December 31, 2022 with an anatomical TSA used for osteoarthritis. Primary outcome was revision (removal or exchange of components) for any reason.Results: 3,338 arthroplasties were included. The hazard ratio for revision of stemless TSA adjusted for age and sex was 1.83 (95% confidence interval [CI] 1.21–2.78) with stemmed TSA as reference. When excluding all arthroplasties with a metal-backed glenoid component, the adjusted hazard ratio for revision of stemless TSA was 1.37 (CI 0.85–2.20). For the Eclipse stemless TSA system, the adjusted hazard ratio for revision of a metal-backed glenoid component was 8.75 (CI 2.40–31.9) with stemless Eclipse with an all-polyethylene glenoid component as reference.Conclusion: We showed that the risk of revision of stemless TSAs was increased and that it was related to their combination with metal-backed glenoid components. |
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| ISSN: | 17453682 17453674 |
| DOI: | 10.2340/17453674.2024.41014 |