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• W3092164053 abstract "Abstract Introduction The goal of this study was to provide an insight into the clinical results after modular short-stem shoulder arthroplasty for various indications. Materials and methods A consecutive cohort study of 76 patients followed up for 23–55 (mean 31.4) months. 23 anatomical (TSA), 32 reverse (RSA) and 21 hemi-prostheses with a pyrocarbon head (PyC), using a modular short stem with proximal porous coating were implanted. Range of motion, pain and Constant score (CS) were recorded. Comparisons of pre- vs postoperative outcomes, between prosthesis types and indications, were made. Results All prosthesis types brought about a significant improvement ( p < 0.05) in all measured outcomes. TSA had a significantly higher increase in the CS than PyC and RSA ( p = 0.002 and 0.003, respectively). TSA produced superior gains in all ROM compared with RSA ( p < 0.02). RSA brought about significantly smaller improvements in internal rotation than TSA and PyC ( p = 0.0001 and 0.008, respectively). TSA had greater pain relief than PyC ( p = 0.02). TSA with Walch A glenoids seemed to improve more than type B in the CS. PyC patients with Walch B glenoids improved more than Walch A ( p = 0.03). When implanted due to Osteoarthritis (OA), PyC had a comparable final outcome to TSA ( p = 0.95), although the preoperatively worse TSA patients had a greater improvement in the CS ( p = 0.026). The outcome of RSA did not differ between indications, but Walch A glenoids tended to improve more. Conclusions Using a second-generation short-stem shoulder prostheses, TSA achieves the best clinical improvements overall, especially for OA with a Walch A glenoid. Despite refixation of the subscapularis tendon in all cases, RSA has inferior internal rotation than TSA and PyC, suggesting a mechanical limitation. OA, a Walch B glenoid and arthritis caused by instability seem to be ideal indications when considering PyC." @default.
• W3092164053 created "2020-10-15" @default.
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• W3092164053 date "2020-10-06" @default.
• W3092164053 modified "2023-10-17" @default.
• W3092164053 title "RSA, TSA and PyC hemi-prostheses: comparing indications and clinical outcomes using a second-generation modular short-stem shoulder prosthesis" @default.
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• W3092164053 doi "https://doi.org/10.1007/s00402-020-03529-w" @default.
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