Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants

Background: The purpose of this study was to compare the accuracy of anatomic reconstruction of three different humeral head designs after anatomic total shoulder arthroplasty. Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different...
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Gespeichert in:

Autor*in:	Leonardo Cavinatto, MD, PhD [verfasserIn] Omar Khatib, MD [verfasserIn] Alexander Martusiewicz, MD [verfasserIn] Denise M. Koueiter, MS [verfasserIn] Brett P. Wiater, MD [verfasserIn] J. Michael Wiater, MD [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	Stemmed humeral head Stemless humeral head Stemless Elliptical humeral head Anatomic total Shoulder arthroplasty Radiographic study Humeral head reconstruction

Übergeordnetes Werk:	In: JSES International - Elsevier, 2021, 5(2021), 5, Seite 889-893
Übergeordnetes Werk:	volume:5 ; year:2021 ; number:5 ; pages:889-893

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1016/j.jseint.2021.04.015

Katalog-ID:	DOAJ054582954

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520			\|a Background: The purpose of this study was to compare the accuracy of anatomic reconstruction of three different humeral head designs after anatomic total shoulder arthroplasty. Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different implant designs (stemmed spherical, stemless spherical, and stemless elliptical) were analyzed for landmarks that represented the prearthritic state and final implant position. We assessed the change in center of rotati7on and humeral head height on the anteroposterior view and the percentage of prosthesis overhang on the axillary lateral view. A modified anatomic reconstruction index, a compound score that rated each of the 3 parameters from 0 to 2, was created to determine the overall accuracy of the reconstruction. Results: Excellent modified anatomic reconstruction index scores (5 or 6 points) were achieved by 68.1% of the cases in the stemless elliptical group compared with 33.3% of the cases in the stemless spherical group and by 28.3% of the cases in the stemmed spherical group (P = .001).The mean difference in restoration of humeral head height (P < .001) and percentage of prosthesis overhang (P < .001) was superior for the stemless elliptical group compared with the two other spherical head groups. There was no difference between groups for the shift in center of rotation (P = .060). Conclusions: In this radiographic investigation comparing three different humeral head designs with respect to anatomic restoration parameters, the stemless elliptical implant more closely restored the geometry of the prearthritic humeral head as assessed by humeral head height, prosthesis overhang, and a compound reconstruction score.
650		4	\|a Stemmed humeral head
650		4	\|a Stemless humeral head
650		4	\|a Stemless Elliptical humeral head
650		4	\|a Anatomic total Shoulder arthroplasty
650		4	\|a Radiographic study
650		4	\|a Humeral head reconstruction
653		0	\|a Orthopedic surgery
653		0	\|a Diseases of the musculoskeletal system
700	0		\|a Omar Khatib, MD \|e verfasserin \|4 aut
700	0		\|a Alexander Martusiewicz, MD \|e verfasserin \|4 aut
700	0		\|a Denise M. Koueiter, MS \|e verfasserin \|4 aut
700	0		\|a Brett P. Wiater, MD \|e verfasserin \|4 aut
700	0		\|a J. Michael Wiater, MD \|e verfasserin \|4 aut
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allfields	10.1016/j.jseint.2021.04.015 doi (DE-627)DOAJ054582954 (DE-599)DOAJa45a6139c39441b8b76ef64ad80c437a DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Leonardo Cavinatto, MD, PhD verfasserin aut Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The purpose of this study was to compare the accuracy of anatomic reconstruction of three different humeral head designs after anatomic total shoulder arthroplasty. Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different implant designs (stemmed spherical, stemless spherical, and stemless elliptical) were analyzed for landmarks that represented the prearthritic state and final implant position. We assessed the change in center of rotati7on and humeral head height on the anteroposterior view and the percentage of prosthesis overhang on the axillary lateral view. A modified anatomic reconstruction index, a compound score that rated each of the 3 parameters from 0 to 2, was created to determine the overall accuracy of the reconstruction. Results: Excellent modified anatomic reconstruction index scores (5 or 6 points) were achieved by 68.1% of the cases in the stemless elliptical group compared with 33.3% of the cases in the stemless spherical group and by 28.3% of the cases in the stemmed spherical group (P = .001).The mean difference in restoration of humeral head height (P < .001) and percentage of prosthesis overhang (P < .001) was superior for the stemless elliptical group compared with the two other spherical head groups. There was no difference between groups for the shift in center of rotation (P = .060). Conclusions: In this radiographic investigation comparing three different humeral head designs with respect to anatomic restoration parameters, the stemless elliptical implant more closely restored the geometry of the prearthritic humeral head as assessed by humeral head height, prosthesis overhang, and a compound reconstruction score. Stemmed humeral head Stemless humeral head Stemless Elliptical humeral head Anatomic total Shoulder arthroplasty Radiographic study Humeral head reconstruction Orthopedic surgery Diseases of the musculoskeletal system Omar Khatib, MD verfasserin aut Alexander Martusiewicz, MD verfasserin aut Denise M. Koueiter, MS verfasserin aut Brett P. Wiater, MD verfasserin aut J. Michael Wiater, MD verfasserin aut In JSES International Elsevier, 2021 5(2021), 5, Seite 889-893 (DE-627)1696050804 26666383 nnns volume:5 year:2021 number:5 pages:889-893 https://doi.org/10.1016/j.jseint.2021.04.015 kostenfrei https://doaj.org/article/a45a6139c39441b8b76ef64ad80c437a kostenfrei http://www.sciencedirect.com/science/article/pii/S266663832100133X kostenfrei https://doaj.org/toc/2666-6383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2021 5 889-893
spelling	10.1016/j.jseint.2021.04.015 doi (DE-627)DOAJ054582954 (DE-599)DOAJa45a6139c39441b8b76ef64ad80c437a DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Leonardo Cavinatto, MD, PhD verfasserin aut Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The purpose of this study was to compare the accuracy of anatomic reconstruction of three different humeral head designs after anatomic total shoulder arthroplasty. Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different implant designs (stemmed spherical, stemless spherical, and stemless elliptical) were analyzed for landmarks that represented the prearthritic state and final implant position. We assessed the change in center of rotati7on and humeral head height on the anteroposterior view and the percentage of prosthesis overhang on the axillary lateral view. A modified anatomic reconstruction index, a compound score that rated each of the 3 parameters from 0 to 2, was created to determine the overall accuracy of the reconstruction. Results: Excellent modified anatomic reconstruction index scores (5 or 6 points) were achieved by 68.1% of the cases in the stemless elliptical group compared with 33.3% of the cases in the stemless spherical group and by 28.3% of the cases in the stemmed spherical group (P = .001).The mean difference in restoration of humeral head height (P < .001) and percentage of prosthesis overhang (P < .001) was superior for the stemless elliptical group compared with the two other spherical head groups. There was no difference between groups for the shift in center of rotation (P = .060). Conclusions: In this radiographic investigation comparing three different humeral head designs with respect to anatomic restoration parameters, the stemless elliptical implant more closely restored the geometry of the prearthritic humeral head as assessed by humeral head height, prosthesis overhang, and a compound reconstruction score. Stemmed humeral head Stemless humeral head Stemless Elliptical humeral head Anatomic total Shoulder arthroplasty Radiographic study Humeral head reconstruction Orthopedic surgery Diseases of the musculoskeletal system Omar Khatib, MD verfasserin aut Alexander Martusiewicz, MD verfasserin aut Denise M. Koueiter, MS verfasserin aut Brett P. Wiater, MD verfasserin aut J. Michael Wiater, MD verfasserin aut In JSES International Elsevier, 2021 5(2021), 5, Seite 889-893 (DE-627)1696050804 26666383 nnns volume:5 year:2021 number:5 pages:889-893 https://doi.org/10.1016/j.jseint.2021.04.015 kostenfrei https://doaj.org/article/a45a6139c39441b8b76ef64ad80c437a kostenfrei http://www.sciencedirect.com/science/article/pii/S266663832100133X kostenfrei https://doaj.org/toc/2666-6383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2021 5 889-893
allfields_unstemmed	10.1016/j.jseint.2021.04.015 doi (DE-627)DOAJ054582954 (DE-599)DOAJa45a6139c39441b8b76ef64ad80c437a DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Leonardo Cavinatto, MD, PhD verfasserin aut Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The purpose of this study was to compare the accuracy of anatomic reconstruction of three different humeral head designs after anatomic total shoulder arthroplasty. Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different implant designs (stemmed spherical, stemless spherical, and stemless elliptical) were analyzed for landmarks that represented the prearthritic state and final implant position. We assessed the change in center of rotati7on and humeral head height on the anteroposterior view and the percentage of prosthesis overhang on the axillary lateral view. A modified anatomic reconstruction index, a compound score that rated each of the 3 parameters from 0 to 2, was created to determine the overall accuracy of the reconstruction. Results: Excellent modified anatomic reconstruction index scores (5 or 6 points) were achieved by 68.1% of the cases in the stemless elliptical group compared with 33.3% of the cases in the stemless spherical group and by 28.3% of the cases in the stemmed spherical group (P = .001).The mean difference in restoration of humeral head height (P < .001) and percentage of prosthesis overhang (P < .001) was superior for the stemless elliptical group compared with the two other spherical head groups. There was no difference between groups for the shift in center of rotation (P = .060). Conclusions: In this radiographic investigation comparing three different humeral head designs with respect to anatomic restoration parameters, the stemless elliptical implant more closely restored the geometry of the prearthritic humeral head as assessed by humeral head height, prosthesis overhang, and a compound reconstruction score. Stemmed humeral head Stemless humeral head Stemless Elliptical humeral head Anatomic total Shoulder arthroplasty Radiographic study Humeral head reconstruction Orthopedic surgery Diseases of the musculoskeletal system Omar Khatib, MD verfasserin aut Alexander Martusiewicz, MD verfasserin aut Denise M. Koueiter, MS verfasserin aut Brett P. Wiater, MD verfasserin aut J. Michael Wiater, MD verfasserin aut In JSES International Elsevier, 2021 5(2021), 5, Seite 889-893 (DE-627)1696050804 26666383 nnns volume:5 year:2021 number:5 pages:889-893 https://doi.org/10.1016/j.jseint.2021.04.015 kostenfrei https://doaj.org/article/a45a6139c39441b8b76ef64ad80c437a kostenfrei http://www.sciencedirect.com/science/article/pii/S266663832100133X kostenfrei https://doaj.org/toc/2666-6383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2021 5 889-893
allfieldsGer	10.1016/j.jseint.2021.04.015 doi (DE-627)DOAJ054582954 (DE-599)DOAJa45a6139c39441b8b76ef64ad80c437a DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Leonardo Cavinatto, MD, PhD verfasserin aut Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The purpose of this study was to compare the accuracy of anatomic reconstruction of three different humeral head designs after anatomic total shoulder arthroplasty. Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different implant designs (stemmed spherical, stemless spherical, and stemless elliptical) were analyzed for landmarks that represented the prearthritic state and final implant position. We assessed the change in center of rotati7on and humeral head height on the anteroposterior view and the percentage of prosthesis overhang on the axillary lateral view. A modified anatomic reconstruction index, a compound score that rated each of the 3 parameters from 0 to 2, was created to determine the overall accuracy of the reconstruction. Results: Excellent modified anatomic reconstruction index scores (5 or 6 points) were achieved by 68.1% of the cases in the stemless elliptical group compared with 33.3% of the cases in the stemless spherical group and by 28.3% of the cases in the stemmed spherical group (P = .001).The mean difference in restoration of humeral head height (P < .001) and percentage of prosthesis overhang (P < .001) was superior for the stemless elliptical group compared with the two other spherical head groups. There was no difference between groups for the shift in center of rotation (P = .060). Conclusions: In this radiographic investigation comparing three different humeral head designs with respect to anatomic restoration parameters, the stemless elliptical implant more closely restored the geometry of the prearthritic humeral head as assessed by humeral head height, prosthesis overhang, and a compound reconstruction score. Stemmed humeral head Stemless humeral head Stemless Elliptical humeral head Anatomic total Shoulder arthroplasty Radiographic study Humeral head reconstruction Orthopedic surgery Diseases of the musculoskeletal system Omar Khatib, MD verfasserin aut Alexander Martusiewicz, MD verfasserin aut Denise M. Koueiter, MS verfasserin aut Brett P. Wiater, MD verfasserin aut J. Michael Wiater, MD verfasserin aut In JSES International Elsevier, 2021 5(2021), 5, Seite 889-893 (DE-627)1696050804 26666383 nnns volume:5 year:2021 number:5 pages:889-893 https://doi.org/10.1016/j.jseint.2021.04.015 kostenfrei https://doaj.org/article/a45a6139c39441b8b76ef64ad80c437a kostenfrei http://www.sciencedirect.com/science/article/pii/S266663832100133X kostenfrei https://doaj.org/toc/2666-6383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2021 5 889-893
allfieldsSound	10.1016/j.jseint.2021.04.015 doi (DE-627)DOAJ054582954 (DE-599)DOAJa45a6139c39441b8b76ef64ad80c437a DE-627 ger DE-627 rakwb eng RD701-811 RC925-935 Leonardo Cavinatto, MD, PhD verfasserin aut Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The purpose of this study was to compare the accuracy of anatomic reconstruction of three different humeral head designs after anatomic total shoulder arthroplasty. Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different implant designs (stemmed spherical, stemless spherical, and stemless elliptical) were analyzed for landmarks that represented the prearthritic state and final implant position. We assessed the change in center of rotati7on and humeral head height on the anteroposterior view and the percentage of prosthesis overhang on the axillary lateral view. A modified anatomic reconstruction index, a compound score that rated each of the 3 parameters from 0 to 2, was created to determine the overall accuracy of the reconstruction. Results: Excellent modified anatomic reconstruction index scores (5 or 6 points) were achieved by 68.1% of the cases in the stemless elliptical group compared with 33.3% of the cases in the stemless spherical group and by 28.3% of the cases in the stemmed spherical group (P = .001).The mean difference in restoration of humeral head height (P < .001) and percentage of prosthesis overhang (P < .001) was superior for the stemless elliptical group compared with the two other spherical head groups. There was no difference between groups for the shift in center of rotation (P = .060). Conclusions: In this radiographic investigation comparing three different humeral head designs with respect to anatomic restoration parameters, the stemless elliptical implant more closely restored the geometry of the prearthritic humeral head as assessed by humeral head height, prosthesis overhang, and a compound reconstruction score. Stemmed humeral head Stemless humeral head Stemless Elliptical humeral head Anatomic total Shoulder arthroplasty Radiographic study Humeral head reconstruction Orthopedic surgery Diseases of the musculoskeletal system Omar Khatib, MD verfasserin aut Alexander Martusiewicz, MD verfasserin aut Denise M. Koueiter, MS verfasserin aut Brett P. Wiater, MD verfasserin aut J. Michael Wiater, MD verfasserin aut In JSES International Elsevier, 2021 5(2021), 5, Seite 889-893 (DE-627)1696050804 26666383 nnns volume:5 year:2021 number:5 pages:889-893 https://doi.org/10.1016/j.jseint.2021.04.015 kostenfrei https://doaj.org/article/a45a6139c39441b8b76ef64ad80c437a kostenfrei http://www.sciencedirect.com/science/article/pii/S266663832100133X kostenfrei https://doaj.org/toc/2666-6383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2021 5 889-893
language	English
source	In JSES International 5(2021), 5, Seite 889-893 volume:5 year:2021 number:5 pages:889-893
sourceStr	In JSES International 5(2021), 5, Seite 889-893 volume:5 year:2021 number:5 pages:889-893
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Stemmed humeral head Stemless humeral head Stemless Elliptical humeral head Anatomic total Shoulder arthroplasty Radiographic study Humeral head reconstruction Orthopedic surgery Diseases of the musculoskeletal system
isfreeaccess_bool	true
container_title	JSES International
authorswithroles_txt_mv	Leonardo Cavinatto, MD, PhD @@aut@@ Omar Khatib, MD @@aut@@ Alexander Martusiewicz, MD @@aut@@ Denise M. Koueiter, MS @@aut@@ Brett P. Wiater, MD @@aut@@ J. Michael Wiater, MD @@aut@@
publishDateDaySort_date	2021-01-01T00:00:00Z
hierarchy_top_id	1696050804
id	DOAJ054582954
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ054582954</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230308183242.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230227s2021 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1016/j.jseint.2021.04.015</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ054582954</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJa45a6139c39441b8b76ef64ad80c437a</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RD701-811</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC925-935</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Leonardo Cavinatto, MD, PhD</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2021</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background: The purpose of this study was to compare the accuracy of anatomic reconstruction of three different humeral head designs after anatomic total shoulder arthroplasty. Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different implant designs (stemmed spherical, stemless spherical, and stemless elliptical) were analyzed for landmarks that represented the prearthritic state and final implant position. We assessed the change in center of rotati7on and humeral head height on the anteroposterior view and the percentage of prosthesis overhang on the axillary lateral view. A modified anatomic reconstruction index, a compound score that rated each of the 3 parameters from 0 to 2, was created to determine the overall accuracy of the reconstruction. Results: Excellent modified anatomic reconstruction index scores (5 or 6 points) were achieved by 68.1% of the cases in the stemless elliptical group compared with 33.3% of the cases in the stemless spherical group and by 28.3% of the cases in the stemmed spherical group (P = .001).The mean difference in restoration of humeral head height (P < .001) and percentage of prosthesis overhang (P < .001) was superior for the stemless elliptical group compared with the two other spherical head groups. There was no difference between groups for the shift in center of rotation (P = .060). Conclusions: In this radiographic investigation comparing three different humeral head designs with respect to anatomic restoration parameters, the stemless elliptical implant more closely restored the geometry of the prearthritic humeral head as assessed by humeral head height, prosthesis overhang, and a compound reconstruction score.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Stemmed humeral head</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Stemless humeral head</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Stemless Elliptical humeral head</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Anatomic total Shoulder arthroplasty</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Radiographic study</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Humeral head reconstruction</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Orthopedic surgery</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Diseases of the musculoskeletal system</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Omar Khatib, MD</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Alexander Martusiewicz, MD</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Denise M. 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callnumber-first	R - Medicine
author	Leonardo Cavinatto, MD, PhD
spellingShingle	Leonardo Cavinatto, MD, PhD misc RD701-811 misc RC925-935 misc Stemmed humeral head misc Stemless humeral head misc Stemless Elliptical humeral head misc Anatomic total Shoulder arthroplasty misc Radiographic study misc Humeral head reconstruction misc Orthopedic surgery misc Diseases of the musculoskeletal system Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants
authorStr	Leonardo Cavinatto, MD, PhD
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topic_title	RD701-811 RC925-935 Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants Stemmed humeral head Stemless humeral head Stemless Elliptical humeral head Anatomic total Shoulder arthroplasty Radiographic study Humeral head reconstruction
topic	misc RD701-811 misc RC925-935 misc Stemmed humeral head misc Stemless humeral head misc Stemless Elliptical humeral head misc Anatomic total Shoulder arthroplasty misc Radiographic study misc Humeral head reconstruction misc Orthopedic surgery misc Diseases of the musculoskeletal system
topic_unstemmed	misc RD701-811 misc RC925-935 misc Stemmed humeral head misc Stemless humeral head misc Stemless Elliptical humeral head misc Anatomic total Shoulder arthroplasty misc Radiographic study misc Humeral head reconstruction misc Orthopedic surgery misc Diseases of the musculoskeletal system
topic_browse	misc RD701-811 misc RC925-935 misc Stemmed humeral head misc Stemless humeral head misc Stemless Elliptical humeral head misc Anatomic total Shoulder arthroplasty misc Radiographic study misc Humeral head reconstruction misc Orthopedic surgery misc Diseases of the musculoskeletal system
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title	Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants
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title_full	Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants
author_sort	Leonardo Cavinatto, MD, PhD
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author_browse	Leonardo Cavinatto, MD, PhD Omar Khatib, MD Alexander Martusiewicz, MD Denise M. Koueiter, MS Brett P. Wiater, MD J. Michael Wiater, MD
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author-letter	Leonardo Cavinatto, MD, PhD
doi_str_mv	10.1016/j.jseint.2021.04.015
author2-role	verfasserin
title_sort	radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants
callnumber	RD701-811
title_auth	Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants
abstract	Background: The purpose of this study was to compare the accuracy of anatomic reconstruction of three different humeral head designs after anatomic total shoulder arthroplasty. Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different implant designs (stemmed spherical, stemless spherical, and stemless elliptical) were analyzed for landmarks that represented the prearthritic state and final implant position. We assessed the change in center of rotati7on and humeral head height on the anteroposterior view and the percentage of prosthesis overhang on the axillary lateral view. A modified anatomic reconstruction index, a compound score that rated each of the 3 parameters from 0 to 2, was created to determine the overall accuracy of the reconstruction. Results: Excellent modified anatomic reconstruction index scores (5 or 6 points) were achieved by 68.1% of the cases in the stemless elliptical group compared with 33.3% of the cases in the stemless spherical group and by 28.3% of the cases in the stemmed spherical group (P = .001).The mean difference in restoration of humeral head height (P < .001) and percentage of prosthesis overhang (P < .001) was superior for the stemless elliptical group compared with the two other spherical head groups. There was no difference between groups for the shift in center of rotation (P = .060). Conclusions: In this radiographic investigation comparing three different humeral head designs with respect to anatomic restoration parameters, the stemless elliptical implant more closely restored the geometry of the prearthritic humeral head as assessed by humeral head height, prosthesis overhang, and a compound reconstruction score.
abstractGer	Background: The purpose of this study was to compare the accuracy of anatomic reconstruction of three different humeral head designs after anatomic total shoulder arthroplasty. Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different implant designs (stemmed spherical, stemless spherical, and stemless elliptical) were analyzed for landmarks that represented the prearthritic state and final implant position. We assessed the change in center of rotati7on and humeral head height on the anteroposterior view and the percentage of prosthesis overhang on the axillary lateral view. A modified anatomic reconstruction index, a compound score that rated each of the 3 parameters from 0 to 2, was created to determine the overall accuracy of the reconstruction. Results: Excellent modified anatomic reconstruction index scores (5 or 6 points) were achieved by 68.1% of the cases in the stemless elliptical group compared with 33.3% of the cases in the stemless spherical group and by 28.3% of the cases in the stemmed spherical group (P = .001).The mean difference in restoration of humeral head height (P < .001) and percentage of prosthesis overhang (P < .001) was superior for the stemless elliptical group compared with the two other spherical head groups. There was no difference between groups for the shift in center of rotation (P = .060). Conclusions: In this radiographic investigation comparing three different humeral head designs with respect to anatomic restoration parameters, the stemless elliptical implant more closely restored the geometry of the prearthritic humeral head as assessed by humeral head height, prosthesis overhang, and a compound reconstruction score.
abstract_unstemmed	Background: The purpose of this study was to compare the accuracy of anatomic reconstruction of three different humeral head designs after anatomic total shoulder arthroplasty. Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different implant designs (stemmed spherical, stemless spherical, and stemless elliptical) were analyzed for landmarks that represented the prearthritic state and final implant position. We assessed the change in center of rotati7on and humeral head height on the anteroposterior view and the percentage of prosthesis overhang on the axillary lateral view. A modified anatomic reconstruction index, a compound score that rated each of the 3 parameters from 0 to 2, was created to determine the overall accuracy of the reconstruction. Results: Excellent modified anatomic reconstruction index scores (5 or 6 points) were achieved by 68.1% of the cases in the stemless elliptical group compared with 33.3% of the cases in the stemless spherical group and by 28.3% of the cases in the stemmed spherical group (P = .001).The mean difference in restoration of humeral head height (P < .001) and percentage of prosthesis overhang (P < .001) was superior for the stemless elliptical group compared with the two other spherical head groups. There was no difference between groups for the shift in center of rotation (P = .060). Conclusions: In this radiographic investigation comparing three different humeral head designs with respect to anatomic restoration parameters, the stemless elliptical implant more closely restored the geometry of the prearthritic humeral head as assessed by humeral head height, prosthesis overhang, and a compound reconstruction score.
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container_issue	5
title_short	Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants
url	https://doi.org/10.1016/j.jseint.2021.04.015 https://doaj.org/article/a45a6139c39441b8b76ef64ad80c437a http://www.sciencedirect.com/science/article/pii/S266663832100133X https://doaj.org/toc/2666-6383
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author2	Omar Khatib, MD Alexander Martusiewicz, MD Denise M. Koueiter, MS Brett P. Wiater, MD J. Michael Wiater, MD
author2Str	Omar Khatib, MD Alexander Martusiewicz, MD Denise M. Koueiter, MS Brett P. Wiater, MD J. Michael Wiater, MD
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doi_str	10.1016/j.jseint.2021.04.015
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up_date	2024-07-03T23:46:25.418Z
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Methods: Postoperative radiographs of 117 patients who underwent anatomic total shoulder arthroplasty with three different implant designs (stemmed spherical, stemless spherical, and stemless elliptical) were analyzed for landmarks that represented the prearthritic state and final implant position. We assessed the change in center of rotati7on and humeral head height on the anteroposterior view and the percentage of prosthesis overhang on the axillary lateral view. A modified anatomic reconstruction index, a compound score that rated each of the 3 parameters from 0 to 2, was created to determine the overall accuracy of the reconstruction. Results: Excellent modified anatomic reconstruction index scores (5 or 6 points) were achieved by 68.1% of the cases in the stemless elliptical group compared with 33.3% of the cases in the stemless spherical group and by 28.3% of the cases in the stemmed spherical group (P = .001).The mean difference in restoration of humeral head height (P < .001) and percentage of prosthesis overhang (P < .001) was superior for the stemless elliptical group compared with the two other spherical head groups. There was no difference between groups for the shift in center of rotation (P = .060). Conclusions: In this radiographic investigation comparing three different humeral head designs with respect to anatomic restoration parameters, the stemless elliptical implant more closely restored the geometry of the prearthritic humeral head as assessed by humeral head height, prosthesis overhang, and a compound reconstruction score.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Stemmed humeral head</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Stemless humeral head</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Stemless Elliptical humeral head</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Anatomic total Shoulder arthroplasty</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Radiographic study</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Humeral head reconstruction</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Orthopedic surgery</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Diseases of the musculoskeletal system</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Omar Khatib, MD</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Alexander Martusiewicz, MD</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Denise M. 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Radiographic evaluation of humeral head reconstruction with stemmed and stemless spherical implants compared with stemless elliptical head implants

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