Table 2.
Outcomes of shorter stemmed humeral components
| Implant | Study | No. implants/no. patients | Follow-up | Outcome | Complications |
|---|---|---|---|---|---|
| Stemless | |||||
| Biomet TESS | |||||
| Huguet 2010 | 72 implants 70 patients Age, 64.5 |
Minimum, 36 months | Constant, 75 SS, 17 |
5 intraoperative cracks (all healed), 1 hematoma drained, 1 arthroscopic release for stiffness | |
| Kadum 2011 | 56 implants 56 patients Age, 71 |
Mean, 14 months | quickDASH, 34 EQ5D, 0.73 |
2 irrigation and debridements, 1 dislocated reverse, 1 intraoperative glenoid fracture, decoupling of metaphysis and stem |
|
| Razamjou 2013 | 17 implants 17 patients Age, 69 |
Mean, 24 months | WOOS, 85 ASES, 82 RCMS, 92 quickDASH, 23 |
6 central peg perforations, 1 radial nerve palsy (resolved) | |
| Berth 2013 | 41 implants 41 patients Age, 67 |
Mean, 31 months | Constant, 54.7 DASH, 47.4 |
1 crack in the glenoid, 1 brachial plexus palsy (resolved) | |
| Biomet TESS reverse | |||||
| Ballas 2013 | 56 implants 56 patients Age, 74 |
Mean, 58 months | Constant, 62 OSS, 17 |
1 intraoperative crack, 1 subscapularis rupture, 1 superficial infection, 1 acromion fracture non op 3 dissociations, 1 early humeral loosening | |
| Biomet Nano | |||||
| Unregistered clinical trial Recruiting |
|||||
| Arthrex eclipse | |||||
| Clinicaltrials.gov NCT01790113 Recruiting |
|||||
| Schoch 2011 | 115 implants 115 patients |
Minimum, 12 months | Constant, 66 | 1 hematoma, 2 secondary cuff insufficiencies, 2 glenoid lossenings, 1 subluxation with subscapularis attenuation | |
| Brunner 2012 | 233 implants 233 patients | Mean, 23 months | Constant, 79 | 1 humeral stem loosening, 2 periprosthetic fractures, 3 infections, 11 other revisions | |
| Mathys Affinis Short | |||||
| Bell 2014 | 50 implants 50 patients Age 68 |
12 months, 38 24 months, 12 | 12 months ASES, 88.28 Constant, 76.12 DASH, 10.79 24 months ASES, 92.58 Constant, 85.75 DASH, 5.94, |
1 revision to reverse, 4 AC joint pain, 2 musculocutaneous nerve palsy | |
| Joudet 2011 (Abstract) | 118 patients and implants | Mean, 7 months | Constant, 54.4 | 1 temporary nerve palsy, 1 superficial infection, 1 stiff shoulder, 2 hematoma, 1 subscapularis rupture, 1 arm pain, 1 clicking component | |
| Tornier Simpliciti | |||||
| Clinicaltrials.gov NCT01390038 Completed Nov 2014 |
|||||
| Zimmer Sidus | |||||
| Clinicaltrials.gov NCT01700543 Recruiting |
|||||
| Short stem | |||||
| Biomet Verso | |||||
| Atoun 2014 | 34 patients 34 implants Age, 73.5 (58–93) |
Mean, 36 months | Constant, 56.2 | 2 early dislocations, 2 metaphyseal cracks, 41 glenoid crack, 1 acromion stress fracture, 5 periprosthetic fractures • 1 glenoid • 4 metaphyseal |
|
| Biomet Comprehensive Mini | |||||
| Giuseffi 2014 | 44 patients Age, 76 (59–92) |
Mean, 27 months | 97% no or mild pain | 2 varus stems, 1 dislocation, 13 proximal humerus resorption, 1 brachial plexus palsy, 1 superficial infection | |
| Jost 2011 | 49 implants 47 patients Age, 67 (46–83) |
Mean, 29 months | Constant, 91 UCLA, 27.5 |
1 subscapularis rupture, 1 PE, 5 varus stems | |
| Arthrex Univers Apex | |||||
| No ongoing clinical trial at time of manuscript acceptance | |||||
| Tornier Aquelis Ascend Flex | |||||
| No ongoing clinical trial at time of manuscript acceptance | |||||