Association between the canal filling ratio and bone resorption in trabecular metal stems in reverse total shoulder arthroplasty : a radiographic analysis using tomosynthesis
© 2024 The Author(s).
| Veröffentlicht in: | JSES international. - 2020. - 8(2024), 5 vom: 28. Sept., Seite 1077-1086 |
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| Format: | Online-Aufsatz |
| Sprache: | English |
| Veröffentlicht: |
2024
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| Zugriff auf das übergeordnete Werk: | JSES international |
| Schlagworte: | Journal Article Bone resorption CNO Canal filling ratio Osteopenia with cortical narrowing Reverse shoulder Tomosynthesis Trabecular metal |
| Zusammenfassung: | © 2024 The Author(s). Background: Several factors affect the incidence of osteopenia with cortical narrowing (CNO) in reverse shoulder arthroplasty. This study aimed to compare the incidence of CNO with different fixation methods (cemented or cementless) using a single implant (trabecular metal humeral stem) evaluated using tomosynthesis and to analyze the factors affecting the incidence of CNO for cementless stem fixation Methods: A total of 109 patients (cementless: 75 cases; cemented: 34 cases) who underwent reverse total shoulder arthroplasty were included in this study. The patients were divided into 2 groups (cementless or cemented), and the incidence of CNO was compared. In addition, patients in the cementless group were divided into 2 groups (canal filling ratio [CFR] of ≥ 0.7 or < 0.7), the incidence of CNO was compared, and the Cramer's coefficient of association between CNO and CFR > 0.7 (and 0.8) was calculated Results: No significant difference was observed in the incidence of CNO between the cementless and cemented groups (7/75 vs. 3/35, P value = 1.0). The association between CNO and the CFR using Cramer's coefficient of association showed that there were few correlations (coefficient: 0.14, P value = .59) Conclusion: Cementless reverse total shoulder arthroplasty with a trabecular metal stem has a similar low incidence of CNO as cemented fixation, and the incidence of CNO with a trabecular metal stem was lower than that reported in previous studies. A CFR > 0.7 was not associated with the incidence of CNO |
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| Beschreibung: | Date Revised 17.09.2024 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
| ISSN: | 2666-6383 |
| DOI: | 10.1016/j.jseint.2024.05.010 |