Comparison of stemless and conventional stemmed shoulder arthroplasties in shoulder arthropathy: A meta-analysis

Young Soo Shin, Woo Seung Lee, Jun Sung Won

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Background:It is unclear whether stemless shoulder prosthesis lead to better clinical outcomes than conventional stemmed shoulder prosthesis. The purpose is to compare clinical outcomes and complication rates after surgery in patients with shoulder arthropathy treated with stemless or conventional stemmed shoulder prosthesis.Method:All studies comparing the constant score (CS), range of motion (ROM), and complication rates after surgery in patients with shoulder arthropathy treated with stemless or conventional stemmed shoulder prosthesis were included. The major databases MEDLINE, EMBASE, the Cochrane Library, Web of Science, and SCOPUS were searched for appropriate studies from the earliest available date of indexing through March 31, 2019. No restrictions were placed on language of publication.Results:A total of 6 studies met the inclusion criteria and were analyzed in detail. Overall postoperative ROM (95% CI: 3.27 to 11.92; P < .01) was significantly greater for stemless prosthesis compared to conventional stemmed prosthesis. However, postoperative CS (95% CI: -2.98 to 7.13; P = .42) and complication rates (OR 1.22, 95% CI: 0.48-3.08; P = .68) were did not differ significantly between the 2 groups.Conclusion:This meta-analysis revealed that postoperative CS and complication rates did not differ significantly between the 2 treatment methods, stemless shoulder prosthesis and conventional stemmed shoulder prosthesis, for shoulder arthropathy. However, stemless shoulder prosthesis resulted in better outcomes than conventional stemmed shoulder prosthesis in terms of postoperative ROM.Level of evidence:Level III, Therapeutic study.

Original languageEnglish
Pages (from-to)E23989
JournalMedicine (United States)
Volume100
Issue number6
DOIs
StatePublished - 12 Feb 2021

Bibliographical note

Publisher Copyright:
Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

Keywords

  • anatomical shoulder arthroplasty
  • complication rates
  • meta-analysis
  • reverse shoulder arthroplasty
  • stemless

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