The short- to midterm effectiveness of stemless prostheses compared to stemmed prostheses for patients who underwent total shoulder arthroplasty: a meta-analysis
Abstract Background To systematically compare the short- to midterm effectiveness of stemless prostheses to that of stemmed prostheses for patients who underwent total shoulder arthroplasty (TSA) and to provide a guideline for clinical decision-making. Methods PubMed, the Cochrane Library, and Web o...
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-019-1515-0 |
| _version_ | 1811212748087885824 |
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| author | Wei Peng Yufu Ou Chenglong Wang Jianxun Wei Xiaoping Mu Zhian He |
| author_facet | Wei Peng Yufu Ou Chenglong Wang Jianxun Wei Xiaoping Mu Zhian He |
| author_sort | Wei Peng |
| collection | DOAJ |
| description | Abstract Background To systematically compare the short- to midterm effectiveness of stemless prostheses to that of stemmed prostheses for patients who underwent total shoulder arthroplasty (TSA) and to provide a guideline for clinical decision-making. Methods PubMed, the Cochrane Library, and Web of Science were searched with the given search terms until July 2019 to identify published articles evaluating the clinical outcomes for stemless prostheses compared with stemmed prostheses for patients who underwent TSA. Data extraction and the quality assessment of the included studies were independently performed by two authors. Stata software 14.0 was used to analyze and synthesize the data. Results Two randomized controlled trials and six case-controlled studies with a total of 347 shoulders were included in this meta-analysis. The results of this meta-analysis showed that there were no significant differences between the stemless and stemmed prostheses in terms of the Constant score, pain score, strength, activities of daily living, postoperative range of motion (ROM), and postoperative maximum active ROM. Conclusions This is the first meta-analysis reporting the clinical results of stemless TSA in the short- to midterm follow-up period. Both types of shoulder prostheses were similar in achieving satisfactory clinical outcomes. |
| first_indexed | 2024-04-12T05:35:35Z |
| format | Article |
| id | doaj.art-67e4cef8f93b49579bccd84ea6641385 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-12T05:35:35Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-67e4cef8f93b49579bccd84ea66413852022-12-22T03:45:53ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-12-0114111010.1186/s13018-019-1515-0The short- to midterm effectiveness of stemless prostheses compared to stemmed prostheses for patients who underwent total shoulder arthroplasty: a meta-analysisWei Peng0Yufu Ou1Chenglong Wang2Jianxun Wei3Xiaoping Mu4Zhian He5Department of Anatomy and Cell Biology, Justus-Liebig UniversityDepartment of Orthopaedics, The People’s Hospital of Guangxi Zhuang Autonomous RegionDepartment of Orthopaedics, The People’s Hospital of Guangxi Zhuang Autonomous RegionDepartment of Orthopaedics, The People’s Hospital of Guangxi Zhuang Autonomous RegionDepartment of Orthopaedics, The People’s Hospital of Guangxi Zhuang Autonomous RegionDepartment of Orthopaedics, The Affiliated Chencun Hospital of Shunde Hospital, Southern Medical UniversityAbstract Background To systematically compare the short- to midterm effectiveness of stemless prostheses to that of stemmed prostheses for patients who underwent total shoulder arthroplasty (TSA) and to provide a guideline for clinical decision-making. Methods PubMed, the Cochrane Library, and Web of Science were searched with the given search terms until July 2019 to identify published articles evaluating the clinical outcomes for stemless prostheses compared with stemmed prostheses for patients who underwent TSA. Data extraction and the quality assessment of the included studies were independently performed by two authors. Stata software 14.0 was used to analyze and synthesize the data. Results Two randomized controlled trials and six case-controlled studies with a total of 347 shoulders were included in this meta-analysis. The results of this meta-analysis showed that there were no significant differences between the stemless and stemmed prostheses in terms of the Constant score, pain score, strength, activities of daily living, postoperative range of motion (ROM), and postoperative maximum active ROM. Conclusions This is the first meta-analysis reporting the clinical results of stemless TSA in the short- to midterm follow-up period. Both types of shoulder prostheses were similar in achieving satisfactory clinical outcomes.https://doi.org/10.1186/s13018-019-1515-0Total shoulder arthroplastyStemlessStemmedClinical effectivenessMeta-analysis |
| spellingShingle | Wei Peng Yufu Ou Chenglong Wang Jianxun Wei Xiaoping Mu Zhian He The short- to midterm effectiveness of stemless prostheses compared to stemmed prostheses for patients who underwent total shoulder arthroplasty: a meta-analysis Journal of Orthopaedic Surgery and Research Total shoulder arthroplasty Stemless Stemmed Clinical effectiveness Meta-analysis |
| title | The short- to midterm effectiveness of stemless prostheses compared to stemmed prostheses for patients who underwent total shoulder arthroplasty: a meta-analysis |
| title_full | The short- to midterm effectiveness of stemless prostheses compared to stemmed prostheses for patients who underwent total shoulder arthroplasty: a meta-analysis |
| title_fullStr | The short- to midterm effectiveness of stemless prostheses compared to stemmed prostheses for patients who underwent total shoulder arthroplasty: a meta-analysis |
| title_full_unstemmed | The short- to midterm effectiveness of stemless prostheses compared to stemmed prostheses for patients who underwent total shoulder arthroplasty: a meta-analysis |
| title_short | The short- to midterm effectiveness of stemless prostheses compared to stemmed prostheses for patients who underwent total shoulder arthroplasty: a meta-analysis |
| title_sort | short to midterm effectiveness of stemless prostheses compared to stemmed prostheses for patients who underwent total shoulder arthroplasty a meta analysis |
| topic | Total shoulder arthroplasty Stemless Stemmed Clinical effectiveness Meta-analysis |
| url | https://doi.org/10.1186/s13018-019-1515-0 |
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