Patient-reported outcome after stemmed versus stemless total shoulder arthroplasty for glenohumeral osteoarthritis: a patient-blinded randomized clinical trial

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Are there differences between stemless and conventional stemmed shoulder prostheses in the treatment of glenohumeral osteoarthritis?

BACKGROUND Conventional stemmed anatomical shoulder prostheses are widely used in the treatment of glenohumeral osteoarthritis. The stemless shoulder prosthesis, in contrast, is a new concept, and fewer outcome studies are available. Therefore, the purpose of the study was to investigate the early functional outcome and postoperative proprioception of a stemless prosthesis in comparison with a ...

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  Background: Our institution’s traditional pain management strategy after shoulder arthroplasty has involved the utilization of postoperative patient-controlled narcotic analgesia. More recently, we have implemented a protocol (TLC) that utilizes a multimodal approach. The purpose of this study was to determine whether this change has improved pain control and decreased narcotic utilization. ...

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Hemiarthroplasty versus Total Shoulder Arthroplasty For Shoulder Osteoarthritis

BACKGROUND Return to activity is a commonly used indication for shoulder hemiarthroplasty (HA) compared with total shoulder arthroplasty (TSA). Despite clinical studies demonstrating better functional outcomes after TSA, the literature has failed to show a difference in return to sports. PURPOSE To compare rates of return to sports in a matched cohort of TSA and HA patients with a preoperativ...

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Patient-specific instrumentation for total shoulder arthroplasty

Shoulder arthroplasty is a demanding procedure with a known complication rate. Most complications are associated with the glenoid component, a fact that has stimulated investigation into that specific component of the implant. Avoiding glenoid component malposition is very important and is a key reason for recent developments in pre-operative planning and instrumentation to minimise risk.Patien...

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ژورنال

عنوان ژورنال: Trials

سال: 2019

ISSN: 1745-6215

DOI: 10.1186/s13063-019-3535-9