Comparing clinical and radiographic outcomes of stemless vs stemmed implants in TSA .
Is the stemless humeral head replacement clinically and radiographically a secure equivalent to standard stem humeral head replacement in the long-term follow-up? A prospective randomized trial.
J Shoulder Elbow Surg. 2017 Feb;26(2):225-23240 patients scheduled for total shoulder arthroplasty were randomized to either a stemless implant or a standard stemmed implant. Clinical and radiographic outcomes were assessed over 5-year follow-up. After 5 years, Constant scores did not significantly differ between groups. No cases of radiographic changes either inferior to the humeral component on the anteroposterior view or posterior to the humeral component on the axillary view were observed in the stemless group, which was significantly lower than the incidence observed in the stemmed group.
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