About the review
This review covers recent trends in shoulder replacement components and the hardware and patient factors that affect outcomes, drawing on both international and domestic registries.
What it covers
- Patient factors that affect the outcome of anatomic total shoulder arthroplasty, including age, the pre-operative diagnosis and glenoid morphology.
- How glenoid and humeral component designs affect survivorship, meaning how long a replacement lasts before requiring revision.
- A trend towards shorter humeral stems.
- A comparison of the global literature with Australian registry survivorship data.
Anatomic total shoulder arthroplasty is a well-established treatment for end-stage glenohumeral arthritis where the rotator cuff is intact. The review examines which combinations of implant and patient factors are associated with better results, rather than asserting that any one combination is superior. The figures are in the paper.
First author
The first author is Kristine Italia, who completed shoulder subspecialty training at the Brisbane Shoulder Fellowship from June 2018 to August 2019 and remains active in QUASR. Her mentors were Prof (Adj) Kenneth Cutbush and Prof (Adj) Ashish Gupta.
Authors and affiliations
Kristine Italia, Ashish Gupta, Dr Mohammad Jomaa, Roberto Pareyon, Freek Hollman and Tristan Shuker.
Affiliations: QUASR, the ARC Training Centre for Joint Biomechanics, St Andrew's War Memorial Hospital, QUT and The University of Queensland.
Read it
The article is available via this link: read the review.
Related information
See our anatomic total shoulder replacement and shoulder arthritis pages, and our post on understanding the risks of total shoulder replacement.