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Patients with prior shoulder surgeries, perioperative infections, or revisions within 12 months postoperatively were excluded. Patients were divided into Group A (Survivors) and Group B (Revisions) based on implant survival. Radiographic parameters analyzed included critical shoulder angle (CSA), acromiohumeral distance (AHD), lateral offset (LO), humeral head-stem index (HSI), centre of rotation (COR), and glenoid erosion, categorized using Sirveaux, L\u00e9vigne, Franceschi, and Walch classifications. Demographic data were also assessed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Of 68 patients, 57 were in Group A (mean age: 58.5\u2009\u00b1\u200910.1 years; follow-up: 115.8 months) and 11 in Group B (mean age: 61.4\u2009\u00b1\u20098.3 years; follow-up: 113.9 months). Implant survival was 84% after 115.8\u2009\u00b1\u200934.5 months. Baseline demographics were comparable (e.g., smoking: <jats:italic>p<\/jats:italic>\u2009=\u20090.75), as was osteolysis prevalence (Group A: 47%; Group B: 45%; <jats:italic>p<\/jats:italic>\u2009=\u20090.91). HSI was significantly higher in Group B (0.5\u2009\u00b1\u20090.1 vs. 0.4\u2009\u00b1\u20090.1; <jats:italic>p<\/jats:italic>\u2009=\u20090.03). No other radiographic differences were significant.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Patients undergoing anatomic total shoulder arthroplasty can expect favourable mid- to long-term outcomes, with implant survival rates of 84% and relatively low complication rates. Although osteolysis is common, it rarely necessitates revision surgery. The role of the humeral head-stem index (HSI) warrants further investigation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Study design<\/jats:title>\n            <jats:p>Level IV; retrospective case study.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00264-025-06454-y","type":"journal-article","created":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T06:07:23Z","timestamp":1740809243000},"page":"1133-1141","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Outcomes of anatomic total shoulder arthroplasty: evaluation of implant-related, radiographic, and demographic factors influencing durability and revision rates"],"prefix":"10.1007","volume":"49","author":[{"given":"Felix","family":"Hochberger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedikt","family":"Weth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tizian","family":"Heinz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"Boehm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximillian","family":"Rudert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kilian","family":"List","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,1]]},"reference":[{"issue":"9","key":"6454_CR1","doi-asserted-by":"publisher","first-page":"1947","DOI":"10.2106\/JBJS.D.02854","volume":"87","author":"D Bryant","year":"2005","unstructured":"Bryant D, Litchfield R, Sandow M, Gartsman GM, Guyatt G, Kirkley A (2005) A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. 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Approval was granted by the Ethics Committee of the University of Wuerzburg (Ref. 2020111101\/14.12.2020).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Informed consent was obtained from all individual participants included in the study. Patients signed informed consent regarding publishing their data and photographs.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Kilian List is consultant for Arthrex and Stryker. The other authors declare no conflicts of interest.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}