{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:31:30Z","timestamp":1791570690609,"version":"4.3.4"},"reference-count":50,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T00:00:00Z","timestamp":1676505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T00:00:00Z","timestamp":1676505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100018936","name":"Universit\u00e4tsklinikum Heidelberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100018936","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>One current trend in the field of shoulder arthroplasty is a design shift to shorter and metaphyseal fixed humeral stem components. The aim of this investigation is to analyze complications resulting in revision surgery after anatomic (ASA) and reverse (RSA) short stem arthroplasty. We hypothesize that complications are influenced by the type of prosthesis and indication for arthroplasty.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>A total of 279 short stem shoulder prostheses were implanted by the same surgeon (162 ASA; 117 RSA), and 223 of these prostheses were implanted as primary procedures; in 54 cases, arthroplasty was performed secondary to prior open surgery. Main indications were osteoarthritis (OA) (<jats:italic>n<\/jats:italic>\u2009=\u2009134), cuff tear arthropathy (CTA) (<jats:italic>n<\/jats:italic>\u2009=\u200974) and posttraumatic deformities (PTr) (<jats:italic>n<\/jats:italic>\u2009=\u200959). Patients were evaluated at 6\u00a0weeks (follow-up 1; FU1), 2\u00a0years (FU2) and the time span of the last follow-up defined as FU3 with a minimum FU of 2\u00a0years. Complications were categorized into early complications (within FU1), intermediate complications (within FU2) and late complications (&gt;\u20092\u00a0years; FU3).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In total, 268 prostheses (96.1%) were available for FU1; 267 prostheses (95.7%) were available for FU2 and 218 prostheses (77.8%) were available for FU3. The average time for FU3 was 53.0\u00a0months (range 24\u201395). A complication leading to revision occurred in 21 prostheses (7.8%), 6 (3.7%) in the ASA group and 15 (12.7%) in the RSA group (<jats:italic>p\u2009<\/jats:italic>&lt;\u20090.005). The most frequent cause for revision was infection (<jats:italic>n<\/jats:italic>\u2009=\u20099; 42.9%). After primary implantation, 3 complications (2.2%) occurred in the ASA and 10 complications (11.0%) in the RSA group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.005). The complication rate was 2.2% in patients with OA, 13.5% in CTA and 11.9% in PTr.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Primary reverse shoulder arthroplasty had a significantly higher rate of complications and revisions than primary and secondary anatomic shoulder arthroplasty, respectively. Therefore, indications for reverse shoulder arthroplasty should be critically questioned in each individual case.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-023-04802-4","type":"journal-article","created":{"date-parts":[[2023,2,16]],"date-time":"2023-02-16T11:03:11Z","timestamp":1676545391000},"page":"4853-4860","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Complications and revisions in anatomic and reverse short stem shoulder arthroplasty"],"prefix":"10.1007","volume":"143","author":[{"given":"Markus","family":"Loew","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Schnetzke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophia","family":"Kappes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Bruckner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2291-3527","authenticated-orcid":false,"given":"Anna-Katharina","family":"Nolte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,2,16]]},"reference":[{"key":"4802_CR1","unstructured":"Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR). Annual Reports 2020. 2020: Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR). Annual Reports 2020. https: \/\/aoanjrr.sahmri.com\/annual-reports-2020 (Accessed on 8 April 2022)."},{"issue":"3","key":"4802_CR2","first-page":"274","volume":"85","author":"E Alentorn-Geli","year":"2019","unstructured":"Alentorn-Geli E, Wanderman NR, Assenmacher AT, Cofield RH, Sanchez-Sotelo J, Sperling JW (2019) Reverse shoulder arthroplasty for patients with glenohumeral osteoarthritis secondary to glenoid dysplasia. Acta Orthop Belg 85(3):274\u2013282","journal-title":"Acta Orthop Belg"},{"issue":"3","key":"4802_CR3","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1302\/2058-5241.1.160003","volume":"1","author":"R Barco","year":"2016","unstructured":"Barco R, Savvidou OD, Sperling JW, Sanchez-Sotelo J, Cofield RH (2016) Complications in reverse shoulder arthroplasty. 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Markus Loew receives royalties from Wright\/Tornier Inc., which is related to the subject of this work. No company had any input into the review, data analysis, or manuscript preparation. The other authors, their immediate families and any research foundation with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Institutional review board approval was obtained prior to the start of the study; Ethical Commission, University Clinic of Heidelberg (S-035\/2022). The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent to participate in the study was obtained from participants.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}