{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:30:24Z","timestamp":1777876224147,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T00:00:00Z","timestamp":1702944000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The Ascend Flex short stem implant has been reported to have good early clinical outcomes and low revision rates. This retrospective study aimed to evaluate the early to mid-term radiographic and clinical outcomes of patients who underwent primary shoulder arthroplasty with this implant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All consecutive patients who underwent primary shoulder arthroplasty with short uncemented Ascend Flex stems with a minimum of 24-month follow-up were included. The primary outcomes were revision and reoperation rate. The secondary outcomes included stress shielding and Oxford Shoulder Score (OSS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Totally, 151 shoulders were eligible for inclusion. Out of which 73 were anatomic total shoulder arthroplasty, 77 were reverse geometry, and 1 was a hemiarthroplasty. Mean follow-up duration was 52\u2009\u00b1\u200917.2 months. The revision and reoperation rates were 0.6% and 2.6%, respectively. 1.3% anatomic total shoulder arthroplasty (aTSA) cases and 6.5% RSA cases demonstrated stress shielding. OSS improved from 16.1\u2009\u00b1\u20098.5 to 34.1\u2009\u00b1\u200912.3 in aTSA cases ( Z\u2009=\u2009\u22123.98, p\u2009&lt;\u20090.001) and from 15.6\u2009\u00b1\u20098.4 to 30.0\u2009\u00b1\u200913.5 in RSA cases ( Z\u2009=\u2009\u22123.41, p\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings demonstrate reassuring outcomes for this implant at a mean of 52 months. Further reports are required to document the long-term outcomes for this component.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17585732231220358","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T03:00:35Z","timestamp":1703041235000},"page":"551-558","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Survivorship of the Stryker Ascend Flex uncemented metaphyseal bearing stem at a minimum 2- and 5-year follow-up"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8757-7333","authenticated-orcid":false,"given":"Richard C","family":"Huynh","sequence":"first","affiliation":[{"name":"Newcastle University Medical School, Newcastle-upon-Tyne, England, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David W","family":"Shields","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Queen Elizabeth University Hospital, Glasgow, Scotland, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6236-4120","authenticated-orcid":false,"given":"Mustafa S","family":"Rashid","sequence":"additional","affiliation":[{"name":"Upper Limb Unit, Wrightington Hospital, Wrightington, England, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puneet","family":"Monga","sequence":"additional","affiliation":[{"name":"Upper Limb Unit, Wrightington Hospital, Wrightington, England, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"key":"bibr1-17585732231220358","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.150226"},{"key":"bibr2-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-017-3443-0"},{"key":"bibr3-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.1.160003"},{"key":"bibr4-17585732231220358","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00935"},{"key":"bibr5-17585732231220358","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6042.118915"},{"key":"bibr6-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2018.02.896"},{"key":"bibr7-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.11.067"},{"key":"bibr8-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.08.044"},{"key":"bibr9-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.08.037"},{"key":"bibr10-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2021.102896"},{"key":"bibr11-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1177\/2471549217722723"},{"key":"bibr12-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1053\/j.sart.2021.04.006"},{"key":"bibr13-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.08.012"},{"key":"bibr14-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.jses.2019.09.011"},{"key":"bibr15-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.08.010"},{"key":"bibr16-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.11.041"},{"key":"bibr17-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-007-0549-7"},{"key":"bibr18-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.08.019"},{"key":"bibr19-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2001.20905"},{"key":"bibr20-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2017.06.042"},{"key":"bibr21-17585732231220358","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2018.02.036"},{"key":"bibr22-17585732231220358","unstructured":"Microsoft Corporation. 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