{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T01:12:50Z","timestamp":1770945170119,"version":"3.50.1"},"reference-count":28,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008894","name":"Stryker","doi-asserted-by":"publisher","award":["Funded in part"],"award-info":[{"award-number":["Funded in part"]}],"id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Shoulder and Elbow Arthroplasty"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>When implanting a cemented humeral stem, a reliable method to prevent inappropriate extension and enable pressurization of cement in the intramedullary canal is required. The aim was to assess the outcomes of a dedicated humeral diaphyseal cement restrictor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In total 218 shoulders (207 patients) were included in the study, all of whom underwent a cemented total shoulder arthroplasty and a retrospective review was performed. The primary outcomes of interest were device stability in the medullary canal, successful occlusion of the canal, cement extrusion and quality of cement mantle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The majority of the cohort was female (63.3%) males and the average patient age was 71.7 years (SD 8.45). In 81.7% the device was deemed to be stable in the medullary canal. The device was significantly more stable in primary (84.2%) compared to revision cases (64.3%, p\u2009=\u20090.02). In 69.7% Barrack grade A mantle quality was achieved, this was higher in primary cases (74.2%) compared to revision cases (39.3%) (p\u2009=\u20090.00006).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>We noted excellent cementation outcomes using a cement restrictor specifically designed for the diaphyseal humerus anatomy. However, this humeral specific restrictor was noted to be more stable in primary as compared to revision cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24715492241291328","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T14:17:13Z","timestamp":1729174633000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of a Low Profile Ultra-High Molecular Weight Polyethylene Diaphyseal Humeral Cement Restrictor in Shoulder Arthroplasty"],"prefix":"10.1016","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1343-5658","authenticated-orcid":false,"given":"Elizabeth C","family":"Bond","sequence":"first","affiliation":[{"name":"Duke Sports Sciences Institute, Division of Orthopaedics, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Finley","sequence":"additional","affiliation":[{"name":"Duke Sports Sciences Institute, Division of Orthopaedics, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Pennington","sequence":"additional","affiliation":[{"name":"Duke Sports Sciences Institute, Division of Orthopaedics, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily K","family":"Reinke","sequence":"additional","affiliation":[{"name":"Duke Sports Sciences Institute, Division of Orthopaedics, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lewis","family":"McGarvey","sequence":"additional","affiliation":[{"name":"Duke Sports Sciences Institute, Division of Orthopaedics, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grant E","family":"Garrigues","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Rush University, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tally E","family":"Lassiter","sequence":"additional","affiliation":[{"name":"Duke Sports Sciences Institute, Division of Orthopaedics, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oke A","family":"Anakwenze","sequence":"additional","affiliation":[{"name":"Duke Sports Sciences Institute, Division of Orthopaedics, Duke University, Durham, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","published-online":{"date-parts":[[2024,10,17]]},"reference":[{"key":"bibr1-24715492241291328","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.03.049"},{"key":"bibr2-24715492241291328","unstructured":"Australian Orthopaedic Association National Joint Replacement Registry Annual Report 2021. https:\/\/aoanjrr.sahmri.com\/en-US\/annual-reports-2021."},{"key":"bibr3-24715492241291328","unstructured":"New Zealand Orthopaedic Association. The New Zealand Joint Registry, Wellington, New Zealand, 2018. https:\/\/www.nzoa.org.nz\/nzoa-joint-registry."},{"key":"bibr4-24715492241291328","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2021.102916"},{"key":"bibr5-24715492241291328","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-021-03930-z"},{"key":"bibr6-24715492241291328","unstructured":"Zimmer Biomet. Coonrad Morrey total elbow cement restrictor technique guide. https:\/\/www.zimmerbiomet.com\/content\/dam\/zb-corporate\/en\/education-resources\/surgical-techniques\/specialties\/elbow\/coonrad-morrey-total-elbow\/Coonrad_Morrey%20Elbow%20Cement%20Restrictor%20Surgical%20Technique%2097-8106-104-00-10_20081.pdf."},{"key":"bibr7-24715492241291328","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"bibr8-24715492241291328","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2020.499"},{"key":"bibr9-24715492241291328","unstructured":"Tornier Cement Restrictor Instructions For Use (IFU) \u2013 provided by Stryker (Kalamazoo, MI), March 22, 2023."},{"key":"bibr10-24715492241291328","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.74B3.1587883"},{"key":"bibr11-24715492241291328","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(98)90004-3"},{"key":"bibr12-24715492241291328","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team","year":"2021"},{"key":"bibr13-24715492241291328","doi-asserted-by":"publisher","DOI":"10.21105\/joss.01686"},{"key":"bibr14-24715492241291328","unstructured":"Harrell FE, with contributions from Charles Dupont and many others. 2021. Hmisc: Harrell Miscellaneous. 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