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Table 4 Radiological Outcome with Stemless Humeral Head Replacement at Final Follow-Up

From: Radiological changes do not influence clinical mid-term outcome in stemless humeral head replacements with hollow screw fixation: a prospective radiological and clinical evaluation

 

HSA

(n = 27)

HSA REV

(n = 13)

TSA

(n = 26)

TSA REV

(n = 7)

TOTAL

(n = 73)

Group 1

18

9 (4 s OA + 4 s RCT

+ 1 undefined pain)

16

3 (1 s RCT + 1 HH Fx

+  1 undefined pain)

46

no RL/OL or minor RL in one or more zones

 No radiolucency

16

7

12

3

38

 Zone 1 (minor RL)

1

2

1

0

4

 Zone 5 (minor RL)

1

0

2

0

3

 Zone 1 (minor RL) + Zone 5 (minor RL)

0

0

1

0

1

Group 2

1

2 (2 s OA)

2

0

5

major RL or partial OL in one or more zones

 Zone 1 (major RL)

1

1

2

0

4

 Zone 1 (partial OL) + Zone 5 (partial OL)

0

1

0

0

1

Group 3

8

2 (2 s OA)

8

4 (4 s RCT)

22

complete OL in one or more zones

 Zone 1 (major OL)

0

0

1

0

1

 Zone 5 (major OL)

4

1

5

1

11

 Zone 1(minorRL) + Zone 5 (majorOL)

2

0

0

0

2

 Zone 1(majorOL) + Zone 5 (majorOL)

2

1

2

3

8

No internal stress shielding

13

9 (5 s OA + 3 s RCT

+ 1 undefined pain)

14

6 (5 s RCT + 1 HH Fx)

42

Internal stress shielding in one zone (1, 2, or 4)

8

2 (2 s OA)

5

0

15

Internal stress shielding in two zones (12, 23, 24, or 34)

5

2 (1 s OA + 1 s RCT)

6

1 (1 undefined pain)

14

Internal stress shielding in three zones (125 or 234)

1

0

1

0

2

  1. Abbreviation: HH Fx Humeral Head Fracture, HSA Hemi Shoulder Arthroplasty, OL osteolysis, sec OA secondary Osteoarthritis, REV revision surgery, RL radiolucent line, sec RCT secondary Rotator Cuff Tear, TSA Total Shoulder Arthroplasty