Humeral bone quality

4/23/2022

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In elderly, osteoporotic females, a cemented humeral stem may be an option; xrays below are both 85 year old females

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michael messieh

4/23/2022 04:16:00 pm

Long-term outcomes of cemented versus cementless humeral components in arthroplasty of the shoulder
Bone Joint J 2017;99-B:666–73
Both types of fixation give rates of long-term survival of > 90%. Cemented components have better rates of survival without loosening but this should be weighed against increased operating time and the risk of bony destruction of the proximal humerus at the time of revision of a cemented humeral component.
The cement used in our series was often impregnated with vancomycin or gentamycin, which could explain the difference in the infection-free rate of survival between the two groups. Recent studies have suggested that antibiotic-loaded cement decreases the rate of infection after primary arthroplasty of the hip, knee and shoulder arthroplasty.35-37

Litchfield et al3 found, in a prospective randomised study, that cement could also have an impact on the functional outcome. They reported that patients with a cemented humeral component had a better quality of life, strength and range of movement, than those with a cementless component.

Humeral bone quality

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Humeral bone quality

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Serving The Villages, Clermont , Haines City and Davenport Heart of Florida Adventhealth, Orlando Health Southlake

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Serving The Villages, Clermont , Haines City and Davenport
Heart of Florida Adventhealth, Orlando Health Southlake