Progress of shoulder arthroplasty in patients with osteoporosis

doi:10.3877/cma.j.issn.1674-134X.2023.02.015

Abstract

Abstract:

With an increase of aging population and osteoporosis patients in China, the number of patients undergoing shoulder arthroplasty for degenerative or traumatic diseases also increases. Current trend on the world is that the number of humeral head arthroplasty is decreasing, while the number of reverse total shoulder arthroplasty (RSTA) is increasing. More and more elderly patients with proximal humeral fractures are treated with RSTA. The impact of osteoporosis must be fully considered when a shoulder arthroplasty is applied in the treatment of osteoarthritis or osteoporotic fractures. This article systematically described the current trend of shoulder arthroplasty(including humeral head arthroplasty, anatomical total shoulder arthroplasty, and RSTA)in the patients with osteoporosis. The impact of osteoporosis on the anatomy of humerus, as well as the selection of prosthesis, methods of fixation and surgical techniques for osteoporotic patients were also discussed.

Key words: Osteoporosis, Arthroplasty, replacement, shoulder, Shoulder fractures

Changjiao Sun, Peng Yu, Xu Cai, Yongwei Pan. Progress of shoulder arthroplasty in patients with osteoporosis[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2023, 17(02): 253-260.

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References 70

[1]	Farmer RP, Herbert B, Cuellar DO, et al. Osteoporosis and the orthopaedic surgeon: basic concepts for successful co-management of patients' bone health[J]. Int Orthop, 2014, 38(8): 1731-1738.
[2]	Pisani P, Renna MD, Conversano F, et al. Major osteoporotic fragility fractures: risk factor updates and societal impact[J]. World J Orthop, 2016, 7(3): 171-181.
[3]	Yedavally-Yellayi S, Ho AM, Patalinghug EM. Update on osteoporosis[J]. Prim Care, 2019, 46(1): 175-190.
[4]	中华医学会骨质疏松和骨矿盐疾病分会. 中国骨质疏松症流行病学调查及"健康骨骼"专项行动结果发布[J]. 中华骨质疏松和骨矿盐疾病杂志，2019, 12(4): 317-318.
[5]	Cooper C, Campion G, Melton LJ 3rd. Hip fractures in the elderly: a world-wide projection[J]. Osteoporos Int, 1992, 2(6): 285-289.
[6]	Cummings SR, Melton LJ. Epidemiology and outcomes of osteoporotic fractures[J]. Lancet, 2002, 359(9319): 1761-1767.
[7]	Gullberg B, Johnell O, Kanis JA. World-wide projections for hip fracture[J]. Osteoporos Int, 1997, 7(5): 407-413.
[8]	Kanis JA, Black D, Cooper C, et al. A new approach to the development of assessment guidelines for osteoporosis[J]. Osteoporos Int, 2002, 13(7): 527-536.
[9]	Johnell O, Kanis J. Epidemiology of osteoporotic fractures[J]. Osteoporos Int, 2005, 16(Suppl 2): S3-S7.
[10]	Qaseem A, Forciea MA, McLean RM, et al. Treatment of low bone density or osteoporosis to prevent fractures in men and women: a clinical practice guideline update from the American college of physicians[J]. Ann Intern Med, 2017, 166(11): 818-839.
[11]	Lee SH, Dargent-Molina P, Bréart G. Risk factors for fractures of the proximal humerus: results from the EPIDOS prospective study[J]. J Bone Miner Res, 2002, 17(5): 817-825.
[12]	Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures[J]. Acta Orthop Scand, 2001, 72(4): 365-371.
[13]	Bell JE, Leung BC, Spratt KF, et al. Trends and variation in incidence, surgical treatment, and repeat surgery of proximal humeral fractures in the elderly[J]. J Bone Joint Surg Am, 2011, 93(2): 121-131.
[14]	Rajaee SS, Yalamanchili D, Noori N, et al. Increasing use of reverse total shoulder arthroplasty for proximal humerus fractures in elderly patients[J/OL]. Orthopedics, 2017, 40(6): e982-e989. DOI: 10.3928/01477447-20170925-01.
[15]	Giardella A, Ascione F, Mocchi M, et al. Reverse total shoulder versus angular stable plate treatment for proximal humeral fractures in over 65 years old patients[J]. Muscles Ligaments Tendons J, 2017, 7(2): 271-278.
[16]	Namdari S, Horneff JG, Baldwin K. Comparison of hemiarthroplasty and reverse arthroplasty for treatment of proximal humeral fractures: a systematic review[J]. J Bone Joint Surg Am, 2013, 95(18): 1701-1708.
[17]	Lübbeke A, Rees JL, Barea C, et al. International variation in shoulder arthroplasty[J]. Acta Orthop, 2017, 88(6): 592-599.
[18]	Ben-Shlomo Y, Blom A, Boulton C, et al. National Joint Registry Annual Reports[A]. In: The National Joint Registry 17th Annual Report 2020. London: National Joint Registry? National Joint Registry 2020., 2020.
[19]	Best MJ, Aziz KT, Wilckens JH, et al. Increasing incidence of primary reverse and anatomic total shoulder arthroplasty in the United States[J]. J Shoulder Elbow Surg, 2021, 30(5): 1159-1166.
[20]	Casp AJ, Montgomery SR Jr, Cancienne JM, et al. Osteoporosis and implant-related complications after anatomic and reverse total shoulder arthroplasty[J]. J Am Acad Orthop Surg, 2020, 28(3): 121-127.
[21]	Culliford DJ, Maskell J, Beard DJ, et al. Temporal trends in hip and knee replacement in the United Kingdom: 1991 to 2006[J]. J Bone Joint Surg Br, 2010, 92(1): 130-135.
[22]	Yuasa T, Maezawa K, Nozawa M, et al. Cementless total hip arthroplasty in patients aged ≥80 years[J]. J Orthop, 2016, 13(1): 29-32.
[23]	Harjula JNE, Paloneva J, Haapakoski J, et al. Increasing incidence of primary shoulder arthroplasty in Finland - a nationwide registry study[J/OL]. BMC Musculoskelet Disord, 2018, 19(1): 245. DOI: 10.1186/s12891-018-2150-3.
[24]	Dequeker J, Aerssens J, Luyten FP. Osteoarthritis and osteoporosis: clinical and research evidence of inverse relationship[J]. Aging Clin Exp Res, 2003, 15(5): 426-439.
[25]	Antoniades L, MacGregor AJ, Matson M, et al. A cotwin control study of the relationship between hip osteoarthritis and bone mineral density[J]. Arthritis Rheum, 2000, 43(7): 1450-1455.
[26]	Delsmann MM, Strahl A, Mühlenfeld M, et al. High prevalence and undertreatment of osteoporosis in elderly patients undergoing total hip arthroplasty[J]. Osteoporos Int, 2021, 32(8): 1661-1668.
[27]	Labuda A, Papaioannou A, Pritchard J, et al. Prevalence of osteoporosis in osteoarthritic patients undergoing total hip or total knee arthroplasty[J]. Arch Phys Med Rehabil, 2008, 89(12): 2373-2374.
[28]	Palsis JA, Simpson KN, Matthews JH, et al. Current trends in the use of shoulder arthroplasty in the United States[J/OL]. Orthopedics, 2018, 41(3): e416-e423. DOI: 10.3928/01477447-20180409-05.
[29]	Horak J, Nilsson BE. Epidemiology of fracture of the upper end of the humerus[J]. Clin Orthop Relat Res, 1975(112): 250-253.
[30]	Cecere AB, Toro G, de Cicco A, et al. How to improve the outcomes of surgically treated proximal humeral osteoporotic fractures? A narrative review[J/OL]. Orthop Rev (Pavia), 2020, 12(2): 8529. DOI: 10.4081/or.2020.8529.
[31]	Dey Hazra RO, Blach RM, Ellwein A, et al. Latest trends in the current treatment of proximal humeral fractures-an analysis of 1162 cases at a level-1 trauma centre with a special focus on shoulder surgery[J]. Z Orthop Unfall, 2022, 160(3): 287-298.
[32]	Neer CS 2nd. Articular replacement for the humeral head[J]. J Bone Joint Surg Am, 1955, 37-A(2): 215-228.
[33]	Katthagen JC, Huber M, Grabowski S, et al. Failure and revision rates of proximal humeral fracture treatment with the use of a standardized treatment algorithm at a level-1 trauma center[J]. J Orthop Traumatol, 2017, 18(3): 265-274.
[34]	Sowa B, Thierjung H, Bülhoff M, et al. Functional results of hemi- and total shoulder arthroplasty according to diagnosis and patient age at surgery[J]. Acta Orthop, 2017, 88(3): 310-314.
[35]	Krishnan SG, Bennion PW, Reineck JR, et al. Hemiarthroplasty for proximal humeral fracture: restoration of the Gothic arch[J]. Orthop Clin North Am, 2008, 39(4): 441-450, vi.
[36]	Boileau P, Krishnan SG, Tinsi L, et al. Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus[J]. J Shoulder Elbow Surg, 2002, 11(5): 401-412.
[37]	Olerud P, Ahrengart L, Ponzer S, et al. Hemiarthroplasty versus nonoperative treatment of displaced 4-part proximal humeral fractures in elderly patients: a randomized controlled trial[J]. J Shoulder Elbow Surg, 2011, 20(7): 1025-1033.
[38]	Sershon RA, van Thiel GS, Lin EC, et al. Clinical outcomes of reverse total shoulder arthroplasty in patients aged younger than 60 years[J]. J Shoulder Elbow Surg, 2014, 23(3): 395-400.
[39]	Boileau P, Alta TD, Decroocq L, et al. Reverse shoulder arthroplasty for acute fractures in the elderly: is it worth reattaching the tuberosities？[J]. J Shoulder Elbow Surg, 2019, 28(3): 437-444.
[40]	Ohl X, Bonnevialle N, Gallinet D, et al. How the greater tuberosity affects clinical outcomes after reverse shoulder arthroplasty for proximal humeral fractures[J]. J Shoulder Elbow Surg, 2018, 27(12): 2139-2144.
[41]	Barros LH, Figueiredo S, Marques M, et al. Tuberosity healing after reverse shoulder arthroplasty for proximal humerus fractures: is there clinical improvement？[J]. Rev Bras Ortop (Sao Paulo), 2020, 55(6): 748-754.
[42]	Chae J, Siljander M, Wiater JM. Instability in reverse total shoulder arthroplasty[J]. J Am Acad Orthop Surg, 2018, 26(17): 587-596.
[43]	Adeyemo A, Bertha N, Perry KJ, et al. Implant selection for proximal humerus fractures[J]. Orthop Clin North Am, 2021, 52(2): 167-175.
[44]	Wataru S, Kazuomi S, Yoshikazu N, et al. Three-dimensional morphological analysis of humeral heads: a study in cadavers[J]. Acta Orthop, 2005, 76(3): 392-396.
[45]	Reeves JM, Johnson JA, Athwal GS. An analysis of proximal humerus morphology with special interest in stemless shoulder arthroplasty[J]. J Shoulder Elb Surg, 2018, 27(4): 650-658.
[46]	Tingart MJ, Apreleva M, von Stechow D, et al. The cortical thickness of the proximal humeral diaphysis predicts bone mineral density of the proximal humerus[J]. J Bone Joint Surg Br, 2003, 85(4): 611-617.
[47]	Saitoh S, Nakatsuchi Y. Osteoporosis of the proximal humerus: comparison of bone-mineral density and mechanical strength with the proximal femur[J]. J Shoulder Elbow Surg, 1993, 2(2): 78-84.
[48]	Schumaier A, Grawe B. Proximal humerus fractures: evaluation and management in the elderly patient[J/OL]. Geriatr Orthop Surg Rehabil, 2018, 9: 2151458517750516. DOI: 10.1177/2151458517750516.
[49]	Kirchhoff C, Brunner U, Biberthaler P. Periprosthetic humeral fractures: strategies and techniques for osteosynthesis[J]. Unfallchirurg, 2016, 119(4): 273-280.
[50]	Nagels J, Stokdijk M, Rozing PM. Stress shielding and bone resorption in shoulder arthroplasty[J]. J Shoulder Elbow Surg, 2003, 12(1): 35-39.
[51]	Lädermann A, Walch G, Lubbeke A, et al. Influence of arm lengthening in reverse shoulder arthroplasty[J]. J Shoulder Elbow Surg, 2012, 21(3): 336-341.
[52]	Murachovsky J, Ikemoto RY, Nascimento LG, et al. Pectoralis major tendon reference (PMT): a new method for accurate restoration of humeral length with hemiarthroplasty for fracture[J]. J Shoulder Elbow Surg, 2006, 15(6): 675-678.
[53]	Lädermann A, Williams MD, Melis B, et al. Objective evaluation of lengthening in reverse shoulder arthroplasty[J]. J Shoulder Elbow Surg, 2009, 18(4): 588-595.
[54]	Turkyilmaz I, Tumer C, Ozbek EN, et al. Relations between the bone density values from computerized tomography, and implant stability parameters: a clinical study of 230 regular platform implants[J]. J Clin Periodontol, 2007, 34(8): 716-722.
[55]	Pervaiz K, Cabezas A, Downes K, et al. Osteoporosis and shoulder osteoarthritis: incidence, risk factors, and surgical implications[J/OL]. J Shoulder Elbow Surg, 2013, 22(3): e1-e8. DOI: 10.1016/j.jse.2012.05.029.
[56]	Chun YM, Kim DS, Lee DH, et al. Reverse shoulder arthroplasty for four-part proximal humerus fracture in elderly patients: can a healed tuberosity improve the functional outcomes？[J]. J Shoulder Elbow Surg, 2017, 26(7): 1216-1221.
[57]	Anakwenze OA, Zoller S, Ahmad CS, et al. Reverse shoulder arthroplasty for acute proximal humerus fractures: a systematic review[J/OL]. J Shoulder Elbow Surg, 2014, 23(4): e73-e80. DOI: 10.1016/j.jse.2013.09.012.
[58]	Gallinet D, Adam A, Gasse N, et al. Improvement in shoulder rotation in complex shoulder fractures treated by reverse shoulder arthroplasty[J]. J Shoulder Elbow Surg, 2013, 22(1): 38-44.
[59]	Knierzinger D, Heinrichs CH, Hengg C, et al. Biomechanical evaluation of cable and suture cerclages for tuberosity reattachment in a 4-part proximal humeral fracture model treated with reverse shoulder arthroplasty[J]. J Shoulder Elbow Surg, 2018, 27(10): 1816-1823.
[60]	Uzer G, Yildiz F, Batar S, et al. Does grafting of the tuberosities improve the functional outcomes of proximal humeral fractures treated with reverse shoulder arthroplasty？[J]. J Shoulder Elbow Surg, 2017, 26(1): 36-41.
[61]	Formaini NT, Everding NG, Levy JC, et al. Tuberosity healing after reverse shoulder arthroplasty for acute proximal humerus fractures: the "black and Tan" technique[J/OL]. J Shoulder Elbow Surg, 2015, 24(11): e299-e306. DOI: 10.1016/j.jse.2015.04.014.
[62]	Levy JC, Badman B. Reverse shoulder prosthesis for acute four-part fracture: tuberosity fixation using a horseshoe graft[J]. J Orthop Trauma, 2011, 25(5): 318-324.
[63]	Owsley KC, Gorczyca JT. Fracture displacement and screw cutout after open reduction and locked plate fixation of proximal humeral fractures corrected[J]. J Bone Joint Surg Am, 2008, 90(2): 233-240.
[64]	Meek RM, Norwood T, Smith R, et al. The risk of peri-prosthetic fracture after primary and revision total hip and knee replacement[J]. J Bone Joint Surg Br, 2011, 93(1): 96-101.
[65]	Marsland D, Mears SC. A review of periprosthetic femoral fractures associated with total hip arthroplasty[J]. Geriatr Orthop Surg Rehabil, 2012, 3(3): 107-120.
[66]	Mahendraraj K, Abboud J, Armstrong A, et al. Predictors of acromial and scapular stress fracture after reverse shoulder arthroplasty: an ASES multicenter study from the complications of reverse arthroplasty group[J]. J Shoulder Elb Surg / Am Shoulder Elb Surg Al, 2021, 30(10): 2296-2305.
[67]	King JJ, Dalton SS, Gulotta LV, et al. How common are acromial and scapular spine fractures after reverse shoulder arthroplasty? : a systematic review[J]. Bone Joint J, 2019, 101-B(6): 627-634.
[68]	Mayne IP, Bell SN, Wright W, et al. Acromial and scapular spine fractures after reverse total shoulder arthroplasty[J]. Shoulder Elbow, 2016, 8(2): 90-100.
[69]	Patterson DC, Chi D, Parsons BO, et al. Acromial spine fracture after reverse total shoulder arthroplasty: a systematic review[J]. J Shoulder Elbow Surg, 2019, 28(4): 792-801.
[70]	Shah SS, Gentile J, Chen X, et al. Influence of implant design and parasagittal acromial morphology on acromial and scapular spine strain after reverse total shoulder arthroplasty: a cadaveric and computer-based biomechanical analysis[J]. J Shoulder Elbow Surg, 2020, 29(11): 2395-2405.

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