Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Low injury incidence and excellent return to sport after injuries in beach handball-a cross-sectional survey of 651 athletes.

BMC sports science, medicine & rehabilitation·2025
Same author

Higher incidence of osteosynthesis of proximal humerus fractures in Germany-an epidemiological study comparing osteosynthesis of the proximal humerus and shoulder arthroplasty in Germany, Austria, and Switzerland.

JSES international·2025
Same author

Long-term Follow-up After Arthroscopically Assisted 2-Bundle Anatomic Reduction of Acute Acromioclavicular Joint Separations.

The American journal of sports medicine·2025
Same author

Clinical and radiographical outcomes of scapular spine fractures after reverse shoulder arthroplasty treated with double plating and autologous bone graft.

Journal of shoulder and elbow surgery·2025
Same author

Off-season beach handball participation lowers injury incidence among handball players-A cross-sectional survey on 641 athletes.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2025
Same author

Response to Carofino editor regarding: "pyrocarbon hemiprostheses show little glenoid erosion and good clinical function at 5.5 years of follow-up".

Journal of shoulder and elbow surgery·2024

Related Experiment Video

Updated: Dec 6, 2025

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

43.6K

RSA, TSA and PyC hemi-prostheses: comparing indications and clinical outcomes using a second-generation modular

Benjamin D Kleim1,2, Christina Garving3, Ulrich H Brunner3

  • 1Teaching Hospital of the Ludwig-Maximilians-University Munich, Munich, Germany. Drkleim@doctors.org.uk.

Archives of Orthopaedic and Trauma Surgery
|October 7, 2020
PubMed
Summary

This study found that anatomical total shoulder arthroplasty (TSA) provides the best overall clinical outcomes for shoulder replacement. Reverse shoulder arthroplasty (RSA) showed limitations in internal rotation, while pyrocarbon hemiarthroplasty (PyC) is suitable for specific indications like osteoarthritis.

Keywords:
ClinicalHemiarthroplastyModularPyrocarbonShort stemShoulder arthroplasty

More Related Videos

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

420
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

3.4K

Related Experiment Videos

Last Updated: Dec 6, 2025

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

43.6K
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

420
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

3.4K

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Science

Background:

  • Modular short-stem shoulder arthroplasty is increasingly used for various shoulder pathologies.
  • Understanding the comparative clinical outcomes of different prosthesis types is crucial for surgical decision-making.

Purpose of the Study:

  • To evaluate and compare the clinical results of modular short-stem shoulder arthroplasty using anatomical (TSA), reverse (RSA), and pyrocarbon hemiarthroplasty (PyC) for diverse indications.
  • To identify optimal indications for each prosthesis type based on patient outcomes.

Main Methods:

  • A consecutive cohort of 76 patients underwent implantation of modular short-stem prostheses.
  • Patients received either TSA, RSA, or PyC prostheses with a proximally porous-coated short stem.
  • Clinical outcomes including range of motion, pain levels, and Constant Score (CS) were assessed pre- and postoperatively.

Main Results:

  • All prosthesis types demonstrated significant improvements in clinical outcomes (p < 0.05).
  • TSA showed significantly higher Constant Score (CS) improvements compared to PyC and RSA (p=0.002, p=0.003).
  • TSA provided superior range of motion (ROM) gains over RSA (p < 0.02), while RSA had inferior internal rotation compared to TSA and PyC (p=0.0001, p=0.008).

Conclusions:

  • Anatomical total shoulder arthroplasty (TSA) yields the best overall clinical improvements, particularly for osteoarthritis (OA) with a Walch A glenoid.
  • Reverse shoulder arthroplasty (RSA) demonstrates mechanical limitations in internal rotation despite subscapularis tendon refixation.
  • Pyrocarbon hemiarthroplasty (PyC) is indicated for OA, Walch B glenoids, and instability-related arthritis.