Abstract
Background: Chronic osteoarthritis can result in glenohumeral subluxation and loss of posterior glenoid bone. This can alter normal glenohumeral biomechanics and affect the stress placed on the glenoid implant after total shoulder arthroplasty. This study evaluated the clinical and radiographic results of an augmented all-polyethylene glenoid for the treatment of glenoid osteoarthritis in the presence of posterior glenoid bone loss and determined whether any failures or complications occurred with short-term follow-up. Methods: During a 2-year period, 21 patients were treated with an augmented glenoid for an index diagnosis of osteoarthritis with a biconcave glenoid and average posterior glenoid bone loss of 4.7 mm. Clinical outcomes were recorded for the American Shoulder and Elbow Surgeons Shoulder Assessment, Simple Shoulder Test, and active motion. Radiographic analysis included glenoid version, humeral head subluxation, component seating, ingrowth, and loosening. Results: Significant improvements were demonstrated for American Shoulder and Elbow Surgeons Shoulder Assessment (52.3), Simple Shoulder Test (8.1), forward flexion (50), external rotation (32), and pain. Radiographic improvements were found for glenoid version (12), humeral scapular alignment (23%), and humeral glenoid alignment (8%). Central peg ingrowth was demonstrated in all patients, and complete component seating was achieved in 19 patients. No complications were encountered, and no clinical or radiographic failures were identified. Conclusion: Augmented polyethylene glenoid components demonstrated improved clinical outcome, without implant failure or complications, during short-term follow-up.
| Original language | English (US) |
|---|---|
| Journal | Journal of Shoulder and Elbow Surgery |
| DOIs | |
| State | Accepted/In press - 2016 |
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Keywords
- Anchor peg glenoid
- Augmented glenoid
- Biconcave glenoid
- Case Series
- Glenoid loosening
- Glenoid retroversion
- Level IV
- Posterior glenoid bone loss
- Shoulder osteoarthritis
- Total shoulder arthroplasty
- Treatment Study
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Radiographic results of augmented all-polyethylene glenoids in the presence of posterior glenoid bone loss during total shoulder arthroplasty. / Stephens, Scott P.; Spencer, Edwin E.; Wirth, Michael A.
In: Journal of Shoulder and Elbow Surgery, 2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Radiographic results of augmented all-polyethylene glenoids in the presence of posterior glenoid bone loss during total shoulder arthroplasty
AU - Stephens, Scott P.
AU - Spencer, Edwin E.
AU - Wirth, Michael A
PY - 2016
Y1 - 2016
N2 - Background: Chronic osteoarthritis can result in glenohumeral subluxation and loss of posterior glenoid bone. This can alter normal glenohumeral biomechanics and affect the stress placed on the glenoid implant after total shoulder arthroplasty. This study evaluated the clinical and radiographic results of an augmented all-polyethylene glenoid for the treatment of glenoid osteoarthritis in the presence of posterior glenoid bone loss and determined whether any failures or complications occurred with short-term follow-up. Methods: During a 2-year period, 21 patients were treated with an augmented glenoid for an index diagnosis of osteoarthritis with a biconcave glenoid and average posterior glenoid bone loss of 4.7 mm. Clinical outcomes were recorded for the American Shoulder and Elbow Surgeons Shoulder Assessment, Simple Shoulder Test, and active motion. Radiographic analysis included glenoid version, humeral head subluxation, component seating, ingrowth, and loosening. Results: Significant improvements were demonstrated for American Shoulder and Elbow Surgeons Shoulder Assessment (52.3), Simple Shoulder Test (8.1), forward flexion (50), external rotation (32), and pain. Radiographic improvements were found for glenoid version (12), humeral scapular alignment (23%), and humeral glenoid alignment (8%). Central peg ingrowth was demonstrated in all patients, and complete component seating was achieved in 19 patients. No complications were encountered, and no clinical or radiographic failures were identified. Conclusion: Augmented polyethylene glenoid components demonstrated improved clinical outcome, without implant failure or complications, during short-term follow-up.
AB - Background: Chronic osteoarthritis can result in glenohumeral subluxation and loss of posterior glenoid bone. This can alter normal glenohumeral biomechanics and affect the stress placed on the glenoid implant after total shoulder arthroplasty. This study evaluated the clinical and radiographic results of an augmented all-polyethylene glenoid for the treatment of glenoid osteoarthritis in the presence of posterior glenoid bone loss and determined whether any failures or complications occurred with short-term follow-up. Methods: During a 2-year period, 21 patients were treated with an augmented glenoid for an index diagnosis of osteoarthritis with a biconcave glenoid and average posterior glenoid bone loss of 4.7 mm. Clinical outcomes were recorded for the American Shoulder and Elbow Surgeons Shoulder Assessment, Simple Shoulder Test, and active motion. Radiographic analysis included glenoid version, humeral head subluxation, component seating, ingrowth, and loosening. Results: Significant improvements were demonstrated for American Shoulder and Elbow Surgeons Shoulder Assessment (52.3), Simple Shoulder Test (8.1), forward flexion (50), external rotation (32), and pain. Radiographic improvements were found for glenoid version (12), humeral scapular alignment (23%), and humeral glenoid alignment (8%). Central peg ingrowth was demonstrated in all patients, and complete component seating was achieved in 19 patients. No complications were encountered, and no clinical or radiographic failures were identified. Conclusion: Augmented polyethylene glenoid components demonstrated improved clinical outcome, without implant failure or complications, during short-term follow-up.
KW - Anchor peg glenoid
KW - Augmented glenoid
KW - Biconcave glenoid
KW - Case Series
KW - Glenoid loosening
KW - Glenoid retroversion
KW - Level IV
KW - Posterior glenoid bone loss
KW - Shoulder osteoarthritis
KW - Total shoulder arthroplasty
KW - Treatment Study
UR - http://www.scopus.com/inward/record.url?scp=85006970719&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85006970719&partnerID=8YFLogxK
U2 - 10.1016/j.jse.2016.09.053
DO - 10.1016/j.jse.2016.09.053
M3 - Article
C2 - 27887871
AN - SCOPUS:85006970719
JO - Journal of Shoulder and Elbow Surgery
JF - Journal of Shoulder and Elbow Surgery
SN - 1058-2746
ER -