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Glenoid or not glenoid component in primary osteoarthritis

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

The optimal choice for the treatment of end-stage primary glenohumeral osteoarthritis remains controversial, with alternatives including total shoulder replacement (TSR) and humeral head replacement (HHR). The objective of this review is to analyze the effect of TSR compared with HHR on rates of pain relief, range of motion, patient satisfaction and revision surgery in patients with primary glenohumeral osteoarthritis. Compared with HHR, TSR provided significantly greater pain relief, gain in forward elevation, and gain in external rotation and patient satisfaction. Furthermore, TSR required significantly less revision surgery glenoid component loosening than patients undergoing HHR (progression of osteoarthritis changes with subchondral sclerosis, joint space narrowing and glenoid subsidence). A convex-back pegged glenoid component with a modern instrumented cement pressurization technique achieves risk of loosening. For 10 years, a high interest regarding new designs of un-cemented metal back glenoid components has developed with promising results, because they allow glenoid bone graft in case of glenoid erosion or dysplasia and a one-stage glenoid bone reconstruction in case of revision surgery.

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References

  1. Matsen FA 3rd, Bicknell RT, Lippitt SB (2007) Shoulder arthroplasty: the socket perspective. J Shoulder Elbow Surg 16(5 Suppl):S241–S247

    Article  PubMed  Google Scholar 

  2. Wirth MA, Rockwood CA Jr (1996) Complications of total shoulder-replacement arthroplasty. J Bone Joint Surg Am 78:603–616

    PubMed  CAS  Google Scholar 

  3. Barrett WP, Franklin JL, Jackins SE, Wyss CR, Matsen FA 3rd (1987) Total shoulder arthroplasty. J Bone Joint Surg Am 69:865–872

    PubMed  CAS  Google Scholar 

  4. Bohsali KI, Wirth MA, Rockwood CA Jr (2006) Complications of total shoulder arthroplasty. J Bone Joint Surg Am 88:2279–2292

    Article  PubMed  Google Scholar 

  5. Boileau P, Avidor C, Krishnan SG, Walch G, Kempf JF, Molé D (2002) Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study. J Shoulder Elbow Surg 11:351–359

    Article  PubMed  Google Scholar 

  6. Neer CS (1990) Glenohumeral arthroplasty. In: Neer R (ed) Shoulder reconstruction. Saunders, Philadelphia, pp 220–260

    Google Scholar 

  7. Rodosky MW, Bigliani LU (2002) Indications for glenoid resurfacing in shoulder arthroplasty. J Shoulder Elbow Surg 5:231–248

    Article  Google Scholar 

  8. Braman JP, Falicov A, Boorman R, Matsen FA (2006) 3rd Alterations in surface geometry in retrieved polyethylene glenoid component. J Orthop Res 24:1249–1260

    Google Scholar 

  9. Anglin C, Wyss UP, Pichora DR (2000) Mechanical testing of shoulder prostheses and recommendations for glenoid design. J Shoulder Elbow Surg 9:323–331

    Article  PubMed  CAS  Google Scholar 

  10. Szabo I, Buscayret F, Edwards TB, Nemoz C, Boileau P, Walch G (2005) Radiographic comparison of flat-back and convex-back glenoid components in total shoulder arthroplasty. J Shoulder Elbow Surg 14:63

    Article  Google Scholar 

  11. Collins D, Tencer A, Sidles J, Matsen F III (1992) Edge displacement and deformation of glenoid components in response to eccentric loading. The effect of preparation of the glenoid bone. J Bone Joint Surg Am 74:501–507

    PubMed  CAS  Google Scholar 

  12. Walch G, Badet R, Boulahia A, Khoury A (1999) Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplasty 14:756–760

    Article  PubMed  CAS  Google Scholar 

  13. Terrier A, Büchler P, Farron A (2006) Influence of glenohumeral conformity on glenoid stresses after total shoulder arthroplasty. J Shoulder Elbow Surg 15:515–520

    Article  PubMed  Google Scholar 

  14. Postak PD, Greenwald AS (2006) The influence of antibiotics on the fatigue life of the acrylic bone cément. J Bone Joint Surg Am 88(Suppl 4):148–155

    Article  PubMed  Google Scholar 

  15. Anglin C, Wyss UP, Nyffeler RW, Gerber C (2001) Loosening performance of cemented glenoid prosthesis design pairs. Clin Biomech 16:144–150

    Article  CAS  Google Scholar 

  16. Churchill RS, Boorman RS, Fehringer EV, Matsen FA III (2004) Glenoid cementing may generate sufficient heat to endanger the surrounding bone. Clin Orthop Relat Res 419:76–79

    Article  PubMed  Google Scholar 

  17. Matsen FA, Franklin JL, Barret WP, Jackins SE (1988) Glenoid loosening in total shoulder arthroplasty: association with rotator cuff deficiency. J Arthroplasty 3:39

    Article  PubMed  Google Scholar 

  18. Wooley PH, Fitzgerald RH, Song Z, Davis P, Whalen JD, Trumble S, Nasser S (1999) Proteins bound to polyethylene components in patients who have aseptic loosening after total joint arthroplasty. A preliminary report. J Bone Joint Surg Am 81:616–623

    PubMed  CAS  Google Scholar 

  19. Maloney WJ, Smith RL, Schmalzried TP, Chiba J, Huene D, Rubash H (1995) Isolation and characterization of wear particles generated in patients who have had failure of a hip arthroplasty without cement. J Bone Joint Am 77:1301–1310

    CAS  Google Scholar 

  20. Harryman DT, Sidles JA, Harris SL, Lippitt SB, Matsen FA III (1995) The effect of articular conformity and size of the humeral head component on laxity and motion after glenohumeral arthroplasty. J Bone Joint Surg Am 77A:555–563

    Google Scholar 

  21. Walch G, Edwards TB, Boulahia A, Boileau P, Mole D, Adeleine P (2002) The influence of glenohumeral prosthetic mismatch on glenoid radiolucent lines: results of a multicenter study. J Bone Joint Surg Am 84:2186–2191

    PubMed  Google Scholar 

  22. Hattrup SJ (2001) Current controversies in shoulder arthroplasty. Curr Opin Orthop 12:301–306

    Article  Google Scholar 

  23. Sperling JW, Cofield RH, Rowland CM (1998) Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less. Long-term results. J Bone Joint Surg Am 80:464–473

    PubMed  CAS  Google Scholar 

  24. Rodosky MW, Weinstein DM, Pollock RG, Flatow EL, Bigliani LU, Neer CS (1995) On the rarity of glenoid component failure. J Should Elbow Surg 4(1):S13

    Article  Google Scholar 

  25. Gartsman GM, Roddey TS, Hammerman SM (2000) Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis. J Bone Joint Surg Am 82:26–34

    PubMed  CAS  Google Scholar 

  26. Radnay CS, Setter KJ, Chambers L, Levine WN, Bigliani LU, Ahmad CS (2007) Total shoulder replacement compared with humeral head replacement for the treatment of primary glenohumeral osteoarthritis: a systematic review. J Shoulder Elbow Surg 16:396–402

    Article  PubMed  Google Scholar 

  27. Neer CS (1974) Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 56:1–13

    PubMed  Google Scholar 

  28. Cheung EV, Sperling JW, Cofield RH (2008) Revision shoulder arthroplasty for glenoid component loosening. J Shoulder Elbow Surg 17:371–375

    Article  PubMed  Google Scholar 

  29. Neer CS II, Watson KC, Stanton FJ (1982) Recent experiences in total shoulder arthroplasty. J Bone Joint Surg 64A:319–337

    Google Scholar 

  30. Bell SN, Gschwend N (1986) Clinical experience with total arthroplasty and hemiarthroplasty of the shoulder using the Neer prosthesis. Int Orthop 10:217–222

    Article  PubMed  CAS  Google Scholar 

  31. Lazarus MD, Jensen KL, Southworth C, Matsen FA III (2002) The radiographic evaluation of keeled and pegged glenoid component insertion. J Bone Joint Surg Am 84-A:1174–1182

    Google Scholar 

  32. Torchia ME, Cofield RH, Settergen CR (1997) Total shoulder arthroplasty with the Neer prosthesis: long-term results. J Shoulder Elbow Surg 6:495–505

    Article  PubMed  CAS  Google Scholar 

  33. Havig MT, Kumar A, Carpenter W, Seiler JG III (1997) Assessment of radiolucent lines about the glenoid. An in vitro radiographic study. J Bone Joint Surg Am 79:428–432

    Article  PubMed  CAS  Google Scholar 

  34. Franklin JL, Barrett WP, Jackins SE, Matsen FA III (1998) Glenoid loosening in total shoulder arthroplasty. Association with rotator cuff deficiency. J Arthroplasty 3:39–46

    Article  Google Scholar 

  35. Cofield RH (1984) Total shoulder arthroplasty with the Neer prosthesis. J Bone Joint Surg Am 66:899–906

    PubMed  CAS  Google Scholar 

  36. Godenèche A, Boileau P, Favard L et al (2002) Prosthetic replacement in the treatment of osteoarthritis of the shoulder: early results of 268 cases. J Shoulder Elbow Sur 11:11–18

    Article  Google Scholar 

  37. Wallace AL, Phillips RL, MacDougal GA, Walsh WR, Sonnabend DH (1999) Resurfacing of the glenoid in total shoulder arthroplasty. A comparison, at a mean of five years, of prostheses inserted with and without cement. J Bone Joint Surg Am 81:510–518

    PubMed  CAS  Google Scholar 

  38. Barwood S, Setter KJ, Blaine TA, Bigliani LU (2008) The incidence of early radiolucencies about a pegged glenoid component using cement pressurization. J Shoulder Elbow Surg 17:703–708

    Article  PubMed  Google Scholar 

  39. Lacroix D, Murphy LA, Prendergast PJ (2000) Three-dimensional finite element analysis of glenoid replacement prostheses: a comparison of keeled and pegged anchorage systems. J Biomech Eng 122:430–436

    Article  PubMed  CAS  Google Scholar 

  40. Wirth MA, Korvick DL, Basamania CJ et al (2001) Radiologic, mechanical, and histologic evaluation of 2 glenoid prosthesis designs in a canine model. J Shoulder Elbow Surg 10:140–148

    Article  PubMed  CAS  Google Scholar 

  41. Gartsman GM, Elkousy HA, Warnock KM, Edwards TB, O’Connor DP (2005) Radiographic comparison of pegged and keeled glenoid components. J Shoulder Elbow Surg 14:252–257

    Article  PubMed  Google Scholar 

  42. Throckmorton TW, Zarkadas PC, Sperling JW, Cofield RH (2010) Pegged versus keeled glenoid components in total shoulder arthroplasty. J Shoulder Elbow Surg 19:726–733

    Article  PubMed  Google Scholar 

  43. Sneppen O, Fruensgaard S, Johannsen HV, Olsen BS, Sojbjerg JO, Andersen NH (1996) Total shoulder replacement in rheumatoid arthritis: proximal migration and loosening. J Should Elbow Surg 5:47–52

    Article  CAS  Google Scholar 

  44. Boileau P, Molé D, Walch G (1999) Technique of glenoid resurfacing in shoulder arthroplasty. In: Walch G, Boileau P (eds) Shoulder arthroplasty. Springer, Berlin, pp 147–161

    Chapter  Google Scholar 

  45. Mathur K, Fourie B, Clement N, Stirrat AN (2005) The métal Backed glenoid component in total shoulder arthroplasty-minimum 5 years follow-up. J Bone Joint Surg Br 87(Suppl 2):160–161

    Google Scholar 

  46. Wallace AL, Walsh WR, Sonnabend DH (1999) Dissociation of the glenoid component in cementless total shoulder arthroplasty. J Shoulder Elbow Surg 8:81–84

    Article  PubMed  Google Scholar 

  47. Anglin C, Wyss UP, Nyffeler RW, Gerber C (2001) Loosening performance of cemented glenoid prosthesis design pairs. Clin Biomech 16:144–150

    Article  CAS  Google Scholar 

  48. Anglin C, Wyss UP, Pichora DR (2000) Mechanical testing of shoulder prostheses and recommendations for glenoid design. J Shoulder Elbow Surg 9:323–331

    Article  PubMed  CAS  Google Scholar 

  49. Lazarus MD, Jensen KL, Southworth C, Matsen FA 3rd (2002) The radiographic evaluation of keeled and pegged glenoid component insertion. J Bone Joint Surg Am 84:1174–1182

    PubMed  Google Scholar 

  50. Couteau B, Mansat P, Estival`ezes E, Darmana R, Mansat M, Egan J (2001) Finite element analysis of the mechanical behavior of a scapula implanted with a glenoid prosthesis. Clin Biomech 16:566–575

    Article  CAS  Google Scholar 

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Conflict of interest

The author is “Arrow shoulder prosthesis” designer.

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  1. Shoulder Department, Clinique de l’Union, 31240, Saint Jean, France

    Kany Jean

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  1. Kany Jean
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Correspondence to Kany Jean.

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Jean, K. Glenoid or not glenoid component in primary osteoarthritis. Eur J Orthop Surg Traumatol 23, 387–393 (2013). https://doi.org/10.1007/s00590-012-1117-6

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  • DOI: https://doi.org/10.1007/s00590-012-1117-6

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