HYPOTHESIS: This study reviewed 20 consecutive shoulders that underwent total shoulder arthroplasty with a partially cemented glenoid component at a minimum follow-up of 5 years. We hypothesized that bone growth between the fins of the component would result in improved glenoid fixation and reduced lucent line formation. METHODS: Patients were evaluated with the Simple Shoulder Test (SST), Constant scores, and radiographs. Postoperative radiographs taken at 6 weeks and 5 years were compared. Independent evaluators assigned every glenoid a lucency grade from 0 (no lucency) to 5 (gross lucency) and assessed the central peg for bone presence between the fins. RESULTS: Mean SST and Constant scores were 11.1 and 82.4, respectively. Mean lucency scores increased from 0.1 to 0.3 from 6 weeks to the 5-year follow-up (P = .05). At the 5-year follow-up, 15 of 20 patients had similar or increased bone presence between the central peg fins, and none had a worsening lucency score. The 5 patients with decreased or absent bone presence had worsening lucency scores, from a mean of 0.2 to 1.0 (P = .05). There was no difference in SST score (P = .54) or Constant score (P = .37) between the two groups. CONCLUSIONS: This partially cemented glenoid component had low rates of lucency at the 5-year follow-up. Similar or increased bone growth between the fins of the central peg was associated with no progression of glenoid lucencies. Decreased or absent bone presence between the fins at follow-up correlated with slight advancement of glenoid lucent lines.
HYPOTHESIS: This study reviewed 20 consecutive shoulders that underwent total shoulder arthroplasty with a partially cemented glenoid component at a minimum follow-up of 5 years. We hypothesized that bone growth between the fins of the component would result in improved glenoid fixation and reduced lucent line formation. METHODS:Patients were evaluated with the Simple Shoulder Test (SST), Constant scores, and radiographs. Postoperative radiographs taken at 6 weeks and 5 years were compared. Independent evaluators assigned every glenoid a lucency grade from 0 (no lucency) to 5 (gross lucency) and assessed the central peg for bone presence between the fins. RESULTS: Mean SST and Constant scores were 11.1 and 82.4, respectively. Mean lucency scores increased from 0.1 to 0.3 from 6 weeks to the 5-year follow-up (P = .05). At the 5-year follow-up, 15 of 20 patients had similar or increased bone presence between the central peg fins, and none had a worsening lucency score. The 5 patients with decreased or absent bone presence had worsening lucency scores, from a mean of 0.2 to 1.0 (P = .05). There was no difference in SST score (P = .54) or Constant score (P = .37) between the two groups. CONCLUSIONS: This partially cemented glenoid component had low rates of lucency at the 5-year follow-up. Similar or increased bone growth between the fins of the central peg was associated with no progression of glenoid lucencies. Decreased or absent bone presence between the fins at follow-up correlated with slight advancement of glenoid lucent lines.
Authors: Frederick A Matsen; Joseph P Iannotti; R Sean Churchill; Lieven De Wilde; T Bradley Edwards; Matthew C Evans; Edward V Fehringer; Gordon I Groh; James D Kelly; Christopher M Kilian; Giovanni Merolla; Tom R Norris; Giuseppe Porcellini; Edwin E Spencer; Anne Vidil; Michael A Wirth; Stacy M Russ; Moni Neradilek; Jeremy S Somerson Journal: Int Orthop Date: 2018-12-03 Impact factor: 3.075
Authors: J Brett Goodloe; Kirsi S Oldenburg; Sarah Toner; Justin M Rabinowitz; William R Barfield; Josef K Eichinger; Richard J Friedman Journal: JSES Int Date: 2021-10-29