Comparison of press-fit versus peripherally cemented hybrid glenoid components in anatomic total shoulder arthroplasty: minimum 5-year follow-up
Background: A common complication of anatomic total shoulder arthroplasty (aTSA) is aseptic glenoid loosening. Monoblock polyethylene glenoid components with backside ingrowth or on-growth utilize hybrid fixation, with cementation of the peripheral pegs and central ingrowth or on-growth of bone have...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | JSES International |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666638321002310 |
| _version_ | 1818972623213690880 |
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| author | J. Brett Goodloe, MD Kirsi S. Oldenburg, BSPH Sarah Toner, MD Justin M. Rabinowitz, MD William R. Barfield, PhD Josef K. Eichinger, MD Richard J. Friedman, MD, FRCSC |
| author_facet | J. Brett Goodloe, MD Kirsi S. Oldenburg, BSPH Sarah Toner, MD Justin M. Rabinowitz, MD William R. Barfield, PhD Josef K. Eichinger, MD Richard J. Friedman, MD, FRCSC |
| author_sort | J. Brett Goodloe, MD |
| collection | DOAJ |
| description | Background: A common complication of anatomic total shoulder arthroplasty (aTSA) is aseptic glenoid loosening. Monoblock polyethylene glenoid components with backside ingrowth or on-growth utilize hybrid fixation, with cementation of the peripheral pegs and central ingrowth or on-growth of bone have been designed to decrease glenoid loosening. However, there is a paucity of midterm data comparing cementation of the peripheral peg holes versus all press-fit implantation for hybrid glenoid constructs. The purpose of this study is to compare the minimum five-year clinical and radiographic outcomes of a press-fit hybrid glenoid component with a peripherally cemented hybrid glenoid component in aTSA. Methods: Between years 2013-2015, we reviewed a total of 169 patients who underwent primary aTSA, with follow-up data spanning a minimum of five years, from an international multi-institutional database. There were 61 press-fit and 108 peripherally cemented glenoids. Shoulders were evaluated for outcome measures, which included clinical outcome scores, radiographic outcomes, and complication rates. Results: Postoperatively, there were no statistically significant differences in patient satisfaction, shoulder function, pain scoring, the Simple Shoulder Test, the Constant score, the American Shoulder and Elbow Surgeons score, the University of California–Los Angeles score, nor the Shoulder Pain and Disability Index, between the two cohorts. There were no significant differences in adverse events (P = .791) or revision rates (P = .592). At the final radiographic follow-up, there were no significant differences between the two groups with regard to the incidence of radiolucent lines on the glenoid (P = .210) or humeral side (P = .282). Conclusion: At a minimum of 5-year follow-up, aTSA with a press-fit glenoid implant demonstrates no difference in clinical or radiographic outcomes when compared with a glenoid cohort where the peripheral pegs are cemented. In addition, there is no increased rate of aseptic glenoid loosening or need for revision surgery between the two groups with a lower rate of radiolucency detected than prior midterm data studies. Uncemented press-fit glenoid fixation with a cage component appears to be a safe and effective treatment option for patients undergoing primary aTSA at a minimum of 5-year follow-up. |
| first_indexed | 2024-12-20T15:11:12Z |
| format | Article |
| id | doaj.art-f03029ab5ad840b7845354c9339f0fa3 |
| institution | Directory Open Access Journal |
| issn | 2666-6383 |
| language | English |
| last_indexed | 2024-12-20T15:11:12Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSES International |
| spelling | doaj.art-f03029ab5ad840b7845354c9339f0fa32022-12-21T19:36:20ZengElsevierJSES International2666-63832022-01-01612125Comparison of press-fit versus peripherally cemented hybrid glenoid components in anatomic total shoulder arthroplasty: minimum 5-year follow-upJ. Brett Goodloe, MD0Kirsi S. Oldenburg, BSPH1Sarah Toner, MD2Justin M. Rabinowitz, MD3William R. Barfield, PhD4Josef K. Eichinger, MD5Richard J. Friedman, MD, FRCSC6Department of Orthopaedics, Medical University of South Carolina, Charleston, SC, USADepartment of Orthopaedics, Medical University of South Carolina, Charleston, SC, USADepartment of Orthopaedics, Medical University of South Carolina, Charleston, SC, USADepartment of Orthopaedics, Medical University of South Carolina, Charleston, SC, USADepartment of Orthopaedics, Medical University of South Carolina, Charleston, SC, USADepartment of Orthopaedics, Medical University of South Carolina, Charleston, SC, USACorresponding author: Richard J. Friedman, MD, FRCSC, Professor of Orthopaedics and Physical Medicine, Medical University of South Carolina, 96 Jonathan Lucas Street, CSB 708, MSC 622, Charleston, SC 29425, USA.; Department of Orthopaedics, Medical University of South Carolina, Charleston, SC, USABackground: A common complication of anatomic total shoulder arthroplasty (aTSA) is aseptic glenoid loosening. Monoblock polyethylene glenoid components with backside ingrowth or on-growth utilize hybrid fixation, with cementation of the peripheral pegs and central ingrowth or on-growth of bone have been designed to decrease glenoid loosening. However, there is a paucity of midterm data comparing cementation of the peripheral peg holes versus all press-fit implantation for hybrid glenoid constructs. The purpose of this study is to compare the minimum five-year clinical and radiographic outcomes of a press-fit hybrid glenoid component with a peripherally cemented hybrid glenoid component in aTSA. Methods: Between years 2013-2015, we reviewed a total of 169 patients who underwent primary aTSA, with follow-up data spanning a minimum of five years, from an international multi-institutional database. There were 61 press-fit and 108 peripherally cemented glenoids. Shoulders were evaluated for outcome measures, which included clinical outcome scores, radiographic outcomes, and complication rates. Results: Postoperatively, there were no statistically significant differences in patient satisfaction, shoulder function, pain scoring, the Simple Shoulder Test, the Constant score, the American Shoulder and Elbow Surgeons score, the University of California–Los Angeles score, nor the Shoulder Pain and Disability Index, between the two cohorts. There were no significant differences in adverse events (P = .791) or revision rates (P = .592). At the final radiographic follow-up, there were no significant differences between the two groups with regard to the incidence of radiolucent lines on the glenoid (P = .210) or humeral side (P = .282). Conclusion: At a minimum of 5-year follow-up, aTSA with a press-fit glenoid implant demonstrates no difference in clinical or radiographic outcomes when compared with a glenoid cohort where the peripheral pegs are cemented. In addition, there is no increased rate of aseptic glenoid loosening or need for revision surgery between the two groups with a lower rate of radiolucency detected than prior midterm data studies. Uncemented press-fit glenoid fixation with a cage component appears to be a safe and effective treatment option for patients undergoing primary aTSA at a minimum of 5-year follow-up.http://www.sciencedirect.com/science/article/pii/S2666638321002310AnatomicShoulderArthroplastyPress fitGlenoidProsthesis |
| spellingShingle | J. Brett Goodloe, MD Kirsi S. Oldenburg, BSPH Sarah Toner, MD Justin M. Rabinowitz, MD William R. Barfield, PhD Josef K. Eichinger, MD Richard J. Friedman, MD, FRCSC Comparison of press-fit versus peripherally cemented hybrid glenoid components in anatomic total shoulder arthroplasty: minimum 5-year follow-up JSES International Anatomic Shoulder Arthroplasty Press fit Glenoid Prosthesis |
| title | Comparison of press-fit versus peripherally cemented hybrid glenoid components in anatomic total shoulder arthroplasty: minimum 5-year follow-up |
| title_full | Comparison of press-fit versus peripherally cemented hybrid glenoid components in anatomic total shoulder arthroplasty: minimum 5-year follow-up |
| title_fullStr | Comparison of press-fit versus peripherally cemented hybrid glenoid components in anatomic total shoulder arthroplasty: minimum 5-year follow-up |
| title_full_unstemmed | Comparison of press-fit versus peripherally cemented hybrid glenoid components in anatomic total shoulder arthroplasty: minimum 5-year follow-up |
| title_short | Comparison of press-fit versus peripherally cemented hybrid glenoid components in anatomic total shoulder arthroplasty: minimum 5-year follow-up |
| title_sort | comparison of press fit versus peripherally cemented hybrid glenoid components in anatomic total shoulder arthroplasty minimum 5 year follow up |
| topic | Anatomic Shoulder Arthroplasty Press fit Glenoid Prosthesis |
| url | http://www.sciencedirect.com/science/article/pii/S2666638321002310 |
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