Cementless versus cemented glenoid components in conventional total shoulder joint arthroplasty: analysis from the Australian Orthopaedic Association National Joint Replacement Registry

Journal of Shoulder and Elbow Surgery
Richard S PageMichelle Lorimer

Abstract

Glenoid loosening is a common mode of failure after total shoulder arthroplasty (TSA). Newer cementless glenoid components have been introduced to promote biological fixation with the aim to decrease glenoid loosening. Limited data are available comparing revision rates between cemented and cementless glenoid fixation in TSA. The study aim was to compare the revision rates of cemented and cementless design glenoid components used in conventional TSA performed for the diagnosis of osteoarthritis. The secondary aim was to compare various subclasses of glenoid components. Data were obtained between April 16, 2004, and December 31, 2016, from the Australian Orthopaedic Association National Joint Replacement Registry. Within the study period, 10,805 primary conventional TSAs were identified. The analysis was undertaken for the diagnosis of osteoarthritis, which represented 95.8% of all conventional TSA procedures. At 5 years, in patients with primary TSA procedures, those with cemented glenoids had a lower revision rate than those with cementless glenoids: 3.7% versus 17.9% (hazard ratio for entire period, 4.77). The most common revision diagnosis for primary conventional TSA with cementless glenoid fixation was rotator cuff insuffi...Continue Reading

Citations

May 2, 2019·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·David C AcklandMartin Richardson
Nov 20, 2019·ANZ Journal of Surgery·Ian A HarrisStephen Graves
Feb 23, 2019·Journal of Orthopaedic Surgery and Research·Jorge Arias-de la TorreMireia Espallargues
Feb 11, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·John M AbrahamsLucian B Solomon
Mar 19, 2020·Photobiomodulation, Photomedicine, and Laser Surgery·Patricia Gabrielli VassãoE-Liisa Laakso
Nov 26, 2019·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Maria CrackauJessica Bertrand
Oct 22, 2020·The Journal of Bone and Joint Surgery. American Volume·Nikunj N TrivediRobert J Gillespie
Jan 15, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Michael A StoneJoseph Abboud
Mar 16, 2021·Shoulder & Elbow·Michael-Alexander MalahiasEmmanouil Antonogiannakis
Mar 7, 2021·Journal of Shoulder and Elbow Surgery·Jonathan P EvansChristopher D Smith
Jun 1, 2021·The Orthopedic Clinics of North America·Paul J WeatherbyJeremy S Somerson

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