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October 1, 2015Orthopedics

Radiostereometric and Radiographic Analysis of Glenoid Component Motion After Total Shoulder Arthroplasty

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Key result

Total shoulder arthroplasty using a cemented glenoid component significantly improved mean ASES scores from 30.3 to 81.3 (P<.001) and VAS pain scores from 8 to 1 (P<.001) at 50.2 months.

Why the study?

What types of glenoid component motion occur early after TSA, and do they correlate with radiolucencies and clinical outcomes?

Population

11 patients (mean age, 60.6 years) undergoing total shoulder arthroplasty (TSA)

Design

Case_series

Follow-up

mean 50.2 months

Authors

JSJonathan J. StreitYSYousef ShishaniMGMeridith E. Greene

Discussion

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Overview

Case report shows score gains with cemented glenoid TSA; leaves open micromotion-radiolucency correlations and generalizability.

Study Design

Type

Observational (n=11)

Structured PICO

What types of glenoid component motion occur early after TSA, and do they correlate with radiolucencies and clinical outcomes?

P
Population
11 patients (mean age 60.6 years) undergoing total shoulder arthroplasty with a cemented, all-polyethylene glenoid component, followed for a mean of 50.2 months.
E
Exposure
Cemented, all-polyethylene glenoid component with tantalum bead implantation
O
Outcome
Glenoid component micromotion in translation and rotation measured by radiostereometric analysis at 6 months and 1, 2, and 3 years postoperativelysurrogate

Main Result

Absolute Event Rate: 81.3% vs 30.3%

p-value: p=<.001

Radiolucencies appearing around glenoid components after total shoulder arthroplasty are associated with high levels of rotational micromotion.

Cite This Study

Streit et al. (2015) conducted an observational in Total shoulder arthroplasty (n=11). Total shoulder arthroplasty using a cemented, all-polyethylene glenoid component vs. Preoperative baseline was evaluated on American Shoulder and Elbow Surgeons (ASES) score (p=<.001). Total shoulder arthroplasty using a cemented glenoid component significantly improved mean ASES scores from 30.3 to 81.3 (P<.001) and VAS pain scores from 8 to 1 (P<.001) at 50.2 months.

synapsesocial.com/papers/6a97577860ee10bf83a65fe0https://doi.org/10.3928/01477447-20151002-56
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Patterns of loosening of the glenoid component2002 · 89 citations
  2. 2Comparison of Femoral Head Penetration Using RSA and the Martell Method2006 · 55 citations
  3. 3Total shoulder arthroplasty.1987 · 495 citations
  4. 4Highly Cross-Linked Polyethylene in Cemented THA2003 · 158 citations