Document Detail


Incidence of early development of radiolucent lines in keeled polyethylene glenoid components after total shoulder arthroplasty.
MedLine Citation:
PMID:  20844771     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Glenoid loosening after total shoulder arthroplasty (TSA) remains a major concern. The purpose of this study was to determine the incidence of radiolucent lines (RLLs) after TSA performed with modern glenoid bone preparation and cement techniques for keeled-back glenoid components. One hundred ten consecutive patients with osteoarthritis were included in this study. Patients had undergone primary TSA with a keeled-back glenoid component. Mean age was 64.0 years (SD, 10.6 years; range, 27-91 years). Two independent, blinded observers assessed the initial postoperative radiographs for RLLs using the Molé, Torchia, and Franklin classification systems. On 93 (84.5%) of the 110 radiographs, there was no evidence of RLLs; on the other 17 radiographs (15.5%), there was evidence of RLLs. Mean Torchia score was 0.02 (SD, 0.13) on the anteroposterior view and 0.14 (SD, 0.34) on the axillary lateral view. Mean Franklin score was 0.02 (SD, 0.13) on the anteroposterior view and 0.21 (SD, 0.62) on the axillary lateral view. Incidence of early RLLs in keeled-back glenoid components prepared with modern cement and bone compaction techniques was 15.5%, similar to what other investigators have reported for pegged-back glenoid components.
Authors:
Shane J Nho; Rachel M Frank; Nikhil N Verma; Anthony A Romeo
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of orthopedics (Belle Mead, N.J.)     Volume:  39     ISSN:  1934-3418     ISO Abbreviation:  Am J. Orthop.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-09-16     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9502918     Medline TA:  Am J Orthop (Belle Mead NJ)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  333-7     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Rush University Medical Center, Rush Medical College of Rush University, Chicago, IL 60612, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement / adverse effects,  instrumentation*
Female
Humans
Incidence
Joint Instability / epidemiology*,  etiology
Joint Prosthesis*
Male
Middle Aged
Polyethylene
Postoperative Complications / epidemiology*
Prosthesis Failure / etiology
Range of Motion, Articular
Retrospective Studies
Shoulder Joint / radiography,  surgery*
Treatment Outcome
Chemical
Reg. No./Substance:
9002-88-4/Polyethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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