Document Detail


Radiologic, mechanical, and histologic evaluation of 2 glenoid prosthesis designs in a canine model.
MedLine Citation:
PMID:  11307077     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aseptic loosening of glenoid components is a common problem associated with total shoulder arthroplasty. A new glenoid design aimed at improving fixation outcomes was compared with conventional keeled glenoids in weight-bearing canine shoulders. Radiographic, histologic, and mechanical tests were performed at 3 postoperative intervals (0, 3, and 6 months). The uncemented pegged glenoid achieved bone ingrowth around the peg flanges in each case. This result was confirmed histologically and radiographically. Mechanical results indicated that mean fixation strength increases significantly between 0 and 3 months after surgery and remains strong through 6 months. In contrast, conventional keeled glenoids were found to have partial or complete radiolucent lines around the keel in each instance, and mechanical testing demonstrated that mean fixation strength weakens significantly between 0 and 3 months after surgery and remains weak through 6 months. These results show that stem design changes can improve implant fixation. A cementless fluted peg stem was superior to a conventional cemented keel design in achieving osseous integration and fixation in a weight-bearing animal model.
Authors:
M A Wirth; D L Korvick; C J Basamania; F Toro; T B Aufdemorte; C A Rockwood
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  10     ISSN:  1058-2746     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2001 Mar-Apr
Date Detail:
Created Date:  2001-04-18     Completed Date:  2001-07-12     Revised Date:  2003-11-14    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  140-8     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78229-3900, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Arthroplasty, Replacement / instrumentation*,  veterinary
Biomechanics
Bone Cements
Cadaver
Disease Models, Animal
Dogs
Equipment Design
Joint Prosthesis* / veterinary
Prosthesis Failure
Shoulder Joint / pathology*,  surgery
Weight-Bearing
Chemical
Reg. No./Substance:
0/Bone Cements

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


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