Clinical and radiographic outcomes with a posteriorly augmented glenoid for Walch B glenoids in anatomic total shoulder arthroplasty

Grey, Sean G.; Wright, Thomas W.; Flurin, Pierre-Henri; Zuckerman, Joseph D.; Roche, Christopher P.; Friedman, Richard J.

doi:10.1016/j.jse.2019.10.008

Cited by 38 publications

(37 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Three studies 29,31,36 included in our review reported the results of a full wedge augmented glenoid design (Equinoxe; Exactech, Gainesville, FL, USA). Wright et al compared 24 age-and sex-matched patients treated with a full wedge posterior augmented glenoid to those treated with a standard glenoid component and eccentric reaming.…”

Section: Discussionmentioning

confidence: 99%

“…A total of eight complications were reported in the eligible studies. [29][30][31][32][33][34]36 Favorito et al 32 noted an anterior dislocation in a patient two weeks post-operatively, requiring revision to a larger head. One patient suffered two posterior dislocations, 22 months and 30 months following surgery requiring revision to a rTSA.…”

Section: Complicationsmentioning

confidence: 99%

“…In both cases, the 16 augment was utilized. Grey et al 36 noted two cases of glenoid component loosening in Walch B2 glenoids requiring A radiographic study by Ko et al 30 reported a high peg perforation rate (44%) for the 5-mm stepped augment design (Global StepTech; DePuy Synthes, Warsaw, IN, USA). The authors did not find a statistically significant association between peg perforation and pre-operative retroversion or the amount of version correction.…”

Section: Complicationsmentioning

confidence: 99%

See 2 more Smart Citations

Early outcomes of augmented glenoid components in anatomic total shoulder arthroplasty: a systematic review

et al. 2021

View full text Add to dashboard Cite

Background The objective was to evaluate the short-term clinical and radiological outcomes following augmented anatomic total shoulder arthroplasty in patients with posterior glenoid deficiency. Methods An electronic search of EMBASE, MEDLINE, and PubMed identified studies reporting clinical and radiographic outcomes following augmented anatomic total shoulder arthroplasty among patients with posterior glenoid deficiency. Results Nine studies including 312 shoulders underwent anatomic total shoulder arthroplasty using an augmented glenoid implant between 2015 and 2020. A statistically significant improvement in range of motion (ROM), visual analog scale (VAS), American Shoulder & Elbow Surgeons (ASES), Constant, University of California - Los Angeles and Simple Shoulder Test (SST) scores was demonstrated at mean follow-up of 37.1 months. Glenoid retroversion improved from 21.8° to 9.5°. At final follow-up, radiolucency was reported in 35.1% of shoulders. The 16° full-wedge augment led to higher and more severe radiographic lucency, while high peg perforation rates (44%) were observed among 5-mm augment stepped implants. The overall rate of complication was 2.6%. Rate of revision surgery was 1.9%. Conclusions Overall, early- to mid-term outcomes following augmented anatomic total shoulder arthroplasty for posterior glenoid deficiency demonstrate good to excellent overall clinical results. More radiographic and clinical failures were reported in larger full wedge (16°) augments and stepped augments (5 mm). Prospective studies examining mid- and long-term outcomes will help further elucidate safety and efficacy of these relatively new implants.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

Early outcomes of augmented glenoid components in anatomic total shoulder arthroplasty: a systematic review

et al. 2021

View full text Add to dashboard Cite

show abstract

“…One option in the treatment of either primary glenohumeral joint osteoarthritis, post‐traumatic arthritis or inflammatory arthritis is shoulder arthroplasty, which has been shown to reduce pain and improve joint function significantly (Bell, Christmas, & Coghlan, 2020; Grey et al, 2020; John, 2019; Leung et al, 2012; Norris & Iannotti, 2002; Papadonikoakis, Neradilek, & Matsen, 2013; Stavrev, Ganev, & Papathanasiou, 2020). The number of shoulder arthroplasty and hemiarthroplasty procedures has increased in the last two decades, with glenohumeral joint osteoarthritis being the primary diagnosis for 43% and 77% of hemiarthroplasties and total shoulder arthroplasties respectively (Bell et al, 2020; Grey et al, 2020; Kim, Wise, Zhang, & Szabo, 2011; Papadonikoakis et al, 2013). As the prevalence of shoulder arthroplasty increases, the prevalence of shoulder revision procedures has also dramatically increased (Day et al, 2010; Kim et al, 2011).…”

Section: Glenoid Deformity In Osteoarthritis and Its Surgical Managementmentioning

confidence: 99%

“…One of the most challenging issues in the treatment of glenohumeral joint osteoarthritis is glenoid bone loss. In such individuals total shoulder arthroplasty associated with either bone grafting (including the coracoid, distal clavicle, iliac crest and allograft distal tibia), or augmented glenoid component implantation aiming to correct version, or structural bone grafting, or metallic augmentation of the bone deficiency are available treatment options (Bell et al, 2020; Grey et al, 2020; John, 2019; Rabinowitz, Friedman, & Eichinger, 2017; Sabesan, Callanan, Sharma, et al, 2014; Sabesan, Callanan, Youderian, et al, 2014). Therefore, a thorough history, physical, laboratory and radiographic examination are keys to understanding the etiology of arthritis, as well as any associated secondary humeral and glenoid bone deformity.…”

Section: Glenoid Deformity In Osteoarthritis and Its Surgical Managementmentioning

confidence: 99%

The glenoid and humeral head in shoulder osteoarthritis: A comprehensive review

Alashkham

Soames

2020

Clinical Anatomy

View full text Add to dashboard Cite

The key management of glenohumeral osteoarthritis is shoulder arthroplasty which aims to reduce pain and restore full shoulder function: it has increased in recent years. A detailed understanding of the anatomy of the glenoid and humeral head, as well as morphological changes of the glenoid in osteoarthritis, are important factors to consider when deciding on replacement components. This review begins with a brief introduction of the glenohumeral joint itself, and then considers the detailed anatomy of the glenoid fossa and humeral head, both of which are reported to have variable morphology. Several studies have been undertaken to assess various parameters, especially of the glenoid fossa including its shape, height, width, and articular surface area, version and inclination, in an attempt to define a standard classification that can be applied to surgical intervention. Nevertheless, no definitive consensus concerning the classification of these morphologies has been forthcoming, hence the need for this review. Following a consideration of these morphologies, the current state of knowledge regarding glenoid deformity in osteoarthritis, as well as its surgical management, is considered.

show abstract