The incidence of early radiolucencies about a pegged glenoid component using cement pressurization.

Abstract:

:Glenoid component loosening is the most common early mode of failure of total shoulder arthroplasty (TSA) We hypothesised that the use of a pegged glenoid component with a modern glenoid reaming system and an instrumented cement pressurization technique would achieve a low prevalence of early radiolucent lines. Of 81 patients having TSA with a cemented, all polyethylene, 3-peg glenoid component for primary glenohumeral osteoarthritis, 69 had high quality radiographs available for analysis. All preoperative and initial postoperative radiographs were reviewed and graded in a blinded manner using previously established criteria. When the radiolucency grade of cement fixation was converted to a numeric scale of 0 (no radiolucency) to 5 (grossly loose), the mean cementing score was 0.14 + 0.06. Of the 69 shoulders, 62 (90%) had no radiolucencies. These techniques to improve glenoid fixation resulted in a low incidence of early radiolucencies about the glenoid component in patients having TSA for primary glenohumeral osteoarthritis.

journal_name

J Shoulder Elbow Surg

authors

Barwood S,Setter KJ,Blaine TA,Bigliani LU

doi

10.1016/j.jse.2008.01.147

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

703-8

issue

5

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(08)00338-8

journal_volume

17

pub_type

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