The glenoid in shoulder arthroplasty

EJ Strauss, C Roche, PH Flurin, T Wright… - Journal of shoulder and …, 2009 - Elsevier
EJ Strauss, C Roche, PH Flurin, T Wright, JD Zuckerman
Journal of shoulder and elbow surgery, 2009Elsevier
Total shoulder arthroplasty is a common treatment for glenohumeral arthritis. One of the
most common failure modes of total shoulder arthroplasty is glenoid loosening, causing
postoperative pain, limitation of function, and potentially, the need for revision surgery. The
literature has devoted considerable attention to the design of the glenoid component; efforts
to better understand the biomechanics of the reconstructed glenohumeral joint and identify
factors that contribute to glenoid component loosening are ongoing. This article reviews the …
Total shoulder arthroplasty is a common treatment for glenohumeral arthritis. One of the most common failure modes of total shoulder arthroplasty is glenoid loosening, causing postoperative pain, limitation of function, and potentially, the need for revision surgery. The literature has devoted considerable attention to the design of the glenoid component; efforts to better understand the biomechanics of the reconstructed glenohumeral joint and identify factors that contribute to glenoid component loosening are ongoing. This article reviews the current state of knowledge about the glenoid in total shoulder arthroplasty, summarizing the anatomic parameters of the intact glenoid, variations in component design and fixation, the mechanisms of glenoid loosening, the outcomes of revision surgery in the treatment of glenoid component failure, and alternative treatments for younger patients. LEVEL OF EVIDENCE: Review Article.
Elsevier
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