Early migration of a partially cemented fluted glenoid component inserted using a cannulated preparation system
Radiostereometric analysis (RSA) allows an extremely accurate measurement of early micromotion of components following arthroplasty. In this study, RSA was used to measure the migration of 11 partially cemented fluted pegged glenoid components in patients with osteoarthritis who underwent total shou...
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Veröffentlicht in: | The bone & joint journal 2017-05, Vol.99-B (5), p.674-679 |
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creator | Nuttall, D Birch, A Haines, J F Watts, A C Trail, I A |
description | Radiostereometric analysis (RSA) allows an extremely accurate measurement of early micromotion of components following arthroplasty.
In this study, RSA was used to measure the migration of 11 partially cemented fluted pegged glenoid components in patients with osteoarthritis who underwent total shoulder arthroplasty using an improved surgical technique (seven men, four women, mean age 68). Patients were evaluated clinically using the American Shoulder and Elbow Surgeons (ASES) and Constant-Murley scores and by CT scans two years post-operatively.
There were two patterns of migration, the first showing little, if any, migration and the second showing rotation by > 6° as early as three months post-operatively. At two years, these two groups could be confirmed on CT scans, one with osseointegration around the central peg, and the second with cystic changes. Patients with osteolysis around the central peg were those with early migration and those with osseointegration had minimal early migration. Both groups,however,had similar clinical results.
Rapid early migration associated with focal lucency and absence of osseointegration was observed in three of 11 glenoid components, suggesting that lack of initial stability leads to early movement and failure of osseointegration. Cite this article:
2017;99-B:674-9. |
doi_str_mv | 10.1302/0301-620X.99B5.BJJ-2016-0745.R1 |
format | Article |
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In this study, RSA was used to measure the migration of 11 partially cemented fluted pegged glenoid components in patients with osteoarthritis who underwent total shoulder arthroplasty using an improved surgical technique (seven men, four women, mean age 68). Patients were evaluated clinically using the American Shoulder and Elbow Surgeons (ASES) and Constant-Murley scores and by CT scans two years post-operatively.
There were two patterns of migration, the first showing little, if any, migration and the second showing rotation by > 6° as early as three months post-operatively. At two years, these two groups could be confirmed on CT scans, one with osseointegration around the central peg, and the second with cystic changes. Patients with osteolysis around the central peg were those with early migration and those with osseointegration had minimal early migration. Both groups,however,had similar clinical results.
Rapid early migration associated with focal lucency and absence of osseointegration was observed in three of 11 glenoid components, suggesting that lack of initial stability leads to early movement and failure of osseointegration. Cite this article:
2017;99-B:674-9.</description><identifier>ISSN: 2049-4394</identifier><identifier>EISSN: 2049-4408</identifier><identifier>DOI: 10.1302/0301-620X.99B5.BJJ-2016-0745.R1</identifier><identifier>PMID: 28455478</identifier><language>eng</language><publisher>England</publisher><subject>Aged ; Arthroplasty, Replacement, Shoulder - adverse effects ; Arthroplasty, Replacement, Shoulder - methods ; Bone Cements ; Cementation - methods ; Female ; Glenoid Cavity - surgery ; Humans ; Male ; Middle Aged ; Osseointegration ; Osteoarthritis - surgery ; Osteolysis - diagnostic imaging ; Osteolysis - etiology ; Pain Measurement - methods ; Postoperative Period ; Prosthesis Design ; Prosthesis Failure - etiology ; Radiostereometric Analysis - methods ; Range of Motion, Articular ; Shoulder Joint - diagnostic imaging ; Shoulder Joint - physiopathology ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>The bone & joint journal, 2017-05, Vol.99-B (5), p.674-679</ispartof><rights>2017 The British Editorial Society of Bone & Joint Surgery.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-df6b10a37c6259f939acadbfd462d287c1c3557f445913be42f4dc8d35a98e1b3</citedby><cites>FETCH-LOGICAL-c329t-df6b10a37c6259f939acadbfd462d287c1c3557f445913be42f4dc8d35a98e1b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28455478$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nuttall, D</creatorcontrib><creatorcontrib>Birch, A</creatorcontrib><creatorcontrib>Haines, J F</creatorcontrib><creatorcontrib>Watts, A C</creatorcontrib><creatorcontrib>Trail, I A</creatorcontrib><title>Early migration of a partially cemented fluted glenoid component inserted using a cannulated preparation system</title><title>The bone & joint journal</title><addtitle>Bone Joint J</addtitle><description>Radiostereometric analysis (RSA) allows an extremely accurate measurement of early micromotion of components following arthroplasty.
In this study, RSA was used to measure the migration of 11 partially cemented fluted pegged glenoid components in patients with osteoarthritis who underwent total shoulder arthroplasty using an improved surgical technique (seven men, four women, mean age 68). Patients were evaluated clinically using the American Shoulder and Elbow Surgeons (ASES) and Constant-Murley scores and by CT scans two years post-operatively.
There were two patterns of migration, the first showing little, if any, migration and the second showing rotation by > 6° as early as three months post-operatively. At two years, these two groups could be confirmed on CT scans, one with osseointegration around the central peg, and the second with cystic changes. Patients with osteolysis around the central peg were those with early migration and those with osseointegration had minimal early migration. Both groups,however,had similar clinical results.
Rapid early migration associated with focal lucency and absence of osseointegration was observed in three of 11 glenoid components, suggesting that lack of initial stability leads to early movement and failure of osseointegration. Cite this article:
2017;99-B:674-9.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Shoulder - adverse effects</subject><subject>Arthroplasty, Replacement, Shoulder - methods</subject><subject>Bone Cements</subject><subject>Cementation - methods</subject><subject>Female</subject><subject>Glenoid Cavity - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osseointegration</subject><subject>Osteoarthritis - surgery</subject><subject>Osteolysis - diagnostic imaging</subject><subject>Osteolysis - etiology</subject><subject>Pain Measurement - methods</subject><subject>Postoperative Period</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure - etiology</subject><subject>Radiostereometric Analysis - methods</subject><subject>Range of Motion, Articular</subject><subject>Shoulder Joint - diagnostic imaging</subject><subject>Shoulder Joint - physiopathology</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>2049-4394</issn><issn>2049-4408</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kFtLw0AQhRdRbKn9C5I3fUnda5J9EpV6KQWhKPi2bPZSIslu3E0e-u_N0uq8nGHOzBn4ALhBcIUIxHeQQJQXGH6tOH9kq8fNJscQFTksKVvt0BmYY0h5Timszv96wukMLGP8hlNVECGKLsEMV5QxWlZz4NcytIesa_ZBDo13mbeZzHoZhka2k6FMZ9xgdGbbMcm-Nc43OlO-672brKxx0YRkjbFx--lYSefGVqZRH8wUdQyOhziY7gpcWNlGszzpAnw-rz-eXvPt-8vb08M2VwTzIde2qBGUpFQFZtxywqWSuraaFljjqlRIEcZKSynjiNSGYku1qjRhklcG1WQBbo-5ffA_o4mD6JqoTNtKZ_wYBao4YZQXRTGt3h9XVfAxBmNFH5pOhoNAUCTwIoEXCbxI4MUEXiTwIoEXOzQlXJ-ejXVn9P_9H2byCxingpA</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Nuttall, D</creator><creator>Birch, A</creator><creator>Haines, J F</creator><creator>Watts, A C</creator><creator>Trail, I A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201705</creationdate><title>Early migration of a partially cemented fluted glenoid component inserted using a cannulated preparation system</title><author>Nuttall, D ; Birch, A ; Haines, J F ; Watts, A C ; Trail, I A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-df6b10a37c6259f939acadbfd462d287c1c3557f445913be42f4dc8d35a98e1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Shoulder - adverse effects</topic><topic>Arthroplasty, Replacement, Shoulder - methods</topic><topic>Bone Cements</topic><topic>Cementation - methods</topic><topic>Female</topic><topic>Glenoid Cavity - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osseointegration</topic><topic>Osteoarthritis - surgery</topic><topic>Osteolysis - diagnostic imaging</topic><topic>Osteolysis - etiology</topic><topic>Pain Measurement - methods</topic><topic>Postoperative Period</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure - etiology</topic><topic>Radiostereometric Analysis - methods</topic><topic>Range of Motion, Articular</topic><topic>Shoulder Joint - diagnostic imaging</topic><topic>Shoulder Joint - physiopathology</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nuttall, D</creatorcontrib><creatorcontrib>Birch, A</creatorcontrib><creatorcontrib>Haines, J F</creatorcontrib><creatorcontrib>Watts, A C</creatorcontrib><creatorcontrib>Trail, I A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The bone & joint journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nuttall, D</au><au>Birch, A</au><au>Haines, J F</au><au>Watts, A C</au><au>Trail, I A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early migration of a partially cemented fluted glenoid component inserted using a cannulated preparation system</atitle><jtitle>The bone & joint journal</jtitle><addtitle>Bone Joint J</addtitle><date>2017-05</date><risdate>2017</risdate><volume>99-B</volume><issue>5</issue><spage>674</spage><epage>679</epage><pages>674-679</pages><issn>2049-4394</issn><eissn>2049-4408</eissn><abstract>Radiostereometric analysis (RSA) allows an extremely accurate measurement of early micromotion of components following arthroplasty.
In this study, RSA was used to measure the migration of 11 partially cemented fluted pegged glenoid components in patients with osteoarthritis who underwent total shoulder arthroplasty using an improved surgical technique (seven men, four women, mean age 68). Patients were evaluated clinically using the American Shoulder and Elbow Surgeons (ASES) and Constant-Murley scores and by CT scans two years post-operatively.
There were two patterns of migration, the first showing little, if any, migration and the second showing rotation by > 6° as early as three months post-operatively. At two years, these two groups could be confirmed on CT scans, one with osseointegration around the central peg, and the second with cystic changes. Patients with osteolysis around the central peg were those with early migration and those with osseointegration had minimal early migration. Both groups,however,had similar clinical results.
Rapid early migration associated with focal lucency and absence of osseointegration was observed in three of 11 glenoid components, suggesting that lack of initial stability leads to early movement and failure of osseointegration. Cite this article:
2017;99-B:674-9.</abstract><cop>England</cop><pmid>28455478</pmid><doi>10.1302/0301-620X.99B5.BJJ-2016-0745.R1</doi><tpages>6</tpages></addata></record> |
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subjects | Aged Arthroplasty, Replacement, Shoulder - adverse effects Arthroplasty, Replacement, Shoulder - methods Bone Cements Cementation - methods Female Glenoid Cavity - surgery Humans Male Middle Aged Osseointegration Osteoarthritis - surgery Osteolysis - diagnostic imaging Osteolysis - etiology Pain Measurement - methods Postoperative Period Prosthesis Design Prosthesis Failure - etiology Radiostereometric Analysis - methods Range of Motion, Articular Shoulder Joint - diagnostic imaging Shoulder Joint - physiopathology Tomography, X-Ray Computed Treatment Outcome |
title | Early migration of a partially cemented fluted glenoid component inserted using a cannulated preparation system |
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