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
Hauptverfasser: Nuttall, D, Birch, A, Haines, J F, Watts, A C, Trail, I A
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container_end_page 679
container_issue 5
container_start_page 674
container_title The bone & joint journal
container_volume 99-B
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
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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 &gt; 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. 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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. 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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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source MEDLINE; Alma/SFX Local Collection; Journals@Ovid Complete
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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