Original articleGlenoid resurfacing: What are the limits to asymmetric reaming for posterior erosion?
Section snippets
Material and methods
Five healthy shoulders from 5 fresh-frozen cadavers were used. These specimens had no evidence of glenoid dysplasia, arthritis, or former surgery. The mean age of the donors (4 women and 1 man, 4 right and 1 left) was 64.4 years.
Dissections were done after overnight thawing at room temperature. The soft tissues of the shoulder were removed, and only the scapula and the proximal humerus were retained. The glenoid and the humeral head sizes were measured so that the correct glenoid component
Results
Preoperative glenoid measurement indicated that 2 small, 2 medium, and 1 large glenoid would fit. The humeral head size measured extended from 40 to 48 mm. In every case, the glenoid size measured by comparison with the trial component, corresponded to the humeral head size measured.
The mean created defect, calculated with the CT scan, was of 24° (from 15° to 31°). In all 5 experimental cases, the glenoid version was corrected to neutral after the asymmetric reaming, restoring the normal
Discussion
Posterior glenoid bone loss through progressive erosion may occur in some patients who require total shoulder arthroplasty for arthritis. This can be associated with an acquired retroversion and, in some patients, posterior subluxation of the humeral head.27, 28 Although most patients have only mild degrees of posterior erosion, failure to correct glenoid orientation to neutral in the more severe cases can result in a suboptimal outcome with hemiarthroplasty or glenoid loosening with total
References (29)
- et al.
Loosening performance of cemented glenoid prosthesis design pairs
Clin Biomech
(2001) The glenoid component in total shoulder arthroplasty
J Shoulder Elbow Surg
(1993)- et al.
Glenoid size, inclination, and version: an anatomic study
J Shoulder Elbow Surg
(2001) - et al.
Shoulder arthroplasty in patients with osteoarthritis and dysplastic glenoid morphology
J Shoulder Elbow Surg
(2004) - et al.
A comparison of hemiarthroplasty and total shoulder arthroplasty in the treatment of primary glenohumeral osteoarthritis: results of multicenter study
J Shoulder Elbow Surg
(2003) - et al.
Radiographic comparison of pegged end keeled glenoid components
J Shoulder Elbow Surg
(2005) - et al.
The effects of glenoid component alignment variations on cement mantle stresses in total shoulder arthroplasty
J Shoulder Elbow Surg
(2004) - et al.
Hemiarthroplasty for glenohumeral osteoarthritis: results correlated to degree of glenoid wear
J Shoulder Elbow Surg
(1997) - et al.
Measurement of glenoid version: conventional radiographs versus computed tomography scans
J Shoulder Elbow Surg
(2003) - et al.
Indications for glenoid resurfacing in shoulder arthroplasty
J Shoulder Elbow Surg
(1996)
Bone grafting for glenoid deficiency in total shoulder replacement
J Shoulder Elbow Surg
Static posterior subluxation of the humeral head: an unrecognized entity responsible for glenohumeral osteoarthritis in the young adult
J Shoulder Elbow Surg
Morphologic study of the glenoid in primary glenohumeral osteoarthritis
J Arthroplasty
Radiologic, mechanical, and histological evaluation of 2 glenoid prosthesis designs in a canine model
J Shoulder Elbow Surg
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