Skip to main content
SpringerLink
Log in

Cemented Glenoid Component: Results in Osteoarthritis and Rheumatoid Arthritis

  • Conference paper
Shoulder Arthroplasty

Summary

This prospective multicentric radiographic analysis examined 146 cemented glenoid components implanted in 109 cases of osteoarthritis (OA) and 37 cases of rheumatoid arthritis (RA) with an average follow-up of 20 months (12–48). The glenoid component was all polyethylene, pear shaped, available in three sizes, with a flat back and fixed by means of a cemented keel. The radiolucent line score (RLL score) was used to quantify the lucent lines and evaluate their progression. A radiographic loosening of the glenoid component (complete lucent line of more than 2 mm and/or RLL score >12) was present in 9% of cases (19% in RA and 6% in OA). Neither continuous lucent lines (51%) nor loosening (9%) was correlated with the functional result, but both were correlated with upward migration of the humeral head. By contrast, progressing lucent lines, present in 31% of cases, were correlated with a worsening of the functional result. The glenoid component tended to be positioned too low (21%), with a superior tilt (12%), with an inferior tilt (17%) and or with excessive retroversion. This study emphasizes the technical difficulties of implantation of a glenoid component (exposure, preparation of the bone, cementing) and the limitations of cemented polyethylene component.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Amstutz HC, Sew Hoy AL, Clarke IC (1981) UCLA Anatomic total shoulder. Clin Orthop 155:7–20

    PubMed  Google Scholar 

  2. Barrett WP, Franklin JL, Jackins SE, Wyss CR, Matsen FA (1987) Total shoulder arthroplasty. J Bone Joint Surg Am 69:965–972

    Google Scholar 

  3. Boileau P, Walch G (1997) Glenoid slope in osteoarthritic and rheumatoid shoulders before and after arthroplasty. J Shoulder Elbow Surg 6:194–195

    Google Scholar 

  4. Boyd AD, Thornhill TS (1994) Glenoid resurfacing in shoulder arthroplasty. In: Friedman RJ (ed) Arthroplasty of the shoulder. Thieme Medical, New York

    Google Scholar 

  5. Boyd AD, Thornhill TS, Thomas WH, Scott RD, Sledge CB (1990) Total shoulder replacement versus hemiarthroplasty: Indications for glenoid resurfacing. J Arthroplasty 5:329–336

    Article  PubMed  Google Scholar 

  6. Boyd AD, Thornhill TS, Ewald FC, Scott RD, Sledge CB (1991) Post operative humeral migration in total shoulder replacement: incidence and significance. J Arthroplasty 6:341–337

    Article  Google Scholar 

  7. Brems J (1993) The glenoid component in total shoulder arthroplasty. J Elbow Surg 2:47–54

    Article  CAS  Google Scholar 

  8. Cofield RH (1994) Long term results with the Neer prosthesis. Presented at the annual SECEC Meeting, Barcelona

    Google Scholar 

  9. Collins D, Tencer A, Sidles J, Matsen FA (1992) Edge displacement and deformation of glenoid components in response to eccentric loading. J Bone Joint Surg Am 74:501–507

    CAS  PubMed  Google Scholar 

  10. Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214:160–4

    PubMed  Google Scholar 

  11. Engelbrecht E, Stellbring G (1976) Total Shulter endoprosthese Modell “St Georg.” Chirurg 47:525–530

    CAS  Google Scholar 

  12. Figgie HE, Inglis AE, Goldberg VM et al (1988) An analysis of factors affecting the long term results of total shoulder arthroplasty in inflammatory arthritis. J Arthroplasty 3:123–130

    Article  PubMed  Google Scholar 

  13. Friedman RJ, Hawthorne KB, Genez BM (1992) The use of computerized tomography in the measurement of the glenoid version. J Bone Joint Surg Am 74:1032–1037

    CAS  PubMed  Google Scholar 

  14. Franklin JL, Barrett WP, Jackins SE, Matsen FA (1988) Glenoid loosening in total shoulder arthroplasty. J Arthroplasty 3:39–46

    Article  CAS  PubMed  Google Scholar 

  15. Muladji AB, Beddow FH, Lamb GHR (1994) Ct measurement of glenoid erosion in arthritis. J Bone Joint Surg Br 76:384–388

    Google Scholar 

  16. Neer CS (1974) Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 56:1–13

    PubMed  Google Scholar 

  17. Neer CS, Watson KC, Stanton FJ (1982) Recent experience in total shoulder replacement. J Bone Joint Surg Am 64:319–337

    PubMed  Google Scholar 

  18. Poppen NK, Walker PS (1978) Forces at the glenohumeral joint in abduction. Clin Orthop 135:165–170

    PubMed  Google Scholar 

  19. Rodosky MW, Bigliani LU (1994) Surgical treatment of non-constrained glenoid component failure. Oper Techn Orthop 4:226–236

    Article  Google Scholar 

  20. Rodosky MW, Bigliani LU (1996) Indications for glenoid resurfacing in shoulder arthroplasty. J Shoulder Elbow Surg 5:231–248

    Article  CAS  PubMed  Google Scholar 

  21. Sneppen O, Fruensgaard S, Johannsen HV, Olsen BS, Söjberg JO, Andersen HH (1996) Total shoulder replacement in rheumatoid arthritis: proximal migration and loosening. J Shoulder Elbow Surg 5:47–52

    Article  CAS  PubMed  Google Scholar 

  22. Wilde AH, Borden LS, Brems JJ (1984) Experience with the Neer total shoulder replacement. In: Bateman JE, Welsh RP (eds) Surgery of the shoulder. Mosby, St. Louis, pp 224–228

    Google Scholar 

Download references

Authors
  1. D. Molé
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. O. Roche
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. N. Riand
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. Lévigne
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. G. Walch
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery Hôpital de L’Archet, University of Lyon, 116, Rue Antoine Charial, 69003, Lyon, France

    Gilles Walch M.D.

  2. Department of Orthopaedic Surgery Hôpital de L’Archet, University of Nice, 151, Route de Saint-Antoine de Ginestière, 06200, Nice, France

    Pascal Boileau M.D.

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Molé, D., Roche, O., Riand, N., Lévigne, C., Walch, G. (1999). Cemented Glenoid Component: Results in Osteoarthritis and Rheumatoid Arthritis. In: Walch, G., Boileau, P. (eds) Shoulder Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58365-0_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-58365-0_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63554-0

  • Online ISBN: 978-3-642-58365-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation