Mid- to long-term clinical and radiological results of anatomic total shoulder arthroplasty in patients with B2 glenoids

Autor: Stephanie Hinse, MD, Torsten Pastor, MD, Anita Hasler, MD, Lukas Ernstbrunner, MD, PhD, Karl Wieser, MD, Christian Gerber, MD, FRCS
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: JSES International, Vol 7, Iss 3, Pp 464-471 (2023)
Druh dokumentu: article
ISSN: 2666-6383
DOI: 10.1016/j.jseint.2023.01.006
Popis: Background: Eccentric biconcave (B2) glenoid erosion in primary glenohumeral arthritis is common. There are serious concerns regarding the longevity of fixation of cemented glenoids if anatomic total shoulder arthroplasties (aTSAs) are used in B2 glenoid. The purpose of this study is to analyze the mid- to long-term results of aTSA with B2 glenoids. Methods: This is a retrospective study of a single center experience. Thirty patients (32 shoulders) at an average of 9.2 years (range, 5.0-16.6, ±3.2) after primary TSA were evaluated. Clinical and radiographic outcomes were analyzed. Results: The mean preoperative intermediate glenoid version was −14° ± 7° (range, −2° to −29°) and the mean humeral subluxation according to the plane of the scapula was 67% ± 9% (range, 49%-87%). There was a significant improvement for all the postoperative clinical outcome parameters including the mean absolute and relative Constant Score, subjective shoulder value, active elevation, external rotation, abduction, internal rotation, pain scores, and strength (P
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