Bony increased-offset reverse shoulder arthroplasty vs. metal augments in reverse shoulder arthroplasty: a prospective, randomized clinical trial with 2-year follow-up

Kleut, Madeleine L. Van de; Yuan, Xunhua; Teeter, Matthew G.; Athwal, George S.

doi:10.1016/j.jse.2021.11.007

Cited by 24 publications

(11 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 2022, Van De Kleut et al 28 reported on the results of a randomized controlled trial (Level I evidence) that failed to demonstrate any substantial differences in clinical outcomes between metal-augmented baseplates and BIO-RSA at 2 years follow-up. All bone grafts demonstrated structural integrity without evidence of glenoid lucency and neither treatment group had evidence of baseplate failure at the latest (2-year) follow-up.…”

Section: Discussionmentioning

confidence: 99%

The Use of an External Cutting Guide for Patient-Specific Bone Grafting in Reverse Total Shoulder Arthroplasty: A Novel Technique

Harding,

Bois,

Cavanagh

et al. 2023

Journal of Shoulder and Elbow Arthroplasty

View full text Add to dashboard Cite

Glenoid bone loss remains a substantial challenge in reverse shoulder arthroplasty and failure to address such bone loss may lead to implant malpositioning, instability and/or premature baseplate loosening. Currently, management of glenoid bone loss can be achieved by metal augmentation or bone grafting (ie, autograft or allograft). At the present time, options for creating and shaping glenoid bone grafts include free-hand techniques and simple reusable cutting guides that create the graft at a standard shape/angle. To our knowledge, there is no external guide available that enables surgeons to accurately prepare the bone graft to the desired dimensions/shape (ie, trapezoid or biplanar) to correct the glenoid deformity. In this article, we present a novel surgical technique that utilizes an external guide for creating a patient-specific bone graft to address glenoid deformity in the setting of reverse total shoulder arthroplasty.

show abstract

Section: Discussionmentioning

confidence: 99%

The Use of an External Cutting Guide for Patient-Specific Bone Grafting in Reverse Total Shoulder Arthroplasty: A Novel Technique

Harding,

Bois,

Cavanagh

et al. 2023

Journal of Shoulder and Elbow Arthroplasty

View full text Add to dashboard Cite

show abstract

“…To our knowledge, only 1 prospective randomized study has been conducted on the outcomes of augmented glenoid baseplates in RSA to date. Van de Kleut et al 57 performed a radiostereometric analysis in which 41 patients undergoing RSA were randomized to receive either glenoid bone graft (using the Stryker Tornier Bony Increased Offset-Reversed Shoulder Arthroplasty system) or a 15° full-wedge augmented baseplate. At 2-year follow-up, there was no difference in glenoid component migration between groups, suggesting that both techniques are able to achieve stable fixation over the short term.…”

Section: Augments In Rsamentioning

confidence: 99%

Treatment of Glenoid Wear with the Use of Augmented Glenoid Components in Total Shoulder Arthroplasty

Contreras,

Kingery,

Zuckerman

et al. 2023

JBJS Reviews

View full text Add to dashboard Cite

» Treatment of glenoid bone loss continues to be a challenge in total shoulder arthroplasty (TSA). Although correcting glenoid wear to patient's native anatomy is desirable in TSA, there is lack of consensus regarding how much glenoid wear correction is acceptable and necessary in both anatomic and reverse TSA.» Use of augmented glenoid components is a relatively new treatment strategy for addressing moderate-to-severe glenoid wear in TSA. Augmented glenoid components allow for predictable and easy correction of glenoid wear in the coronal and/or axial planes while at the same time maximizing implant seating, improving rotator cuff biomechanics, and preserving glenoid bone stock because of off-axis glenoid reaming.» Augmented glenoid components have distinct advantages over glenoid bone grafting. Glenoid bone grafting is technically demanding, adds to the surgical time, and carries a risk of nonunion and graft resorption with subsequent failure of the glenoid component.» The use of augmented glenoid components in TSA is steadily increasing with easy availability of computed tomography–based preoperative planning software and guidance technology (patient-specific instrumentation and computer navigation).» Although different augment designs (full wedge, half wedge, and step cut) are available and a particular design may provide advantages in specific glenoid wear patterns to minimize bone removal (i.e. a half wedge in B2 glenoids), there is no evidence to demonstrate the superiority of 1 design over others.

show abstract

“…Newer generations of RTSA have a lateralized center of rotation, which improves loading and reduces impingement [45,60]. This lateralization can be achieved by using bone autograft under the baseplate or with metal augmented baseplates, both of which have been shown to have similar 2-year clinical outcomes [70]. Some implants designs also incorporate over-lateralization in the glenosphere.…”

Section: Reverse Arthroplasty Reverse Total Shoulder Arthroplasty (Rtsa)mentioning

confidence: 99%

Update on Shoulder Arthroplasties with Emphasis on Imaging

Weaver

Omar

Chadwick

et al. 2023

JCM

View full text Add to dashboard Cite

Shoulder pain and dysfunction may significantly impact quality of life. If conservative measures fail, advanced disease is frequently treated with shoulder arthroplasty, which is currently the third most common joint replacement surgery following the hip and knee. The main indications for shoulder arthroplasty include primary osteoarthritis, post-traumatic arthritis, inflammatory arthritis, osteonecrosis, proximal humeral fracture sequelae, severely dislocated proximal humeral fractures, and advanced rotator cuff disease. Several types of anatomic arthroplasties are available, such as humeral head resurfacing and hemiarthroplasties, as well as total anatomic arthroplasties. Reverse total shoulder arthroplasties, which reverse the normal ball-and-socket geometry of the shoulder, are also available. Each of these arthroplasty types has specific indications and unique complications in addition to general hardware-related or surgery-related complications. Imaging—including radiography, ultrasonography, computed tomography, magnetic resonance imaging, and, occasionally, nuclear medicine imaging—has a key role in the initial pre-operative evaluation for shoulder arthroplasty, as well as in post-surgical follow-up. This review paper aims to discuss important pre-operative imaging considerations, including rotator cuff evaluation, glenoid morphology, and glenoid version, as well as to review post-operative imaging of the various types of shoulder arthroplasties, to include normal post-operative appearances as well as imaging findings of complications.

show abstract

Bony increased-offset reverse shoulder arthroplasty vs. metal augments in reverse shoulder arthroplasty: a prospective, randomized clinical trial with 2-year follow-up

Cited by 24 publications

References 33 publications

The Use of an External Cutting Guide for Patient-Specific Bone Grafting in Reverse Total Shoulder Arthroplasty: A Novel Technique

The Use of an External Cutting Guide for Patient-Specific Bone Grafting in Reverse Total Shoulder Arthroplasty: A Novel Technique

Treatment of Glenoid Wear with the Use of Augmented Glenoid Components in Total Shoulder Arthroplasty

Update on Shoulder Arthroplasties with Emphasis on Imaging

Contact Info

Product

Resources

About