Glenoid bone loss in primary and revision shoulder arthroplasty

Malhas, Amar; Rashid, Abbas; Copas, David; Bale, Steve; Trail, I. A.

doi:10.1177/1758573216648601

Cited by 55 publications

(53 citation statements)

References 65 publications

(146 reference statements)

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“…Previous shoulder surgery that involves the humeral head and/or the glenoid cavity.Patients with alcohol or drug abuse problems that can compromise rehabilitation and follow-up appointments as assessed by the recruiting surgeon at the first visit.Patients unable to understand instructions in Danish, follow the rehabilitation protocol, or answer the questionnaires because of physical or cognitive inabilities as evaluated by the recruiting surgeon at the first visit.Brachial plexus palsy.Patients with previous fractures around the shoulder (clavicle, scapula, and proximal humerus fractures).Patients with magnetic resonance imaging (MRI) scan-verified full thickness total tear of one or more of the rotator cuff tendons.Patients with computed tomography (CT) scan-verified glenoid retroversion ≥ 20° that does not allow glenoid component fixation without bone graft or need an augmented glenoid component [12]. …”

Section: Methodsmentioning

confidence: 99%

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Patient-reported outcome after stemmed versus stemless total shoulder arthroplasty for glenohumeral osteoarthritis: a patient-blinded randomized clinical trial

Issa

Rasmussen

Petersen

et al. 2019

Trials

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Background Stemless shoulder arthroplasty systems with uncemented metaphyseal fixation have been used for glenohumeral osteoarthritis since 2004 (Hawi, et al. BMC Musculoskelet Disord 17:376, 2016). The stemless design has several theoretical advantages compared with the stemmed shoulder arthroplasty systems: restoring patients’ anatomy; preserving humeral bone stock; and few complications in component removal if the need for a revision arthroplasty arises. The purpose of the study is to compare the short-term, patient-reported outcome of stemless and stemmed total shoulder arthroplasty (TSA). Materials and methods A randomized clinical trial will be conducted. Eighty patients with clinical and radiological signs of primary or post-traumatic glenohumeral osteoarthritis, computed tomography (CT) scan-verified adequate glenoid bone stock, and no total rupture of rotator cuff tendons verified by a magnetic resonance imaging (MRI) scan will be randomly allocated to a stemless or stemmed TSA. The primary outcome will be the Western Ontario Osteoarthritis Shoulder (WOOS) score at 12 months. Secondary outcomes are the WOOS score at three months and the Oxford Shoulder Score (OSS) and EQ-5D at 3 and 12 months. All complications, including glenoid and humeral component loosening, instability, rotator cuff tear, intraoperative and postoperative periprosthetic fracture, nerve injury, infection, deltoid injury, and symptomatic deep venous thrombosis, will be reported. Discussion Findings will provide patients with better information about the potential benefits and harms of stemless and stemmed TSA and will assist shoulder surgeons and patients in decision-making. Trial registration Clinicaltrials.gov, NCT03877315 . Registered on 13 March 2019. Electronic supplementary material The online version of this article (10.1186/s13063-019-3535-9) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

“…Patients with computed tomography (CT) scan-verified glenoid retroversion ≥ 20° that does not allow glenoid component fixation without bone graft or need an augmented glenoid component [12].…”

Section: Methodsmentioning

confidence: 99%

Patient-reported outcome after stemmed versus stemless total shoulder arthroplasty for glenohumeral osteoarthritis: a patient-blinded randomized clinical trial

Issa

Rasmussen

Petersen

et al. 2019

Trials

View full text Add to dashboard Cite

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“…Secondly, glenohumeral OA produces consistent bony changes, although the severity will depend upon the disease progression (Malhas et al, 2016;Matsen et al, 2004). Osteophytes must be resected adequately to avoid unwanted motion loss and any glenoid wear, classically posterior.…”

Section: Soft Tissue Balancementioning

confidence: 99%

“…Osteophytes must be resected adequately to avoid unwanted motion loss and any glenoid wear, classically posterior. These should be effectively dealt with to achieve normal joint stability and avoid an abnormal length-tension relationship between the subscapularis and infraspinatus (Malhas et al, 2016;Mueller & Hoy, 2014).…”

Section: Soft Tissue Balancementioning

confidence: 99%

Rehabilitation following anatomic total shoulder replacement for osteoarthritis

Blacknall¹,

Bidwai²

2020

NZJP

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Advances in anatomic total shoulder replacement (TSR) have seen this become an established surgical intervention for patients suffering from glenohumeral osteoarthritis (OA). A growing evidence-base stresses good prosthesis survivorship, low complication rates, and reproducible improvements to patients' quality of life and function. Despite these advances, the rehabilitation of patients undergoing anatomic TSR has received relatively little attention. This clinical commentary discusses a specific clinical method taken to manage patients undergoing anatomic TSR for glenohumeral OA and an intact rotator cuff. It outlines the evaluation-based rehabilitation approach developed between surgeons and physiotherapists at the Sherwood Forest Hospitals NHS Foundation Trust in Nottinghamshire, United Kingdom. It is hoped this commentary will generate further interest in this area and help drive advances in the outcomes and rehabilitation of patients undergoing TSR.

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“…1. Patients with CT scan-verified glenoid retroversion ≥ 20° that does not allow glenoid component fixation without bone graft or need an augmented glenoid component [12].…”

Section: Exclusion Criteriamentioning

confidence: 99%

Patient reported outcome after stemmed versus stemless total shoulder arthroplasty for glenohumeral osteoarthritis: a patient-blinded randomized clinical trial

Issa

Rasmussen

Petersen³

et al. 2019

Preprint

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Background Stemless shoulder arthroplasty systems with uncemented metaphyseal fixation have been used in Europe for glenohumeral osteoarthritis since 2004 1. The stemless design has several theoretical advantages compared with the stemmed shoulder arthroplasty systems: restoring patients' anatomy, preserving humeral bone stock, and few complications in component removal if the need for a revision arthroplasty arises. The purpose of the study is to compare the short-term, patient-reported outcome of stemless and stemmed total shoulder arthroplasty.Materials and methods A randomized clinical trial will be conducted. Eighty patients with clinical and radiological signs of primary or posttraumatic glenohumeral osteoarthritis, computerized tomography (CT) scan-verified adequate glenoid bone stock, and no total rupture of rotator cuff tendons verified by a magnetic resonance imaging (MRI) scan will randomly be allocated to a stemless or stemmed total shoulder arthroplasty (TSA). The primary outcome will be the Western Ontario Osteoarthritis Shoulder (WOOS) score at 12 months. Secondary outcomes are the WOOS score at three months and the Oxford Shoulder Score (OSS) and EQ-5D at 3 and 12 months. All complications, including glenoid and humeral component loosening, instability, rotator cuff tear, intraoperative and postoperative periprosthetic fracture, nerve injury, infection, deltoid injury, and symptomatic deep venous thrombosis, will be reported.Discussion Findings will provide patients with better information about the potential benefits and harms of stemless and stemmed total shoulder arthroplasty and will assist shoulder surgeons and patients in decision-making.

show abstract

Glenoid bone loss in primary and revision shoulder arthroplasty

Cited by 55 publications

References 65 publications

Patient-reported outcome after stemmed versus stemless total shoulder arthroplasty for glenohumeral osteoarthritis: a patient-blinded randomized clinical trial

Patient-reported outcome after stemmed versus stemless total shoulder arthroplasty for glenohumeral osteoarthritis: a patient-blinded randomized clinical trial

Rehabilitation following anatomic total shoulder replacement for osteoarthritis

Patient reported outcome after stemmed versus stemless total shoulder arthroplasty for glenohumeral osteoarthritis: a patient-blinded randomized clinical trial

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