Glenosphere dissociation after reverse shoulder arthroplasty

Cusick, Michael; Hussey, Michael M.; Steen, Brandon; Hartzler, Robert U.; Clark, Rachel; Cuff, Derek J.; Cabezas, Andres F.; Santoni, Brandon G.; Frankle, Mark A.

doi:10.1016/j.jse.2014.12.019

Cited by 28 publications

(21 citation statements)

References 23 publications

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“…That the majority of retrievals had no corrosion or only mild corrosion agrees with our hypothesis and the work of Cusick et al, 5 who found mild corrosion on 1 reverse shoulder implant and no corrosion on 4 others. This is a lower incidence than reported for retrieved hip implants, for which corrosion has been found in up to 84% of both metalmetal and ceramic-metal taper interfaces.…”

Section: Discussionsupporting

confidence: 93%

Tribocorrosion in shoulder arthroplasty humeral component retrievals

Teeter

Carroll

Walch

et al. 2016

Journal of Shoulder and Elbow Surgery

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Section: Discussionsupporting

confidence: 93%

Tribocorrosion in shoulder arthroplasty humeral component retrievals

Teeter

Carroll

Walch

et al. 2016

Journal of Shoulder and Elbow Surgery

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“…Forty-eight (7.2%) of the 664 complications after RSA were due to baseplate failure or glenosphere dissociation 3,6-8,10-14,16-18,23-30, . Surgical approach (superior-lateral), improper technique (i.e., improper engagement of the Morse taper), superior glenosphere tilt, patient age of <70 years, and female sex have all been implicated as risk factors for glenoid failure 150,151 . Scapular notching has been associated with baseplate failure, but has not been confirmed as an independent risk factor for this Fig.…”

Section: Anatomic Tsamentioning

confidence: 99%

Complications of Shoulder Arthroplasty

Bohsali

Bois

Wirth³

2017

The Journal of Bone and Joint Surgery

282

199

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d The most common complications after reverse shoulder arthroplasty in order of decreasing frequency included instability, periprosthetic fracture, infection, component loosening, neural injury, acromial and/or scapular spine fracture, hematoma, deltoid injury, rotator cuff tear, and venous thromboembolism (VTE).d The most common complications after anatomic total shoulder arthroplasty (TSA) in order of decreasing frequency were component loosening, glenoid wear, instability, rotator cuff tear, periprosthetic fracture, neural injury, infection, hematoma, deltoid injury, and VTE.d Glenoid component wear and loosening remain a common cause of failure after anatomic TSA, despite advances in surgical technique and implant design.d Diagnostic confirmation of infection after shoulder arthroplasty remains a challenge. In the setting of a painful and stiff shoulder after arthroplasty, the surgeon should have a heightened suspicion for infection. Inflammatory markers may be normal, radiographs may be inconclusive, and prosthetic joint aspiration may be negative for a causative organism.Disclosure: The authors indicated that no external funding was received for any aspect of this work. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked "yes" to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work and "yes" to indicate that the author had a patent and/or copyright, planned, pending, or issued, broadly relevant to this work. 99:256-69 d http://dx.doi.org/10.2106/JBJS.16.00935 frequency) included instability, periprosthetic fracture, infection, component loosening, neural injury, acromial and/or scapular spine fracture, hematoma, deltoid injury, rotator cuff tear, and venous thromboembolism (VTE)The most common complications after anatomic TSA (in order of decreasing frequency) were component loosening, glenoid wear, instability, rotator cuff tear, periprosthetic fracture, neural injury, infection, hematoma, deltoid injury, and VTE (

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“…Tribocorrosion was graded on a scale from 1 to 4 depending on the extent and the magnitude of the damage as described by Goldberg et al [ 9 ] and modified by Cusick and colleagues [ 11 ] ( Table 3 ). This classification is the most commonly used damage scoring system to identify tribocorrosion on retrieved implants.…”

Section: Methodsmentioning

confidence: 99%

“…In this regard several different factors are associated with tribocorrosion, including material combination, head size, offset, implantation time, and flexural rigidity [ 7 ]. Whereas multiple retrieval studies regarding hip implants are available, only a small number of retrieval studies for modular shoulder arthroplasty exist [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Fretting and Corrosion in Modular Shoulder Arthroplasty: A Retrieval Analysis

Eckert

Mueller

Jaeger

et al. 2016

BioMed Research International

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Tribocorrosion in taper junctions of retrieved anatomic shoulder arthroplasty implants was evaluated. A comparison of the tribocorrosion between cobalt-chromium and titanium alloy stems was conducted and the observations were correlated with the individual's clinical data. Adverse effects caused by metal debris and subsequent elevated serum metal ion levels are frequently reported in total hip arthroplasty. In total shoulder arthroplasty, to date only a small number of retrieval analyses are available and even fewer address the issue of tribocorrosion at the taper junctions. A total of 36 retrieved hemiarthroplasties and total shoulder arthroplasties were assessed using the modified Goldberg score. The prevalence of fretting and corrosion was confirmed in this cohort. Titanium stems seem to be more susceptible to damage caused by tribocorrosion than cobalt-chromium stems. Furthermore, stemless designs offered less tribocorrosion at the taper junction than stemmed designs. A weak correlation between time to revision and increased levels of tribocorrosion was seen. Whether or not tribocorrosion can lead to adverse clinical reactions and causes failure of shoulder arthroplasties remains to be examined.

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Glenosphere dissociation after reverse shoulder arthroplasty

Cited by 28 publications

References 23 publications

Tribocorrosion in shoulder arthroplasty humeral component retrievals

Tribocorrosion in shoulder arthroplasty humeral component retrievals

Complications of Shoulder Arthroplasty

Fretting and Corrosion in Modular Shoulder Arthroplasty: A Retrieval Analysis

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