دورية أكاديمية
Anatomical total shoulder arthroplasty in young patients with osteoarthritis: all-polyethylene versus metal-backed glenoid.
| العنوان: | Anatomical total shoulder arthroplasty in young patients with osteoarthritis: all-polyethylene versus metal-backed glenoid. |
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| المؤلفون: | Gauci MO; Institut Universitaire Locomoteur et du Sport, Hôpital Pasteur 2 and Université Nice-Sophia Antipolis, Nice Cedex 1, France., Bonnevialle N; Centre Hospitalier Universitaire de Toulouse-Purpan, Toulouse, France., Moineau G; Clinique Pasteur-Lanroze, Brest, France., Baba M; Sydney Adventist Hospital, Wahroonga, New South Wales, Australia., Walch G; Centre Médical Santy, Lyon, France., Boileau P; Institut Universitaire Locomoteur et du Sport, Hôpital Pasteur 2 and Université Nice-Sophia Antipolis, Nice Cedex 1, France. |
| المصدر: | The bone & joint journal [Bone Joint J] 2018 Apr 01; Vol. 100-B (4), pp. 485-492. |
| نوع المنشور: | Comparative Study; Evaluation Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: British Editorial Society of Bone & Joint Surgery Country of Publication: England NLM ID: 101599229 Publication Model: Print Cited Medium: Internet ISSN: 2049-4408 (Electronic) Linking ISSN: 20494394 NLM ISO Abbreviation: Bone Joint J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : British Editorial Society of Bone & Joint Surgery |
| مواضيع طبية MeSH: | Prosthesis Failure* , Shoulder Prosthesis*, Arthroplasty, Replacement, Shoulder/*methods , Osteoarthritis/*surgery, Adult ; Age Factors ; Arthroplasty, Replacement, Shoulder/instrumentation ; Bone Cements ; Female ; Follow-Up Studies ; Humans ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Aims: Controversy about the use of an anatomical total shoulder arthroplasty (aTSA) in young arthritic patients relates to which is the ideal form of fixation for the glenoid component: cemented or cementless. This study aimed to evaluate implant survival of aTSA when used in patients aged < 60 years with primary glenohumeral osteoarthritis (OA), and to compare the survival of cemented all-polyethylene and cementless metal-backed glenoid components. Materials and Methods: A total of 69 consecutive aTSAs were performed in 67 patients aged < 60 years with primary glenohumeral OA. Their mean age at the time of surgery was 54 years (35 to 60). Of these aTSAs, 46 were undertaken using a cemented polyethylene component and 23 were undertaken using a cementless metal-backed component. The age, gender, preoperative function, mobility, premorbid glenoid erosion, and length of follow-up were comparable in the two groups. The patients were reviewed clinically and radiographically at a mean of 10.3 years (5 to 12, sd 26) postoperatively. Kaplan-Meier survivorship analysis was performed with revision as the endpoint. Results: A total of 26 shoulders (38%) underwent revision surgery: ten (22%) in the polyethylene group and 16 (70%) in the metal-backed group (p < 0.0001). At 12 years' follow-up, the rate of implant survival was 74% (sd 0.09) for polyethylene components and 24% (sd 0.10) for metal-backed components (p < 0.0002). Glenoid loosening or failure was the indication for revision in the polyethylene group, whereas polyethylene wear with metal-on-metal contact, instability, and insufficiency of the rotator cuff were the indications for revision in the metal-backed group. Preoperative posterior subluxation of the humeral head with a biconcave/retroverted glenoid (Walch B2) had an adverse effect on the survival of a metal-backed component. Conclusion: The survival of a cemented polyethylene glenoid component is three times higher than that of a cementless metal-backed glenoid component ten years after aTSA in patients aged < 60 years with primary glenohumeral OA. Patients with a biconcave (B2) glenoid have the highest risk of failure. Cite this article: Bone Joint J 2018;100-B:485-92. |
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| فهرسة مساهمة: | Keywords: All-polyethylene glenoid; Metal-backed glenoid; Primary glenohumeral osteoarthritis; Revision; Survival; Total shoulder arthroplasty |
| المشرفين على المادة: | 0 (Bone Cements) |
| تواريخ الأحداث: | Date Created: 20180410 Date Completed: 20180423 Latest Revision: 20200225 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC6503758 |
| DOI: | 10.1302/0301-620X.100B4.BJJ-2017-0495.R2 |
| PMID: | 29629579 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2049-4408 |
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| DOI: | 10.1302/0301-620X.100B4.BJJ-2017-0495.R2 |