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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(01): 120-127
DOI: 10.1055/s-0040-1715509
Artigos Originais
Ombro e Cotovelo

Bone Integration and Prevalence of Radiolucent Lines around the Pegs of Minimally Cemented Glenoid Components in Total Shoulder Arthroplasty[∗]

Article in several languages: português | English
Márcio Schiefer 
1   Departamento de Ortopedia, Faculdade de Medicina, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brasil
2   Departamento de Ortopedia, Instituto Nacional de Ortopedia e Traumatologia (INTO), Rio de Janeiro, RJ, Brasil
,
Gláucio Siqueira 
2   Departamento de Ortopedia, Instituto Nacional de Ortopedia e Traumatologia (INTO), Rio de Janeiro, RJ, Brasil
,
Alan Figueira 
2   Departamento de Ortopedia, Instituto Nacional de Ortopedia e Traumatologia (INTO), Rio de Janeiro, RJ, Brasil
,
Patrícia Martins Souza 
3   Departamento de Radiologia, Instituto Nacional de Ortopedia e Traumatologia (INTO), Rio de Janeiro, RJ, Brasil
,
Martim Teixeira Monteiro 
2   Departamento de Ortopedia, Instituto Nacional de Ortopedia e Traumatologia (INTO), Rio de Janeiro, RJ, Brasil
,
Geraldo Motta Filho 
2   Departamento de Ortopedia, Instituto Nacional de Ortopedia e Traumatologia (INTO), Rio de Janeiro, RJ, Brasil
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Abstract

Objectives Glenoid component failure is the main cause of total shoulder arthroplasty (TSA) revision, and component design seems to influence the failure rate. The aim of the present study was to clinically and radiographically (through X-rays and computed tomography scan) evaluate the results of TSA using a minimally cemented glenoid component.

Methods Total should arthroplasties performed using the minimally cemented Anchor Peg (DuPuy Synthes, Warsaw, IN, USA) glenoid component between 2008 and 2013 were evaluated. University of California at Los Angeles (UCLA) scores were calculated, and standardized plain film and computed tomography images were obtained, at a minimum follow-up of 24 months. The presence of bone between the fins of the central component peg, which indicates its integration, was assessed on the images, as well the presence of radiolucent lines around the glenoid component.

Results Nineteen shoulders in 17 patients were available for evaluation. According to the UCLA score, clinical results were satisfactory in 74% of cases and fair in 21% of cases. One patient had a poor result. Component integration was found in 58% of patients (total in 42% and partial in 16%). Radiolucent lines were observed in 52% of cases. No relationship was detected between component integration and clinical results.

Conclusion Satisfactory clinical results were achieved in most patients undergoing TSA using a minimally cemented glenoid component. Radiolucent lines around the glenoid component are common, but do not interfere with the clinical results.

Level of evidence IV; Case series; Treatment study.

Keywords

arthroplasty, replacement - shoulder - tomography - radiography, digital - prosthesis failure

∗ Research was conducted at Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brazil.




Publication History

Received: 17 February 2020

Accepted: 01 June 2020

Article published online:
25 September 2020

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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