1. Short-term comparative outcomes of LIMA hybrid, metal-backed, and all cemented polyethylene glenoids.
- Author
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Lachance, Andrew D., Shahsavarani, Shaya, Azam, Mohammad T., Giro, Margaret E., and Choi, Joseph Y.
- Subjects
DATA analysis ,BODY mass index ,TOTAL shoulder replacement ,FUNCTIONAL assessment ,TREATMENT effectiveness ,RETROSPECTIVE studies ,DESCRIPTIVE statistics ,ONE-way analysis of variance ,STATISTICS ,REVERSE total shoulder replacement ,POLYETHYLENE ,COMPARATIVE studies ,PROSTHESIS design & construction ,EVALUATION ,STANDARDS - Abstract
This study aims to compare short-term functional outcomes and conversion rates to reverse shoulder arthroplasty between patients who underwent total shoulder arthroplasty (TSA) using a modular metal-backed glenoid component, a hybrid glenoid component, and an all-polyethylene component. A retrospective review of individuals undergoing TSA between October 2014 and December 2020 was performed. Inclusion criteria included patients undergoing primary TSA for osteoarthritis during this time frame by 1 surgeon. Preoperative and postoperative variables included demographic information, American Shoulder and Elbow Surgeons score (ASES), and range of motion. Revision rates were also documented. Summary statistics were performed, using a 1-way analysis of variance with Tukey post hoc pairwise comparisons when the outcome reached significance. Fifty-two patients were included with age averaging 68 ± 8.1 years, with body mass index of 31 ± 5.8. 54% of patients were female with 12% having diabetes and only 2% were smokers. Follow-up averaged 42 months with patients undergoing metal-backed glenoid having longer follow-up at 56.5 months (P <.001). ASES, forward elevation, and external rotation (ER) for every implant type improved significantly postoperatively (P <.001) besides internal rotation and ER within the poly group (P =.072). No difference was found between the 3 groups for preoperative and postoperative ASES scores, forward elevation, internal rotation, and ER (P >.05). Two patients within the poly group required revision due to rotator cuff tear (P =.225). At 2 years, functional outcomes and patient-reported outcomes are similar in all 3 glenoid groups. There were slightly higher revision rates within the all-polyethylene group. If outcomes are similar among all groups, modular implant systems may be favorable to make conversion to revision TSA easier. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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