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International Orthopaedics
Published in:

01-11-2017 | Original Paper

Evaluation of thirty eight cemented pegged glenoid components with variable backside curvature: two-year minimum follow-up

Authors: Florence Dauzère, Marine Arboucalot, Julie Lebon, Fanny Elia, Nicolas Bonnevialle, Pierre Mansat

Published in: International Orthopaedics | Issue 11/2017

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Abstract

Background

The PERFORM™ pegged glenoid system has been used for shoulder arthroplasty since 2012. This system offers multiple backside curvatures per size to better match variable patient anatomy. As a result, less reaming is required and subchondral bone is preserved—a critical factor in preventing glenoid migration and loosening, thus enhancing implant longevity.

Purpose

The purpose of this study was to analyze all radiographic modifications around this new glenoid implant.

Method

Thirty-eight shoulders which received the PERFORM™ pegged glenoid component between June 2012 and January 2014 for primary or secondary osteoarthritis were reviewed at two-years minimum follow-up. There were 13 men and 22 women with an average age of 67 years. Humeral components were an uncemented short stem implant in nine (23%) and a resurfacing implant in 29 (77%).

Results

At 27-months average follow-up (24–41), Constant score improved from 30 to 65 points. Range of motion improved significantly at follow-up from 100° to 142° for the anterior elevation, and from 15 to 40° for the external rotation. Radiographic lucent lines (RLL) were observed post-operatively in eight cases (21%), and in 16 cases (42%) at the last follow-up with an increase of the RLL score from 0.36 ± 0.8 to 1.3 ± 2 (p < 0.001) without signs of loosening (RLL > 12). One revision has been performed after anterior shoulder dislocation, rotator cuff tear and glenoid component migration. RLL score was not correlated with dominant side, sex, age, or Constant score.

Discussion-Conclusion

The cemented pegged glenoid component with multiple backside curvatures gave satisfactory results at two-years minimum follow-up for up to three years with a low RLL score. Long-term studies are mandatory to confirm these results.
Literature
1.
Barwood S, Setter KJ, Blaine TA, Bigliani LU (2008) The incidence of early radiolucencies about a pegged glenoid component using cement pressurization. J Shoulder Elb Surg 17:703–708CrossRef
2.
Choi T, Horodyski M, Struk AM, Sahajpal DT, Wright TW (2013) Incidence of early radiolucent lines after glenoid component insertion for total shoulder arthroplasty: a radiographic study comparing pressurized and unpressurized cementing techniques. J Shoulder Elb Surg 22:403–408CrossRef
3.
Collin P, Tay AK, Melis B, Boileau P, Walch G (2011) A ten-year radiologic comparison of two-all polyethylene glenoid component designs: a prospective trial. J Shoulder Elb Surg 20:1217–1223CrossRef
4.
Edwards TB, Labriola JE, Stanley RJ, O'Connor DP, Elkousy HA, Gartsman GM (2010) Radiographic comparison of pegged and keeled glenoid components using modern cementing techniques: a prospective randomized study. J Shoulder Elb Surg 19:251–257CrossRef
5.
Fox TJ, Cil A, Sperling JW, Sanchez-Sotelo J, Schleck CD, Cofield RH (2009) Survival of the glenoid component in shoulder arthroplasty. J Shoulder Elb Surg 18:859–863CrossRef
6.
Fox TJ, Foruria AM, Klika BJ, Sperling JW, Schleck CD, Cofield RH (2013) Radiographic survival in total shoulder arthroplasty. J Shoulder Elb Surg 22:1221–1227CrossRef
7.
Kasten P, Pape G, Raiss P, Bruckner T, Rickert M, Zeifang F, Loew M (2010) Mid-term survivorship analysis of a shoulder replacement with a keeled glenoid and a modern cementing technique. J Bone Joint Surg (Br) 92:387–392CrossRef
8.
Klepps S, Chiang AS, Miller S, Jiang CY, Hazrati Y, Flatow EL (2005) Incidence of early radiolucent glenoid lines in patients having total shoulder replacements. Clin Orthop Relat Res 435:118–125CrossRef
9.
Lazarus MD, Jensen KL, Southworth C, Matsen FA 3rd (2002) The radiographic evaluation of keeled and pegged glenoid component insertion. J Bone Joint Surg Am 84-A:1174–1182CrossRefPubMed
10.
Mansat P, Bonnevialle N (2013) Morphology of the normal and arthritic glenoid. Eur J Orthop Surg Traumatol 23:287–299CrossRefPubMed
11.
Mansat P, Briot J, Mansat M, Swider P (2007) Evaluation of the glenoid implant survival using a biomechanical finite element analysis: influence of the implant design, bone properties, and loading location. J Shoulder Elb Surg 16(3 Suppl):S79–S83CrossRef
12.
McLendon PB, Schoch BS, Sperling JW, Sanchez-Sotelo J, Schleck CD, Cofield RH (2017) Survival of the pegged glenoid component in shoulder arthroplasty: part II. J Shoulder Elb Surg 26:1469–1476CrossRef
13.
Molé D, Roche O, Riand N, Levigne C, Walch G (1999) Cemented glenoid component: results in osteoarthritis and rheumatoid arthritis. In: Walch G, Boileau P (eds) Shoulder arthroplasty. Springer, New York, pp 163–171CrossRef
14.
Nyffeler RW, Meyer D, Sheikh R, Koller BJ, Gerber C (2006) The effect of cementing technique on structural fixation of pegged glenoid components in total shoulder arthroplasty. J Shoulder Elb Surg 15:106–111CrossRef
15.
Rahme H, Mattsson P, Wikblad L, Nowak J, Larsson S (2009) Stability of cemented in-line pegged glenoid compared with keeled glenoid components in total shoulder arthroplasty. J Bone Joint Surg 91A:1965–1972CrossRef
16.
Roche C, Angibaud L, Flurin PH, Wright T, Zuckerman J (2006) Glenoid loosening in response to dynamic multi-axis eccentric loading. A comparison between keeled and pegged designs with an equivalent radial mismatch. Bull Hosp J Dis 63:88–92
17.
Sabesan VJ, Ackerman J, Sharma V, Baker KC, Kurdziel MD, Wiater JM (2015) Glenohumeral mismatch affects micromotion of cemented glenoid components in total shoulder arthroplasty. J Shoulder Elb Surg 24:814–822CrossRef
18.
Szabo I, Buscayret F, Edwards TB, Nemoz C, O'Connor DP, Boileau P, Walch G (2005) Radiographic comparison of two glenoid preparation techniques in total shoulder arthroplasty. Clin Orthop Relat Res 431:104–110CrossRef
19.
Szabo I, Buscayret F, Edwards TB, Nemoz C, Boileau P, Walch G (2005) Radiographic comparison of flat-back and convex-back glenoid components in total shoulder arthroplasty. J Shoulder Elb Surg 14:636–642CrossRef
20.
Terrier A, Büchler P, Farron A (2005) Bone-cement interface of the glenoid component: stress analysis for varying cement thickness. Clin Biomech 20:710–717CrossRef
21.
Terrier A, Büchler P, Farron A (2006) Influence of glenohumeral conformity on glenoid stresses after total shoulder arthroplasty. J Shoulder Elb Surg 15:515–520CrossRef
22.
Throckmorton TW, Zarkadas PC, Sperling JW, Cofield RH (2010) Pegged versus keeled glenoid components in total shoulder arthroplasty. J Shoulder Elb Surg 19:726–733CrossRef
23.
Torchia ME, Cofield RH, Settergren CR (1997) Total shoulder arthroplasty with the Neer prosthesis: long-term results. J Shoulder Elb Surg 6:495–505CrossRef
24.
Vavken P, Sadoghi P, von Keudell A, Rosso C, Valderrabano V, Müller AM (2013) Rates of radiolucency and loosening after total shoulder arthroplasty with pegged or keeled glenoid components. J Bone Joint Surg Am 95:215–221CrossRefPubMed
25.
Walch G, Edwards TB, Boulahia A, Boileau P, Mole D, Adeleine P (2002) The influence of glenohumeral prosthetic mismatch on glenoid radiolucent lines. Results of a multicenter study. J Bone Joint Surg Am 84:2186–2191CrossRefPubMed
26.
Walch G, Young AA, Melis B, Gazielly D, Loew M, Boileau P (2011) Results of a convex-back cemented keeled glenoid component in primary osteoarthritis: multicenter study with a follow-up greater than 5 years. J Shoulder Elb Surg 20:385–394CrossRef
27.
Walch G, Young AA, Boileau P, Loew M, Gazielly D, Molé D (2012) Patterns of loosening of polyethylene keeled glenoid components after shoulder arthroplasty for primary osteoarthritis. J Bone Joint Surg Am 94:145–150CrossRefPubMed
28.
Young AA, Walch G (2010) Fixation of the glenoid component in total shoulder arthroplasty: what is “modern cementing technique?”. J Shoulder Elb Surg 19:1129–1136CrossRef
29.
Young AA, Walch G, Boileau P, Favard L, Gohlke F, Loew M, Molé D (2011) A multicentre study of the long-term results of using a flat-back polyethylene glenoid component in shoulder replacement for primary osteoarthritis. J Bone Joint Surg (Br) 93:210–216CrossRef
Metadata
Title
Evaluation of thirty eight cemented pegged glenoid components with variable backside curvature: two-year minimum follow-up
Authors
Florence Dauzère
Marine Arboucalot
Julie Lebon
Fanny Elia
Nicolas Bonnevialle
Pierre Mansat
Publication date
01-11-2017
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 11/2017
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-017-3635-7

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