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Archives of Orthopaedic and Trauma Surgery

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01-07-2018 | Orthopaedic Surgery

Replacement options for the B2 glenoid in osteoarthritis of the shoulder: a biomechanical study

Authors: Boris Sowa, Martin Bochenek, Steffen Braun, Felix Zeifang, Jan Philippe Kretzer, Thomas Bruckner, Gilles Walch, Patric Raiss

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 7/2018

Abstract

Background

Glenoid replacement in cases of severe glenoid retroversion (RV) or eccentric wear is challenging. The aim of this study was to evaluate different treatment methods under standardized conditions to assist surgeons in the decision-making process.

Methods

Three treatment options for severe glenoid RV (15°) were compared: (1) no RV correction; (2) complete RV correction; (3) no RV correction and implantation of a posterior augmented glenoid (PAG). A highly standardized implantation protocol using artificial glenoid bones (five per group) was chosen, and a physiologic shoulder movement was applied in a biomechanical setting. Micromotions (MM) between glenoid components and bone were quantified using an optical 3D measuring system.

Results

In the uncorrected retroversion group, three instances of subluxation of the prosthetic head occurred between 2000 and 4000 cycles. At 2000 cycles, significantly more MM were observed in the uncorrected RV group than in the corrected RV group (p < 0.0001) or to the augmented group (p < 0.0001). At 10|000 cycles, more MM were observed in the posterior augmented group than in the corrected RV group (p < 0.0001).

Conclusion

If sufficient bone stock is available, retroversion correction should be favored. Posterior augmented glenoids seem to be a suitable treatment option if complete correction of the retroversion is not possible without compromising the glenoid vault. Without correction of the retroversion, high failure rates were observed.

Antuna S, Sperling JW, Cofield RH (2002) Reimplantation of a glenoid component after component removal and allograft bone grafting: a report of 3 cases. J Shoulder Elbow Surg 11(6):637–641. https://doi.org/10.1067/mse.2002.126100 CrossRefPubMed

Denard PJ, Raiss P, Sowa B, Walch G (2013) Mid- to long-term follow-up of total shoulder arthroplasty using a keeled glenoid in young adults with primary glenohumeral arthritis. J Shoulder Elbow Surg 22(7):894–900. https://doi.org/10.1016/j.jse.2012.09.016 CrossRefPubMed

Deshmukh AV, Koris M, Zurakowski D, Thornhill TS (2005) Total shoulder arthroplasty: long-term survivorship, functional outcome, and quality of life. J Shoulder Elbow Surg 14(5):471–479. https://doi.org/10.1016/j.jse.2005.02.009 CrossRefPubMed

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(3):387–392. https://doi.org/10.1302/0301-620x.92b3.23073 CrossRefPubMed

Raiss P, Aldinger PR, Kasten P, Rickert M, Loew M (2008) Total shoulder replacement in young and middle-aged patients with glenohumeral osteoarthritis. J Bone Joint Surg Br 90(6):764–769. https://doi.org/10.1302/0301-620x.90b6.20387 CrossRefPubMed

Bryant D, Litchfield R, Sandow M, Gartsman GM, Guyatt G, Kirkley A (2005) A comparison of pain, strength, range of motion, and functional outcomes after hemiarthroplasty and total shoulder arthroplasty in patients with osteoarthritis of the shoulder. A systematic review and meta-analysis. J Bone Joint Surg Am 87(9):1947–1956. https://doi.org/10.2106/jbjs.d.02854 CrossRefPubMed

Gartsman GM, Roddey TS, Hammerman SM (2000) Shoulder arthroplasty with or without resurfacing of the glenoid in patients who have osteoarthritis. J Bone Joint Surg Am 82(1):26–34CrossRefPubMed

Radnay CS, Setter KJ, Chambers L, Levine WN, Bigliani LU, Ahmad CS (2007) Total shoulder replacement compared with humeral head replacement for the treatment of primary glenohumeral osteoarthritis: a systematic review. J Shoulder Elbow Surg 16(4):396–402. https://doi.org/10.1016/j.jse.2006.10.017 CrossRefPubMed

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 Elbow Surg 20(3):385–394. https://doi.org/10.1016/j.jse.2010.07.011 CrossRefPubMed

10.

Young A, Walch G, Boileau P, Favard L, Gohlke F, Loew M, Mole 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(2):210–216. https://doi.org/10.1302/0301-620x.93b2.25086 CrossRefPubMed

11.

Taunton MJ, McIntosh AL, Sperling JW, Cofield RH (2008) Total shoulder arthroplasty with a metal-backed, bone-ingrowth glenoid component. Medium to long-term results. J Bone Joint Surg Am 90(10):2180–2188. https://doi.org/10.2106/JBJS.G.00966 CrossRefPubMed

12.

Boileau P, Avidor C, Krishnan SG, Walch G, Kempf JF, Mole D (2002) Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study. J Shoulder Elbow Surg 11(4):351–359. https://doi.org/10.1067/mse.2002.125807 CrossRefPubMed

13.

Martin SD, Zurakowski D, Thornhill TS (2005) Uncemented glenoid component in total shoulder arthroplasty. Survivorship and outcomes. J Bone Joint Surg Am 87(6):1284–1292. https://doi.org/10.2106/jbjs.c.00947 PubMedCrossRef

14.

Bohsali KI, Wirth MA, Rockwood CA Jr (2006) Complications of total shoulder arthroplasty. J Bone Joint Surg Am 88(10):2279–2292. https://doi.org/10.2106/jbjs.f.00125 PubMedCrossRef

15.

Chin PY, Sperling JW, Cofield RH, Schleck C (2006) Complications of total shoulder arthroplasty: are they fewer or different? J Shoulder Elbow Surg 15(1):19–22. https://doi.org/10.1016/j.jse.2005.05.005 CrossRefPubMed

16.

Sperling JW, Cofield RH, Rowland CM (2004) Minimum fifteen-year follow-up of Neer hemiarthroplasty and total shoulder arthroplasty in patients aged fifty years or younger. J Shoulder Elbow Surg 13(6):604–613. https://doi.org/10.1016/S1058274604001296 CrossRefPubMed

17.

Walch G, Badet R, Boulahia A, Khoury A (1999) Morphologic study of the glenoid in primary glenohumeral osteoarthritis. J Arthroplasty 14(6):756–760CrossRefPubMed

18.

Bercik MJ, Kruse K, 2nd, Yalizis M, Gauci MO, Chaoui J, Walch G (2016) A modification to the Walch classification of the glenoid in primary glenohumeral osteoarthritis using three-dimensional imaging. J Shoulder Elbow Surg 25(10):1601–1606. https://doi.org/10.1016/j.jse.2016.03.010 CrossRefPubMed

19.

Denard PJ, Walch G (2013) Current concepts in the surgical management of primary glenohumeral arthritis with a biconcave glenoid. J Shoulder Elbow Surg 22(11):1589–1598. https://doi.org/10.1016/j.jse.2013.06.017 CrossRefPubMed

20.

Nowak DD, Bahu MJ, Gardner TR, Dyrszka MD, Levine WN, Bigliani LU, Ahmad CS (2009) Simulation of surgical glenoid resurfacing using three-dimensional computed tomography of the arthritic glenohumeral joint: the amount of glenoid retroversion that can be corrected. J Shoulder Elbow Surg 18(5):680–688. https://doi.org/10.1016/j.jse.2009.03.019 CrossRefPubMed

21.

Favorito PJ, Freed RJ, Passanise AM, Brown MJ (2016) Total shoulder arthroplasty for glenohumeral arthritis associated with posterior glenoid bone loss: results of an all-polyethylene, posteriorly augmented glenoid component. J Shoulder Elbow Surg 25(10):1681–1689. https://doi.org/10.1016/j.jse.2016.02.020 CrossRefPubMed

22.

Wright TW, Grey SG, Roche CP, Wright L, Flurin PH, Zuckerman JD (2015) Preliminary results of a posterior augmented glenoid compared to an all polyethylene standard glenoid in anatomic total shoulder arthroplasty. Bulletin of the Hospital for Joint Disease 73 Suppl 1:S79-85. http://www.hjdbulletin.org

23.

Stephens SP, Spencer EE, Wirth MA (2016) Radiographic results of augmented all-polyethylene glenoids in the presence of posterior glenoid bone loss during total shoulder arthroplasty. J Shoulder Elbow Surg. https://doi.org/10.1016/j.jse.2016.09.053 CrossRefPubMed

24.

Hermida JC, Flores-Hernandez C, Hoenecke HR, D’Lima DD (2014) Augmented wedge-shaped glenoid component for the correction of glenoid retroversion: a finite element analysis. J Shoulder Elbow Surg 23(3):347–354. https://doi.org/10.1016/j.jse.2013.06.008 CrossRefPubMed

25.

Kersten AD, Flores-Hernandez C, Hoenecke HR, D’Lima DD (2015) Posterior augmented glenoid designs preserve more bone in biconcave glenoids. J Shoulder Elbow Surg 24(7):1135–1141. https://doi.org/10.1016/j.jse.2014.12.007 CrossRefPubMed

26.

Knowles NK, Ferreira LM, Athwal GS (2015) Augmented glenoid component designs for type B2 erosions: a computational comparison by volume of bone removal and quality of remaining bone. J Shoulder Elbow Surg 24(8):1218–1226. https://doi.org/10.1016/j.jse.2014.12.018 CrossRefPubMed

27.

Allred JJ, Flores-Hernandez C, Hoenecke HR Jr, D’Lima DD (2016) Posterior augmented glenoid implants require less bone removal and generate lower stresses: a finite element analysis. J Shoulder Elbow Surg 25(5):823–830. https://doi.org/10.1016/j.jse.2015.10.003 CrossRefPubMed

28.

Iannotti JP, Lappin KE, Klotz CL, Reber EW, Swope SW (2013) Liftoff resistance of augmented glenoid components during cyclic fatigue loading in the posterior-superior direction. J Shoulder Elbow Surg 22(11):1530–1536. https://doi.org/10.1016/j.jse.2013.01.018 CrossRefPubMed

29.

Clavert P, Millett PJ, Warner JJ (2007) Glenoid resurfacing: what are the limits to asymmetric reaming for posterior erosion? J Shoulder Elbow Surg 16(6):843–848. https://doi.org/10.1016/j.jse.2007.03.015 CrossRefPubMed

30.

Gillespie R, Lyons R, Lazarus M (2009) Eccentric reaming in total shoulder arthroplasty: a cadaveric study. Orthopedics 32(1):21. https://doi.org/10.3928/01477447-20090101-07 CrossRefPubMed

31.

Raiss P, Pape G, Kleinschmidt K, Jager S, Sowa B, Jakubowitz E, Loew M, Bruckner T, Rickert M (2011) Bone cement penetration pattern and primary stability testing in keeled and pegged glenoid components. J Shoulder Elbow Surg 20(5):723–731. https://doi.org/10.1016/j.jse.2010.09.006 CrossRefPubMed

32.

Bergmann G, Graichen F, Bender A, Rohlmann A, Halder A, Beier A, Westerhoff P (2011) In vivo gleno-humeral joint loads during forward flexion and abduction. J Biomech 44(8):1543–1552. https://doi.org/10.1016/j.jbiomech.2011.02.142 CrossRefPubMed

33.

Westerhoff P, Graichen F, Bender A, Halder A, Beier A, Rohlmann A, Bergmann G (2009) In vivo measurement of shoulder joint loads during activities of daily living. J Biomech 42(12):1840–1849. https://doi.org/10.1016/j.jbiomech.2009.05.035 CrossRefPubMed

34.

Walch G, Moraga C, Young A, Castellanos-Rosas J (2012) Results of anatomic nonconstrained prosthesis in primary osteoarthritis with biconcave glenoid. J Shoulder Elbow Surg 21(11):1526–1533. https://doi.org/10.1016/j.jse.2011.11.030 CrossRefPubMed

35.

Iannotti JP, Norris TR (2003) Influence of preoperative factors on outcome of shoulder arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 85-a (2):251–258. https://doi.org/10.3928/01477447-20090101-07

36.

Farron A, Terrier A, Buchler P (2006) Risks of loosening of a prosthetic glenoid implanted in retroversion. J Shoulder Elbow Surg 15(4):521–526. https://doi.org/10.1016/j.jse.2005.10.003 CrossRefPubMed

37.

Neer CS 2nd, Morrison DS (1988) Glenoid bone-grafting in total shoulder arthroplasty. J Bone Joint Surg Am 70(8):1154–1162CrossRefPubMed

38.

Hill JM, Norris TR (2001) Long-term results of total shoulder arthroplasty following bone-grafting of the glenoid. J Bone Joint Surg Am 83-A(6):877–883CrossRefPubMed

39.

Sabesan V, Callanan M, Ho J, Iannotti JP (2013) Clinical and radiographic outcomes of total shoulder arthroplasty with bone graft for osteoarthritis with severe glenoid bone loss. J Bone Joint Surg Am 95(14):1290–1296. https://doi.org/10.2106/JBJS.L.00097 CrossRefPubMed

40.

Mizuno N, Denard PJ, Raiss P, Walch G (2013) Reverse total shoulder arthroplasty for primary glenohumeral osteoarthritis in patients with a biconcave glenoid. J Bone Joint Surg Am 95(14):1297–1304. https://doi.org/10.2106/JBJS.L.00820 CrossRefPubMed

41.

McFarland EG, Huri G, Hyun YS, Petersen SA, Srikumaran U (2016) Reverse total shoulder arthroplasty without bone-grafting for severe glenoid bone loss in patients with osteoarthritis and intact rotator cuff. J Bone Joint Surg Am 98(21):1801–1807. https://doi.org/10.2106/JBJS.15.01181 CrossRefPubMed

42.

Wang T, Abrams GD, Behn AW, Lindsey D, Giori N, Cheung EV (2015) Posterior glenoid wear in total shoulder arthroplasty: eccentric anterior reaming is superior to posterior augment. Clin Orthop Relat Res 473(12):3928–3936. https://doi.org/10.1007/s11999-015-4482-8 CrossRefPubMedPubMedCentral

Title: Replacement options for the B2 glenoid in osteoarthritis of the shoulder: a biomechanical study
Authors: Boris Sowa
Martin Bochenek
Steffen Braun
Felix Zeifang
Jan Philippe Kretzer
Thomas Bruckner
Gilles Walch
Patric Raiss
Publication date: 01-07-2018
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 7/2018
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-018-2915-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Replacement options for the B2 glenoid in osteoarthritis of the shoulder: a biomechanical study

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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