The authors studied 75 patients underwent TSA for primary osteoarthritis with minimum 5-year follow-up. Using preoperative CT scans each patient was classified as having no cysts in 8 patients (11%), small cyst formation in 27 (36%), medium cysts in 19 (25%), and large cysts in 21 patients. The glenoid components used in this study are shown below
They found a high prevalence of radiographic loosening (41%) after 5 years.
The overall revision rate was 7% (5 of 75). All revised patients were in the groups with medium or large cysts.
Comment: These authors do not provide us with strategies for managing the cystic glenoid. In our practice, we impaction graft large cysts and use a glenoid component with an ingrowth central peg (two such designs are shown below) to optimize initial fixation.
They found a high prevalence of radiographic loosening (41%) after 5 years.
The overall revision rate was 7% (5 of 75). All revised patients were in the groups with medium or large cysts.
Comment: These authors do not provide us with strategies for managing the cystic glenoid. In our practice, we impaction graft large cysts and use a glenoid component with an ingrowth central peg (two such designs are shown below) to optimize initial fixation.
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Consultation for those who live a distance away from Seattle.
Click here to see the new Shoulder Arthritis Book.
Click here to see the new Rotator Cuff Book
Information about shoulder exercises can be found at this link.
Use the "Search" box to the right to find other topics of interest to you.
You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
See from which cities our patients come.
See the countries from which our readers come on this post.
