Glenoid Component Failure in Total Shoulder Arthroplasty by Frederick A. Matsen, Jeremiah Clinton, Joseph Lynch, Alexander Bertelsen, and Michael L. Richardson.

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Presentation transcript:

Glenoid Component Failure in Total Shoulder Arthroplasty by Frederick A. Matsen, Jeremiah Clinton, Joseph Lynch, Alexander Bertelsen, and Michael L. Richardson J Bone Joint Surg Am Volume 90(4): April 1, 2008 ©2008 by The Journal of Bone and Joint Surgery, Inc.

Pitting and erosive wear of the posterosuperior aspect of a retrieved glenoid component that had been inserted in combination with a humeral head with a 6-mm-smaller diameter of curvature, as recommended by the manufacturer. Frederick A. Matsen III et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Thinning of polyethylene at the superior aspect of the component as evidenced by narrowing of the distance between the humeral head and the upper metal marker in the glenoid component in comparison with the distance between the humeral head and the lower me... Frederick A. Matsen III et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Complete wearing through of the upper polyethylene of a metal-backed component manifested by the absence of any radiographic clear space between the humeral prosthesis and the metal backing. Frederick A. Matsen III et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Radiograph of a failed glenoid prosthesis, showing posterior subluxation of the humerus, eccentric glenoid loading, and posterior wear of the component rim. Frederick A. Matsen III et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Lifting up of the posterior aspect of a glenoid component (large arrow) associated with loading of the anterior aspect of the component. Frederick A. Matsen III et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

A loose glenoid component with bone loss beneath a thin layer of cement underlying the glenoid component (arrows). Frederick A. Matsen III et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Trabeculae exposed at the reamed surface of the glenoid bone may be damaged by the heat of reaming or by a lack of circulation to the surface. Frederick A. Matsen III et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

The osteolytic bone resorption shown in this radiograph is much greater than the bone resorption seen with mechanical loosening alone. Frederick A. Matsen III et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Rocking-horse loosening. Frederick A. Matsen III et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Poor register of the humeral and glenoid components. Frederick A. Matsen III et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.