Anatomic total shoulder arthroplasty with inlay glenoid component: A systematic review.

IF 1 Q3 URBAN STUDIES

International Journal of Knowledge-Based Development Pub Date : 2024-04-01 Epub Date: 2023-02-06 DOI:10.1177/17585732231154850

Alexander N Berk, William M Cregar, Allison J Rao, David P Trofa, Shadley C Schiffern, Nady Hamid, Bryan M Saltzman

{"title":"Anatomic total shoulder arthroplasty with inlay glenoid component: A systematic review.","authors":"Alexander N Berk, William M Cregar, Allison J Rao, David P Trofa, Shadley C Schiffern, Nady Hamid, Bryan M Saltzman","doi":"10.1177/17585732231154850","DOIUrl":null,"url":null,"abstract":"Background: A total shoulder arthroplasty (TSA) system utilizing an inlay glenoid component has been proposed as a means of reducing glenoid component loosening while still providing patients with desirable functional and clinical outcomes. The purpose of this study was to systematically review current outcomes literature on TSA using an inlay glenoid component.Methods: A literature search was conducted using PubMed/MEDLINE, Cochrane Database of Systematic Reviews, and Web of Science databases. Studies comparing pre- and postoperative functional and clinical outcomes were included.Results: Five studies with 148 shoulders (133 patients) were included. Patient-reported outcomes improved, including the American Shoulder and Elbow Surgeons score (mean change 34.1 to 80.6), Penn Shoulder Score (mean change 43.3 to 85.5), Single Assessment Numeric Evaluation score (mean change 34.1 to 80.6), and visual analog scale-pain (mean change 6.9 to 1.6). Range of motion improved for forward elevation (mean change 109.6 to 156.2) and external rotation (mean change 21.5 to 50.8). Glenoid component loosening occurred in one shoulder (0.68%). Two revision surgeries (1.35%) were performed.Discussion: The use of an inlay glenoid component is associated with improvements in postoperative pain, function, and satisfaction while minimizing rates of glenoid component loosening and the need for revision surgery over short-term follow-up.Level of evidence: systematic review, level IV.","PeriodicalId":44642,"journal":{"name":"International Journal of Knowledge-Based Development","volume":"2 1","pages":"119-128"},"PeriodicalIF":1.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11034471/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Knowledge-Based Development","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17585732231154850","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/2/6 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"URBAN STUDIES","Score":null,"Total":0}

引用次数: 0

Abstract

Background: A total shoulder arthroplasty (TSA) system utilizing an inlay glenoid component has been proposed as a means of reducing glenoid component loosening while still providing patients with desirable functional and clinical outcomes. The purpose of this study was to systematically review current outcomes literature on TSA using an inlay glenoid component.

Methods: A literature search was conducted using PubMed/MEDLINE, Cochrane Database of Systematic Reviews, and Web of Science databases. Studies comparing pre- and postoperative functional and clinical outcomes were included.

Results: Five studies with 148 shoulders (133 patients) were included. Patient-reported outcomes improved, including the American Shoulder and Elbow Surgeons score (mean change 34.1 to 80.6), Penn Shoulder Score (mean change 43.3 to 85.5), Single Assessment Numeric Evaluation score (mean change 34.1 to 80.6), and visual analog scale-pain (mean change 6.9 to 1.6). Range of motion improved for forward elevation (mean change 109.6 to 156.2) and external rotation (mean change 21.5 to 50.8). Glenoid component loosening occurred in one shoulder (0.68%). Two revision surgeries (1.35%) were performed.

Discussion: The use of an inlay glenoid component is associated with improvements in postoperative pain, function, and satisfaction while minimizing rates of glenoid component loosening and the need for revision surgery over short-term follow-up.

Level of evidence: systematic review, level IV.

查看原文本刊更多论文

镶嵌盂组件的解剖型全肩关节置换术：系统综述。

背景：有人提出使用镶嵌盂组件的全肩关节置换术（TSA）系统可减少盂组件松动，同时还能为患者提供理想的功能和临床效果。本研究的目的是系统回顾目前关于使用镶嵌式盂组件的 TSA 的结果文献：方法：使用 PubMed/MEDLINE、Cochrane 系统综述数据库和 Web of Science 数据库进行文献检索。结果：五项研究共涉及 148 个肩关节（133 个）：结果：共纳入了五项研究，涉及 148 个肩关节（133 名患者）。患者报告的结果均有所改善，包括美国肩肘外科医生评分（平均值从34.1分变为80.6分）、宾州大学肩关节评分（平均值从43.3分变为85.5分）、单次数字评估评分（平均值从34.1分变为80.6分）和疼痛视觉模拟量表（平均值从6.9分变为1.6分）。前倾（平均变化从109.6到156.2）和外旋（平均变化从21.5到50.8）的活动范围有所改善。一例肩关节盂组件松动（0.68%）。进行了两次翻修手术（1.35%）：讨论：使用镶嵌式盂成形组件可改善术后疼痛、功能和满意度，同时在短期随访中将盂成形组件松动率和翻修手术需求降至最低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Knowledge-Based Development URBAN STUDIES-

CiteScore

1.10

自引率

33.30%

发文量