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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 6, 856-860.
doi: 10.1302/0301-620X.86B6.14882  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Stability of cemented all-polyethylene keeled glenoid components

A RADIOSTEREOMETRIC STUDY WITH A TWO-YEAR FOLLOW-UP

H. Rahme, MD, PhD, Associate Professor; P. Mattsson, MD; and S. Larsson, MD, PhD, Professor

Department of Orthopaedics, Uppsala University Hospital, S-751 85 Uppsala, Sweden.

Correspondence should be sent to Professor H. Rahme.

We studied the stability of cemented all-polyethylene keeled glenoid components by radiostereometric analysis (RSA) in 16 shoulders which had received a total shoulder replacement. There were 14 women (one bilateral) and one man with a mean age of 64 years. The diagnosis was osteoarthritis in eight and rheumatoid arthritis in seven. Two of the shoulders were excluded from the RSA study because of loosening of the tantalum markers.

Three tantalum markers were inserted in the glenoid socket, two in the coracoid process and two in the acromion. The polyethylene keeled glenoid component was marked with three to five tantalum markers. Conventional radiological and RSA examinations were carried out at five to seven days, at four months and at one and two years after operation. Radiolucent lines were found in all except three shoulders. Migration was most pronounced in the distal direction and exceeded 1 mm in four shoulders. In ten shoulders rotation exceeded 2° in one or more axes with retroversion/anteversion being most common. No correlation was found between migration and the presence of radiolucencies on conventional radiographs.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General