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. 2016 Mar;9(1):59-66.
doi: 10.1007/s12178-016-9319-x.

Porous metals and alternate bearing surfaces in shoulder arthroplasty

Shannon R Carpenter  1 , Ivan Urits  1 , Anand M Murthi  2
Affiliations

Porous metals and alternate bearing surfaces in shoulder arthroplasty

Shannon R Carpenter et al. Curr Rev Musculoskelet Med. 2016 Mar.

Abstract

Total shoulder arthroplasty (TSA) provides an effective solution for the treatment of glenohumeral arthritis. However, long-term outcomes have been limited by glenoid component aseptic loosening and polyethylene (PE) wear. Previous attempts to improve glenoid fixation with metal-backed glenoids resulted in inferior results. Newer component designs that contain porous metal allow for biological ingrowth of the prosthesis, potentially improving longevity and overall outcomes. Porous metal can also improve humeral component fixation, obviating the need for cement and simplifying revision surgery. Advances such as highly cross-linked polyethylene (HXLPE), vitamin E-doped HXLPE, and alternate bearing surfaces like ceramics and pyrolytic carbon have proven to provide superior wear characteristics in other joint replacements and may prove beneficial in the shoulder as well.

Keywords: Glenoid component failure; Porous metal; Pyrolytic carbon; Stemless arthroplasty; Total shoulder arthroplasty; Trabecular metal.

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References

    1. Schrumpf M, Maak T, Hammoud S, Craig EV. The glenoid in total shoulder arthroplasty. Curr Rev Musculoskelet Med. 2011;4:191–9. doi: 10.1007/s12178-011-9096-5. - DOI - PMC - PubMed
    1. Huff LR, Scalise JJ. The glenoid in total shoulder arthroplasty: current concepts. Curr Orthop Pract. 2013;24:393–6. doi: 10.1097/BCO.0b013e3182982f74. - DOI
    1. Neer CS. Replacement arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am. 1974;56:1–13. - PubMed
    1. Norris TR, Iannotti JP. Functional outcome after shoulder arthroplasty for primary osteoarthritis: a multicenter study. J Shoulder Elb Surg. 2002;11:130–5. doi: 10.1067/mse.2002.121146. - DOI - PubMed
    1. Day JS, Lau E, Ong KL, Williams GR, Ramsey ML, Kurtz SM. Prevalence and projections of total shoulder and elbow arthroplasty in the United States to 2015. J Shoulder Elb Surg. 2010;19:1115–20. doi: 10.1016/j.jse.2010.02.009. - DOI - PubMed