Technique of Glenoid Component Implantation in Total Shoulder Arthroplasty
作者:
Dominique Gazielly,
Rami El‐Abiad,
期刊:
Techniques in Shoulder and Elbow Surgery
(OVID Available online 2003)
卷期:
Volume 4,
issue 2
页码: 69-76
ISSN:1523-9896
年代: 2003
出版商: OVID
数据来源: OVID
摘要:
&NA;The results of cemented glenoid prosthesis are closely related to the surgical technique, the bone stock, and the cuff integrity. Immediate postoperative glenoid lucent lines remain a concern. We describe a surgical technique aiming to diminish the incidence of those lucent lines on the immediate postoperative X‐rays. The technique is detailed, and the results of the first 39 glenoid components implanted using this technique are presented. The instrumentation and the technique used are appropriate for the implantation of any type of keeled glenoid component. The gold standard points of the technique are: absence of glenoid articular surface reaming, slot carried out using osteotome and curette, obtainment of a primary glenoid component stability even before cementing, and the use of a three‐point position polyethylene impactor affording better glenoid component stability while cementing. The immediate postoperative radiographic control showed the presence of lucent line only once of the 39 glenoid componentss (2.56%). The technique we used is easy to reproduce and seems to reduce the incidence of immediate postoperative glenoid lucent lines.
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