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Glenoid revision surgery after total shoulder arthroplasty
S A Antuna1, J W Sperling, R H Cofield
1Mayo Graduate School of Medicine, Mayo Clinic, Rochester, Minn 55905, USA.
Journal of Shoulder and Elbow Surgery
|June 16, 2001
Summary
Revision glenoid surgery with reimplantation of a glenoid component offers higher patient satisfaction and pain relief compared to component removal. Consider reimplantation for persistent pain after bone grafting.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Glenoid component revision surgery addresses complications like loosening, failure, malposition, and wear.
- Instability is a common associated complication requiring surgical intervention.
Purpose of the Study:
- To evaluate outcomes of glenoid component revision surgery.
- To compare patient satisfaction between glenoid component reimplantation and removal with bone grafting.
Main Methods:
- Retrospective review of 48 shoulders undergoing glenoid component revision.
- Analysis of indications, surgical procedures (reimplantation vs. removal/grafting), and patient-reported outcomes.
Main Results:
- Significant improvements in pain, active elevation, and external rotation were observed post-revision.
- Patients undergoing reimplantation reported significantly higher satisfaction than those with component removal.
- Pain relief was achieved in 86% with reimplantation versus 66% with removal.
Conclusions:
- Glenoid component reimplantation in revision surgery leads to superior patient satisfaction compared to component removal.
- Persistent pain after bone grafting without component placement may warrant consideration for subsequent reimplantation.