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Measuring 3D In-vivo Shoulder Kinematics using Biplanar Videoradiography
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Parameters influencing glenoid loosening.

Anne Karelse1, Alexander Van Tongel1, Tom Van Isacker2

  • 1a Department of Orthopaedics , Universitair Ziekenhuis Gent , Gent , Belgium.

Expert Review of Medical Devices
|July 14, 2016
PubMed
Summary

Glenoid loosening is the most common cause of total shoulder arthroplasty failure. Standardizing definitions and identifying risk factors are crucial for improving future study quality and preventing prosthetic failure.

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Prosthetic joint research

Background:

  • Existing studies on total shoulder arthroplasty (TSA) lack organization, hindering evidence on glenoid loosening.
  • Glenoid loosening is the primary cause of prosthetic failure in TSA.
  • A need exists for standardized definitions and identified risk factors for glenoid loosening.

Purpose of the Study:

  • To organize current knowledge on glenoid failure in anatomic total shoulder arthroplasty.
  • To identify gaps in the literature regarding glenoid loosening.
  • To contribute to strategies for preventing glenoid failure.

Main Methods:

  • Literature review to define glenoid loosening.
  • Categorization of influencing parameters into implant, patient, and surgeon-related factors.
Keywords:
Glenoid componentglenoid component failureglenoid erosionglenoid looseningglenoid planeinclinationradiolucent lines glenoidretroversionsurgical experiencetotal shoulder arthroplasty

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  • Synthesis of existing data on glenoid failure.

    • Main Results:

    • Loosening is defined by radiolucent lines, radiological or clinical loosening, and revision.
    • Influencing parameters are categorized into implant, patient, and surgeon-related factors.
    • Current literature presents a lack of standardized definitions and comprehensive risk factor analysis.

    Conclusions:

    • Standardized definitions for glenoid loosening are essential for future research.
    • Identifying and addressing implant, patient, and surgeon-related risk factors can mitigate glenoid failure.
    • This review provides a framework for improving the quality of research on TSA outcomes.