Considerations for Shoulder Arthroplasty Implant Selection in Primary Glenohumeral Arthritis With Posterior Glenoid Deformity.

J Am Acad Orthop Surg · Oct 01 2022 · Review

Denard PJ, Romeo AA

From the Oregon Shoulder Institute, Medford, OR (Dr. Denard), IL (Dr. Romeo)

Shoulder & Elbow

SUMMARY — THE REDUCTIONThis review outlines an evidence-based approach to choosing anatomic versus reverse implants when managing posterior glenoid deformity (B2/B3) in primary glenohumeral arthritis.
Abstract, as published

Glenoid deformity has an important effect on outcomes and complication rates after shoulder arthroplasty for primary glenohumeral arthritis. The B2/B3 glenoid has particularly been associated with a poorer outcome with shoulder arthroplasty compared with other glenoid types. One of the primary challenges is striking a balance between deformity correction and joint line preservation. Recently, there has been a proliferation of both anatomic and reverse implants that may be used to address glenoid deformity. The purpose of this review was to provide an evidence-based approach for addressing glenoid deformity associated with primary glenohumeral arthritis.

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