Evidence map›Paper›PMID 37407984›Full record

ArticleBMC surgery2023

Can convertible metal-backed glenoid components replace cemented polyethylene glenoid components in anatomical total shoulder arthroplasty?

Myung-Sun Kim, Yeong-Seub Ahn, Sun-Ho Lee, Hyeon Jang Jeong, Young Kyu Kim, Joo Han Oh

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Myung-Sun KimDepartment of Orthopaedic Surgery, Chonnam National University College of Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Yeong-Seub AhnDepartment of Orthopaedic Surgery, Chonnam National University College of Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Sun-Ho LeeDepartment of Orthopaedic Surgery, Chonnam National University College of Medicine, Chonnam National University Hospital, Gwangju, Republic of Korea.
Hyeon Jang JeongDepartment of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Young Kyu KimDepartment of Orthopaedic Surgery, Daejin Medical Center Bundang Jesaeng General Hospital, Seongnam, Republic of Korea.
Joo Han OhDepartment of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. ohjh1@snu.ac.kr.
Chonnam National University Hospital · KRSeoul National University Bundang Hospital · KRBundang Jesaeng Hospital · KRPyeongtaek University · KR

Funding

Chonnam National University Hospital Biomedical Research Institute BCRI20019
6 · The paper itself

Abstract

backgroundAnatomical total shoulder arthroplasty (aTSA) has been used to manage degenerative diseases such as primary osteoarthritis. An increase in the use of this procedure has led to several developments in humeral and glenoid components to improve patient outcomes. This study aimed to compare clinical and radiological outcomes of the newly-introduced convertible metal-backed glenoid components with cemented polyethylene glenoid components in aTSA, and to determine whether the new component would be comparable to a conventional one for reducing the burden of future revision or conversion surgeries.

methodsMedical records of fifty patients who underwent aTSA with at least two years of follow-up were retrospectively reviewed. Eighteen patients received convertible metal-backed glenoid components with vitamin E1-coated liner (MB group), while thirty-two patients received conventional cemented polyethylene glenoid components (PE group). Pre- and postoperative clinical and radiological outcomes (acromion-greater tuberosity angle [AGA] and humeral lateral offset [LO]) at final follow-up were assessed. Radiolucent lines (RLLs) and loosening around the humeral and glenoid components were also evaluated.

resultsClinical outcomes improved after surgery in both groups (all p < 0.001). The arc of rotation measured by AGA improved postoperatively in both groups (all p < 0.001), and AGA and LO were not different according to the type of glenoid components (all p > 0.05). Overall complication rates including RLLs of PE and MB groups were 43.8% (14/32) and 16.7% (3/18), respectively (p = 0.031). Although the PE group had more RLLs than did the MB group (p < 0.05), related symptoms and/or glenoid implant loosening were not observed in both groups. Subscapularis failure occurred in two patients in the PE group and in one in the MB group.

conclusionThe convertible metal-backed glenoid implant with vitamin E1-coated liner may be a good alternative for considering the potential for an easier conversion to reverse total shoulder arthroplasty.

Indexed as

Arthroplasty, Replacement, ShoulderJoint ProsthesisOsteoarthritisShoulder JointFollow-Up StudiesHumansPolyethyleneProsthesis DesignRetrospective StudiesTreatment OutcomePolyethyleneAnatomical total shoulder arthroplastyCemented polyethylene componentConvertible metal-backed componentRevision arthroplasty

Identifiers

PMID37407984
PMCPMC10324271
OpenAlexW4383218643

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.