Evidence map›Paper›PMID 40405637›Full record

ArticleClinics in shoulder and elbow2025

Five-year clinical outcomes of metal-backed, hybrid, and polyethylene glenoid components in total shoulder arthroplasty.

John McDonald, Andrew D Lachance, Justin MacDonald, Oliver Sogard, Nathan Mooney, Joseph Y Choi

Abstract read
In one paragraph

Article in Clinics in shoulder and elbow, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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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

2 citing papers in PubMed.

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4 · The record

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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.

John McDonaldGeisinger Commonwealth School of Medicine, Scranton, PA, USA.
Andrew D LachanceDepartment of Orthopedics, Guthrie Clinic, Sayre, PA, USA.
Justin MacDonaldDepartment of Orthopedics, Guthrie Clinic, Sayre, PA, USA.
Oliver SogardDepartment of Orthopedics, Guthrie Clinic, Sayre, PA, USA.
Nathan MooneyDepartment of Orthopedics, Guthrie Clinic, Sayre, PA, USA.
Joseph Y ChoiGeisinger Commonwealth School of Medicine, Scranton, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe glenoid components in total shoulder arthroplasty (TSA) are numerous and have both advantages and disadvantages. This study aimed to compare 5-year functional outcomes, patient-reported outcomes, and conversion rates between patients who underwent TSA using metal-backed glenoid (MBG), hybrid, and all-polyethylene glenoid components.

methodsThe patients who were eligible for this study were retrospectively identified using electronic health records. The subjects underwent TSA performed by a fellowship-trained attending physician from November 2017 to December 2018 at a single institution. The inclusion criteria from 5-year follow-up data were adult-age patients (≥18 years old) who underwent TSA using MBG, hybrid, or all-polyethylene glenoid components.

resultsA total of 77 patients was included: 44 patients with all-polyethylene glenoid components, 17 with hybrid glenoid components, and 16 with MBG components. The mean patient age was 66.9 years, with the all-polyethylene patients being significantly younger (P<0.001). The all-polyethylene glenoid patients experienced a significantly longer operative time at 120 minutes (P=0.005) compared to those with other components. At the 5-year follow-up, no significant difference was shown in American Shoulder and Elbow Surgeons (ASES) and visual analog scale scores. However, a trend was evident in which the all-polyethylene patients had lower ASES scores (all polyethylene 87.0 vs. hybrid 100.0 vs. 97.0 MBG, P=0.086). The hybrid components tended to require revision more often at 12% vs. 6.8% of polyethylene glenoid vs. 0% of MBGs (P=0.310). No dislocation was reported, and only two complications occurred, both in the all-polyethylene group (P=0.387).

conclusionsAt 5-year follow-up, patient-reported outcomes were similar when utilizing MBG, all-polyethylene, and hybrid glenoid components. Given the similar outcomes, MBGs and hybrid glenoid components could be considered favorable or preferred for potential surgical ease in a revision setting with conversion to reverse TSA. Level of evidence: III.

Indexed as

AnatomicComplicationsGlenoid componentRevisionTotal shoulder

Identifiers

PMID40405637
PMCPMC12151647

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