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Optimal glenoid fixation requires cement!
Affiliation:1. Orthopedic Surgery and Traumatology Department, Rouen Teaching Medical Center, 76031 Rouen cedex, France;2. CETAPS-EA 3832, Faculty of Sport Sciences, University of Rouen, 76821 Mont Saint Aignan, France;3. Orthopedic Surgery and Traumatology Department, University Hospital Center of Caen, U1075 Comete UCBN/INSERM, Medicine Faculty, Caen, France;4. Anatomical Research Laboratory, Medicine Faculty, 22 Boulevard Gambetta, 76183 Rouen cedex 1, France
Abstract:The choice of cemented versus uncemented glenoid component fixation has generated controversy, but the evidence favors cement. Studies have shown survivorship of cemented all-polyethylene glenoid components of 95% at 10 years and still over 90% at 15 years. Virtually all glenoid with stiff metal backing, especially those that snap-fit to assemble, have had poor results even at early follow-up. Recent designs with either all-polyethylene cementless fixation or using a less-stiff, integrated tantalum backing have promising early results.
Keywords:Total shoulder arthroplasty  Glenoid components  Cement  Keeled glenoid  Pegged glenoid  Metal backed glenoids
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