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Modern trabecular metal-backed glenoid components in total shoulder arthroplasty: What is the evidence? A systematic review.

Michael-Alexander MalahiasDimitrios Chytas M D M Sc Ph DLazaros KostretzisAngelos TrellopoulosEmmanouil BrilakisEmmanouil Antonogiannakis
Published in: Shoulder & elbow (2020)
There was low quality evidence to show that the use of modern trabecular metal-backed glenoid components in total shoulder arthroplasty may be safe and effective at short-term follow-up. However, this analysis showed alarmingly high rates of both radiolucency of the glenoid component and metal debris formation which raise concern for potential failure of this glenoid component in the long term. Therefore, we feel that modern trabecular metal-backed glenoid components should be still used with caution as part of a structured surveillance or research program until we know if there is a detriment to the prosthesis in the medium to long term.Level: Systematic review, IV.
Keyphrases
  • systematic review
  • bone mineral density
  • quality improvement
  • public health
  • meta analyses
  • postmenopausal women