International orthopaedics · 2026
Long-term glenoid loosening, radiological and clinical outcomes in cemented all-polyethylene anatomic total shoulder arthroplasty: a systematic review and meta-analysis.
СтатьяСистематический обзорМетаанализНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ranieri Riccardo, Illuminati Matteo, Delle Rose Giacomo, Borroni Mario, Conti Marco, Fontanarosa Alberto, Castagna Alessandro, Garofalo Raffaele
Аннотация
BACKGROUND: Anatomic total shoulder arthroplasty (aTSA) is commonly recommended for osteoarthritis, but its long-term durability remains a concern, particularly in younger, active patients. This systematic review evaluates the clinical and radiological outcomes of all-polyethylene (all-PE) glenoid components at a minimum ten year follow-up.
METHODS: Conducted according to PRISMA guidelines, 15 studies involving 1163 procedures were identified. Inclusion required a mean follow-up exceeding nine years and the availability of radiographic analysis. Outcomes included rates of glenoid loosening, rotator cuff deficiency, clinical satisfaction, and implant survival.
RESULTS: At a mean 11.8 year follow-up, radiographic glenoid loosening occurred in 41.0%; (95% CI: 30.0%-52.0%) of cases. Signs of cuff deficiency were observed in 210/599 cases (44.0%; 95% CI: 33.0%-55.0%). The overall revision rate was 17.0% (95%CI: 12.0%-23.0%), while the rate of objectively unsatisfactory clinical results was 31.0% (95%CI: 23.0%-40.0%). Survival rates were 93.0% (95%CI: 91.3-94.7%) at 10 years, 85.1% (95%CI: 81.5-88.7%) at 15 years and 82.5% (95%CI: 77.3-87.8%) at 20 years. Pooled proportions with 95% confidence intervals were estimated using random-effects meta-analysis.
CONCLUSION: Long-term aTSA is associated with high rates of radiographic failure and soft-tissue insufficiency. A notable discrepancy exists between radiographic failure (41.0%) and lower revision rates (17.0%), suggesting that revision rates might under estimate actual failure. Thorough counseling regarding these cumulative failure risks is recommended for younger patients.
METHODS: Conducted according to PRISMA guidelines, 15 studies involving 1163 procedures were identified. Inclusion required a mean follow-up exceeding nine years and the availability of radiographic analysis. Outcomes included rates of glenoid loosening, rotator cuff deficiency, clinical satisfaction, and implant survival.
RESULTS: At a mean 11.8 year follow-up, radiographic glenoid loosening occurred in 41.0%; (95% CI: 30.0%-52.0%) of cases. Signs of cuff deficiency were observed in 210/599 cases (44.0%; 95% CI: 33.0%-55.0%). The overall revision rate was 17.0% (95%CI: 12.0%-23.0%), while the rate of objectively unsatisfactory clinical results was 31.0% (95%CI: 23.0%-40.0%). Survival rates were 93.0% (95%CI: 91.3-94.7%) at 10 years, 85.1% (95%CI: 81.5-88.7%) at 15 years and 82.5% (95%CI: 77.3-87.8%) at 20 years. Pooled proportions with 95% confidence intervals were estimated using random-effects meta-analysis.
CONCLUSION: Long-term aTSA is associated with high rates of radiographic failure and soft-tissue insufficiency. A notable discrepancy exists between radiographic failure (41.0%) and lower revision rates (17.0%), suggesting that revision rates might under estimate actual failure. Thorough counseling regarding these cumulative failure risks is recommended for younger patients.