Loading…
Backside polyethylene wear in reverse shoulder arthroplasty
Aseptic loosening from implant-associated osteolysis in reverse shoulder arthroplasty (RSA) may contribute to premature implant failure. Although articular side polyethylene (PE) damage has been well documented in the literature, no studies to date have investigated backside wear in RSA. The aims of...
Saved in:
| Published in: | Journal of shoulder and elbow surgery 2022-03, Vol.31 (3), p.545-552 |
|---|---|
| Main Authors: | , , , , , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c353t-a3b9b1466c16d914badaa4c879add6fb3d6e36cc2d0aa85ab12121d114f4cf323 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c353t-a3b9b1466c16d914badaa4c879add6fb3d6e36cc2d0aa85ab12121d114f4cf323 |
| container_end_page | 552 |
| container_issue | 3 |
| container_start_page | 545 |
| container_title | Journal of shoulder and elbow surgery |
| container_volume | 31 |
| creator | Nicholson, Allen D. Mathew, Joshua I. Koch, Chelsea N. Kontaxis, Andreas Wright, Timothy Taylor, Samuel A. Blaine, Theodore A. Dines, Joshua S. Dines, David M. Fu, Michael C. Warren, Russell F. Gulotta, Lawrence V. |
| description | Aseptic loosening from implant-associated osteolysis in reverse shoulder arthroplasty (RSA) may contribute to premature implant failure. Although articular side polyethylene (PE) damage has been well documented in the literature, no studies to date have investigated backside wear in RSA. The aims of this investigation were to (1) document and compare the damage between the backside and articular surface in explanted RSA components, (2) assess whether certain quadrants have a greater propensity for damage, and (3) report the most common mode(s) of backside PE damage.
Twenty-one RSA humeral liners retrieved during revision procedures between 2005 and 2014 were included for analysis. The mean time between implantation and extraction was 16 months (10 days–88 months). Diagnoses at the time of revision included dislocation (10), infection (4), mechanical failure (3), loosening (2), and unknown (2). Liners were examined under light microscopy (×10-30 magnification) and damage on the articular and backside of the liner surface was graded using the modified Hood score. The location and damage modality were compared between the articular side and backside of the implant.
Damage was noted on the articular surfaces of all 21 liners and on the backside surface of 20 liners. The total damage in all the quadrants was higher on the articular surface than on the backside of the component, with a mean difference in total quadrant damage scores of 11.74 ± 3.53 (P < .001). There was no difference in damage among the quadrants on the backside (P = .44) or the articular surface (P = .08). The articular side exhibited greater scratching, abrasion, and surface deformation than the backside (P < .001).
This short-term retrieval study demonstrated that backside PE damage occurs on the humeral component of RSA implants. There was greater damage to the articular side of the liner but wear to the backside was present in almost all liners. The clinical importance of backside wear in RSA and its overall contribution to PE particulate disease and osteolysis needs further investigation. |
| doi_str_mv | 10.1016/j.jse.2021.09.002 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2580696517</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1058274621007084</els_id><sourcerecordid>2580696517</sourcerecordid><originalsourceid>FETCH-LOGICAL-c353t-a3b9b1466c16d914badaa4c879add6fb3d6e36cc2d0aa85ab12121d114f4cf323</originalsourceid><addsrcrecordid>eNp9kD1PwzAQhi0EoqXwA1hQRpaEs524sTpBxZdUiQVmy7EvakLaBDspyr_HVQsjuuFueN5XuoeQawoJBSru6qT2mDBgNAGZALATMqUZZ7HIAE7DDVkes3kqJuTC-xoAZArsnEx4KqjkGZuSxYM2n76yGHVtM2K_HhvcYvSN2kXVNnK4Q-cx8ut2aCy6SLt-7dqu0b4fL8lZqRuPV8c9Ix9Pj-_Ll3j19vy6vF_Fhme8jzUvZEFTIQwVVtK00Fbr1ORzqa0VZcGtQC6MYRa0zjNdUBbGUpqWqSk54zNye-jtXPs1oO_VpvIGm0ZvsR28YlkOQoqMzgNKD6hxrfcOS9W5aqPdqCiovTNVq-BM7Z0pkCo4C5mbY_1QbND-JX4lBWBxADA8uavQKW8q3Bq0lUPTK9tW_9T_AAYvfSg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2580696517</pqid></control><display><type>article</type><title>Backside polyethylene wear in reverse shoulder arthroplasty</title><source>ScienceDirect Freedom Collection 2022-2024</source><creator>Nicholson, Allen D. ; Mathew, Joshua I. ; Koch, Chelsea N. ; Kontaxis, Andreas ; Wright, Timothy ; Taylor, Samuel A. ; Blaine, Theodore A. ; Dines, Joshua S. ; Dines, David M. ; Fu, Michael C. ; Warren, Russell F. ; Gulotta, Lawrence V.</creator><creatorcontrib>Nicholson, Allen D. ; Mathew, Joshua I. ; Koch, Chelsea N. ; Kontaxis, Andreas ; Wright, Timothy ; Taylor, Samuel A. ; Blaine, Theodore A. ; Dines, Joshua S. ; Dines, David M. ; Fu, Michael C. ; Warren, Russell F. ; Gulotta, Lawrence V.</creatorcontrib><description>Aseptic loosening from implant-associated osteolysis in reverse shoulder arthroplasty (RSA) may contribute to premature implant failure. Although articular side polyethylene (PE) damage has been well documented in the literature, no studies to date have investigated backside wear in RSA. The aims of this investigation were to (1) document and compare the damage between the backside and articular surface in explanted RSA components, (2) assess whether certain quadrants have a greater propensity for damage, and (3) report the most common mode(s) of backside PE damage.
Twenty-one RSA humeral liners retrieved during revision procedures between 2005 and 2014 were included for analysis. The mean time between implantation and extraction was 16 months (10 days–88 months). Diagnoses at the time of revision included dislocation (10), infection (4), mechanical failure (3), loosening (2), and unknown (2). Liners were examined under light microscopy (×10-30 magnification) and damage on the articular and backside of the liner surface was graded using the modified Hood score. The location and damage modality were compared between the articular side and backside of the implant.
Damage was noted on the articular surfaces of all 21 liners and on the backside surface of 20 liners. The total damage in all the quadrants was higher on the articular surface than on the backside of the component, with a mean difference in total quadrant damage scores of 11.74 ± 3.53 (P < .001). There was no difference in damage among the quadrants on the backside (P = .44) or the articular surface (P = .08). The articular side exhibited greater scratching, abrasion, and surface deformation than the backside (P < .001).
This short-term retrieval study demonstrated that backside PE damage occurs on the humeral component of RSA implants. There was greater damage to the articular side of the liner but wear to the backside was present in almost all liners. The clinical importance of backside wear in RSA and its overall contribution to PE particulate disease and osteolysis needs further investigation.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2021.09.002</identifier><identifier>PMID: 34619352</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Arthroplasty, Replacement, Shoulder - adverse effects ; backside polyethylene wear ; Humans ; implant retrieval ; Osteolysis ; Polyethylene ; polyethylene wear ; Prosthesis Design ; Prosthesis Failure ; Reverse shoulder arthroplasty</subject><ispartof>Journal of shoulder and elbow surgery, 2022-03, Vol.31 (3), p.545-552</ispartof><rights>2021</rights><rights>Copyright © 2021. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-a3b9b1466c16d914badaa4c879add6fb3d6e36cc2d0aa85ab12121d114f4cf323</citedby><cites>FETCH-LOGICAL-c353t-a3b9b1466c16d914badaa4c879add6fb3d6e36cc2d0aa85ab12121d114f4cf323</cites><orcidid>0000-0001-5743-2670 ; 0000-0002-4094-4781 ; 0000-0001-6420-5142 ; 0000-0003-2178-9277 ; 0000-0003-0605-5312 ; 0000-0002-0383-0558</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34619352$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nicholson, Allen D.</creatorcontrib><creatorcontrib>Mathew, Joshua I.</creatorcontrib><creatorcontrib>Koch, Chelsea N.</creatorcontrib><creatorcontrib>Kontaxis, Andreas</creatorcontrib><creatorcontrib>Wright, Timothy</creatorcontrib><creatorcontrib>Taylor, Samuel A.</creatorcontrib><creatorcontrib>Blaine, Theodore A.</creatorcontrib><creatorcontrib>Dines, Joshua S.</creatorcontrib><creatorcontrib>Dines, David M.</creatorcontrib><creatorcontrib>Fu, Michael C.</creatorcontrib><creatorcontrib>Warren, Russell F.</creatorcontrib><creatorcontrib>Gulotta, Lawrence V.</creatorcontrib><title>Backside polyethylene wear in reverse shoulder arthroplasty</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>Aseptic loosening from implant-associated osteolysis in reverse shoulder arthroplasty (RSA) may contribute to premature implant failure. Although articular side polyethylene (PE) damage has been well documented in the literature, no studies to date have investigated backside wear in RSA. The aims of this investigation were to (1) document and compare the damage between the backside and articular surface in explanted RSA components, (2) assess whether certain quadrants have a greater propensity for damage, and (3) report the most common mode(s) of backside PE damage.
Twenty-one RSA humeral liners retrieved during revision procedures between 2005 and 2014 were included for analysis. The mean time between implantation and extraction was 16 months (10 days–88 months). Diagnoses at the time of revision included dislocation (10), infection (4), mechanical failure (3), loosening (2), and unknown (2). Liners were examined under light microscopy (×10-30 magnification) and damage on the articular and backside of the liner surface was graded using the modified Hood score. The location and damage modality were compared between the articular side and backside of the implant.
Damage was noted on the articular surfaces of all 21 liners and on the backside surface of 20 liners. The total damage in all the quadrants was higher on the articular surface than on the backside of the component, with a mean difference in total quadrant damage scores of 11.74 ± 3.53 (P < .001). There was no difference in damage among the quadrants on the backside (P = .44) or the articular surface (P = .08). The articular side exhibited greater scratching, abrasion, and surface deformation than the backside (P < .001).
This short-term retrieval study demonstrated that backside PE damage occurs on the humeral component of RSA implants. There was greater damage to the articular side of the liner but wear to the backside was present in almost all liners. The clinical importance of backside wear in RSA and its overall contribution to PE particulate disease and osteolysis needs further investigation.</description><subject>Arthroplasty, Replacement, Shoulder - adverse effects</subject><subject>backside polyethylene wear</subject><subject>Humans</subject><subject>implant retrieval</subject><subject>Osteolysis</subject><subject>Polyethylene</subject><subject>polyethylene wear</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Reverse shoulder arthroplasty</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kD1PwzAQhi0EoqXwA1hQRpaEs524sTpBxZdUiQVmy7EvakLaBDspyr_HVQsjuuFueN5XuoeQawoJBSru6qT2mDBgNAGZALATMqUZZ7HIAE7DDVkes3kqJuTC-xoAZArsnEx4KqjkGZuSxYM2n76yGHVtM2K_HhvcYvSN2kXVNnK4Q-cx8ut2aCy6SLt-7dqu0b4fL8lZqRuPV8c9Ix9Pj-_Ll3j19vy6vF_Fhme8jzUvZEFTIQwVVtK00Fbr1ORzqa0VZcGtQC6MYRa0zjNdUBbGUpqWqSk54zNye-jtXPs1oO_VpvIGm0ZvsR28YlkOQoqMzgNKD6hxrfcOS9W5aqPdqCiovTNVq-BM7Z0pkCo4C5mbY_1QbND-JX4lBWBxADA8uavQKW8q3Bq0lUPTK9tW_9T_AAYvfSg</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Nicholson, Allen D.</creator><creator>Mathew, Joshua I.</creator><creator>Koch, Chelsea N.</creator><creator>Kontaxis, Andreas</creator><creator>Wright, Timothy</creator><creator>Taylor, Samuel A.</creator><creator>Blaine, Theodore A.</creator><creator>Dines, Joshua S.</creator><creator>Dines, David M.</creator><creator>Fu, Michael C.</creator><creator>Warren, Russell F.</creator><creator>Gulotta, Lawrence V.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5743-2670</orcidid><orcidid>https://orcid.org/0000-0002-4094-4781</orcidid><orcidid>https://orcid.org/0000-0001-6420-5142</orcidid><orcidid>https://orcid.org/0000-0003-2178-9277</orcidid><orcidid>https://orcid.org/0000-0003-0605-5312</orcidid><orcidid>https://orcid.org/0000-0002-0383-0558</orcidid></search><sort><creationdate>202203</creationdate><title>Backside polyethylene wear in reverse shoulder arthroplasty</title><author>Nicholson, Allen D. ; Mathew, Joshua I. ; Koch, Chelsea N. ; Kontaxis, Andreas ; Wright, Timothy ; Taylor, Samuel A. ; Blaine, Theodore A. ; Dines, Joshua S. ; Dines, David M. ; Fu, Michael C. ; Warren, Russell F. ; Gulotta, Lawrence V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-a3b9b1466c16d914badaa4c879add6fb3d6e36cc2d0aa85ab12121d114f4cf323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Arthroplasty, Replacement, Shoulder - adverse effects</topic><topic>backside polyethylene wear</topic><topic>Humans</topic><topic>implant retrieval</topic><topic>Osteolysis</topic><topic>Polyethylene</topic><topic>polyethylene wear</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Reverse shoulder arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nicholson, Allen D.</creatorcontrib><creatorcontrib>Mathew, Joshua I.</creatorcontrib><creatorcontrib>Koch, Chelsea N.</creatorcontrib><creatorcontrib>Kontaxis, Andreas</creatorcontrib><creatorcontrib>Wright, Timothy</creatorcontrib><creatorcontrib>Taylor, Samuel A.</creatorcontrib><creatorcontrib>Blaine, Theodore A.</creatorcontrib><creatorcontrib>Dines, Joshua S.</creatorcontrib><creatorcontrib>Dines, David M.</creatorcontrib><creatorcontrib>Fu, Michael C.</creatorcontrib><creatorcontrib>Warren, Russell F.</creatorcontrib><creatorcontrib>Gulotta, Lawrence V.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nicholson, Allen D.</au><au>Mathew, Joshua I.</au><au>Koch, Chelsea N.</au><au>Kontaxis, Andreas</au><au>Wright, Timothy</au><au>Taylor, Samuel A.</au><au>Blaine, Theodore A.</au><au>Dines, Joshua S.</au><au>Dines, David M.</au><au>Fu, Michael C.</au><au>Warren, Russell F.</au><au>Gulotta, Lawrence V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Backside polyethylene wear in reverse shoulder arthroplasty</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2022-03</date><risdate>2022</risdate><volume>31</volume><issue>3</issue><spage>545</spage><epage>552</epage><pages>545-552</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Aseptic loosening from implant-associated osteolysis in reverse shoulder arthroplasty (RSA) may contribute to premature implant failure. Although articular side polyethylene (PE) damage has been well documented in the literature, no studies to date have investigated backside wear in RSA. The aims of this investigation were to (1) document and compare the damage between the backside and articular surface in explanted RSA components, (2) assess whether certain quadrants have a greater propensity for damage, and (3) report the most common mode(s) of backside PE damage.
Twenty-one RSA humeral liners retrieved during revision procedures between 2005 and 2014 were included for analysis. The mean time between implantation and extraction was 16 months (10 days–88 months). Diagnoses at the time of revision included dislocation (10), infection (4), mechanical failure (3), loosening (2), and unknown (2). Liners were examined under light microscopy (×10-30 magnification) and damage on the articular and backside of the liner surface was graded using the modified Hood score. The location and damage modality were compared between the articular side and backside of the implant.
Damage was noted on the articular surfaces of all 21 liners and on the backside surface of 20 liners. The total damage in all the quadrants was higher on the articular surface than on the backside of the component, with a mean difference in total quadrant damage scores of 11.74 ± 3.53 (P < .001). There was no difference in damage among the quadrants on the backside (P = .44) or the articular surface (P = .08). The articular side exhibited greater scratching, abrasion, and surface deformation than the backside (P < .001).
This short-term retrieval study demonstrated that backside PE damage occurs on the humeral component of RSA implants. There was greater damage to the articular side of the liner but wear to the backside was present in almost all liners. The clinical importance of backside wear in RSA and its overall contribution to PE particulate disease and osteolysis needs further investigation.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>34619352</pmid><doi>10.1016/j.jse.2021.09.002</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-5743-2670</orcidid><orcidid>https://orcid.org/0000-0002-4094-4781</orcidid><orcidid>https://orcid.org/0000-0001-6420-5142</orcidid><orcidid>https://orcid.org/0000-0003-2178-9277</orcidid><orcidid>https://orcid.org/0000-0003-0605-5312</orcidid><orcidid>https://orcid.org/0000-0002-0383-0558</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1058-2746 |
| ispartof | Journal of shoulder and elbow surgery, 2022-03, Vol.31 (3), p.545-552 |
| issn | 1058-2746 1532-6500 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2580696517 |
| source | ScienceDirect Freedom Collection 2022-2024 |
| subjects | Arthroplasty, Replacement, Shoulder - adverse effects backside polyethylene wear Humans implant retrieval Osteolysis Polyethylene polyethylene wear Prosthesis Design Prosthesis Failure Reverse shoulder arthroplasty |
| title | Backside polyethylene wear in reverse shoulder arthroplasty |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-22T14%3A41%3A09IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Backside%20polyethylene%20wear%20in%20reverse%20shoulder%20arthroplasty&rft.jtitle=Journal%20of%20shoulder%20and%20elbow%20surgery&rft.au=Nicholson,%20Allen%20D.&rft.date=2022-03&rft.volume=31&rft.issue=3&rft.spage=545&rft.epage=552&rft.pages=545-552&rft.issn=1058-2746&rft.eissn=1532-6500&rft_id=info:doi/10.1016/j.jse.2021.09.002&rft_dat=%3Cproquest_cross%3E2580696517%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c353t-a3b9b1466c16d914badaa4c879add6fb3d6e36cc2d0aa85ab12121d114f4cf323%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2580696517&rft_id=info:pmid/34619352&rfr_iscdi=true |