PMID- 30511283
OWN - NLM
STAT- MEDLINE
DCOM- 20200610
LR  - 20200610
IS  - 1432-5195 (Electronic)
IS  - 0341-2695 (Linking)
VI  - 43
IP  - 2
DP  - 2019 Feb
TI  - One and two-year clinical outcomes for a polyethylene glenoid with a fluted peg: 
      one thousand two hundred seventy individual patients from eleven centers.
PG  - 367-378
LID - 10.1007/s00264-018-4213-3 [doi]
AB  - PURPOSE: Clinical shoulder science lacks a benchmark against which the early 
      clinical value of new glenoid components can be compared; such a benchmark may be 
      derived from a multicenter study of patients receiving an established, 
      internationally used design of glenoid component. METHODS: We obtained data from 
      11 centers on 1270 patients having total shoulder arthroplasty using an 
      all-polyethylene component with a fluted central peg. We analyzed individual 
      patient outcomes at 1 and 2 years after surgery. We compared the improvement for 
      each patient to the minimal clinically important difference (MCID) and calculated 
      each patient's improvement as a percent of maximal possible improvement (MPI). 
      RESULTS: The preoperative scores improved from SST 3 +/- 2, ASES 37 +/- 15, Constant 
      score 36 +/- 16, and Penn score 30 +/- 19 to SST 10 +/- 2, ASES 90 +/- 12, Constant 
      76 +/- 13, and Penn 80 +/- 24 (p < 0.001 for each). A high percentage of patients 
      improved by more than the MCID (SST 96%, ASES 98%, Constant 94%, Penn 93%) and 
      obtained improvement of at least 30% of the MPI (SST 95%, ASES 98%, Constant 91%, 
      Penn 87%). The clinical outcomes realized with this glenoid design were not worse 
      for the 41% of shoulders with preoperative type B glenoids or for the 30% of 
      shoulders with more than 15 degrees of glenoid retroversion. CONCLUSIONS: 
      Individual patients from 11 international practices having total shoulder 
      arthroplasty using a basic glenoid component design obtained highly significant 
      clinical outcomes, providing a benchmark against which the early outcomes of new 
      designs can be compared to determine whether they provide increased clinical 
      value.
FAU - Matsen, Frederick A 3rd
AU  - Matsen FA 3rd
AUID- ORCID: 0000-0002-6465-4826
AD  - Department of Orthopaedics and Sports Medicine, University of Washington Medical 
      Center, 1959 NE Pacific Street, Box 356500, Seattle, WA, 98195-6500, USA. 
      matsen@uw.edu.
FAU - Iannotti, Joseph P
AU  - Iannotti JP
AD  - Department of Orthopaedic Surgery, Cleveland Clinic, Mail Code A41, G Building, 
      9500 Euclid Avenue, Cleveland, OH, 44195, USA.
FAU - Churchill, R Sean
AU  - Churchill RS
AD  - Orthopaedic Surgery, Aurora Health Center, 3003 W Good Hope Road, Milwaukee, WI, 
      53209, USA.
FAU - De Wilde, Lieven
AU  - De Wilde L
AD  - Shoulder & Elbow Surgery, Department of Orthopaedic Surgery and Traumatology, 
      Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.
FAU - Edwards, T Bradley
AU  - Edwards TB
AD  - Fondren Orthopaedic Group, L.L.P., 7401 S Main St, Houston, TX, 77030, USA.
FAU - Evans, Matthew C
AU  - Evans MC
AD  - Upper Limb Unit, Melbourne Orthopaedic Group, 33 The Avenue, Windsor, Melbourne, 
      VIC, 3181, Australia.
FAU - Fehringer, Edward V
AU  - Fehringer EV
AD  - Orthopaedic Shoulder and Elbow Surgery, Columbus Community Hospital Orthopaedics 
      and Sports Medicine, 4508 38th Street, Suite 133, Columbus, NE, 68601, USA.
FAU - Groh, Gordon I
AU  - Groh GI
AD  - Asheville Orthopaedic Associates, P.A, 111 Victoria Road, Asheville, NC, 28801, 
      USA.
FAU - Kelly, James D 2nd
AU  - Kelly JD 2nd
AD  - California Pacific Orthopaedics, 2351 Clay Street, Suite 510, San Francisco, CA, 
      94115, USA.
FAU - Kilian, Christopher M
AU  - Kilian CM
AD  - Orthopaedic Associates of Wisconsin, N15 W28300 Golf Road, Pewaukee, WI, 53072, 
      USA.
FAU - Merolla, Giovanni
AU  - Merolla G
AD  - Shoulder and Elbow Unit, "D. Cervesi" Hospital, Via L. v. Beethoven 46, 47841, 
      Cattolica, Italy.
FAU - Norris, Tom R
AU  - Norris TR
AD  - California Pacific Orthopaedics, 2351 Clay Street, Suite 510, San Francisco, CA, 
      94115, USA.
FAU - Porcellini, Giuseppe
AU  - Porcellini G
AD  - Orthopaedic and Trauma Unit, University of Modena and Reggio Emilia, Via 
      Universita, 4, 41121, Modena, MO, Italy.
FAU - Spencer, Edwin E Jr
AU  - Spencer EE Jr
AD  - Knoxville Orthopaedic Clinic, 260 Fort Sanders West Blvd, Knoxville, TN, 37922, 
      USA.
FAU - Vidil, Anne
AU  - Vidil A
AD  - Paris Shoulder Unit, Clinique Bizet, 21 rue Georges Bizet, 75116, Paris, France.
FAU - Wirth, Michael A
AU  - Wirth MA
AD  - Department of Orthopaedics, The University of Texas Health Science Center at San 
      Antonio, 7703 Floyd Curl Drive, MC 7774, San Antonio, TX, 78229-3900, USA.
FAU - Russ, Stacy M
AU  - Russ SM
AD  - Department of Orthopaedics & Sports Medicine, University of Washington, 4245 
      Roosevelt Way NE, Box 354740, Seattle, WA, 98105, USA.
FAU - Neradilek, Moni
AU  - Neradilek M
AD  - The Mountain-Whisper-Light Statistics, 1827 23rd Avenue East, Seattle, WA, 98112, 
      USA.
FAU - Somerson, Jeremy S
AU  - Somerson JS
AD  - The University of Texas Medical Branch, 301 University Blvd., Route 0165, 
      Galveston, TX, 77555-0165, USA.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
DEP - 20181203
PL  - Germany
TA  - Int Orthop
JT  - International orthopaedics
JID - 7705431
RN  - 0 (Biocompatible Materials)
RN  - 9002-88-4 (Polyethylene)
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Arthroplasty, Replacement, Shoulder/*methods
MH  - Biocompatible Materials
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Joint Diseases/surgery
MH  - *Joint Prosthesis
MH  - Male
MH  - Middle Aged
MH  - Osteoarthritis/diagnostic imaging/surgery
MH  - Polyethylene
MH  - Prosthesis Design
MH  - Retrospective Studies
MH  - Scapula/*surgery
MH  - Shoulder Joint/diagnostic imaging/*surgery
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - All-polyethylene
OT  - Clinical outcomes
OT  - Glenoid
OT  - Ingrowth
OT  - Minimal clinically important difference
OT  - Peg
OT  - Percentage of maximal possible improvement
EDAT- 2018/12/05 06:00
MHDA- 2020/06/11 06:00
CRDT- 2018/12/05 06:00
PHST- 2018/10/18 00:00 [received]
PHST- 2018/10/23 00:00 [accepted]
PHST- 2018/12/05 06:00 [pubmed]
PHST- 2020/06/11 06:00 [medline]
PHST- 2018/12/05 06:00 [entrez]
AID - 10.1007/s00264-018-4213-3 [pii]
AID - 10.1007/s00264-018-4213-3 [doi]
PST - ppublish
SO  - Int Orthop. 2019 Feb;43(2):367-378. doi: 10.1007/s00264-018-4213-3. Epub 2018 Dec 
      3.