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The e-mémoires of the Académie Nationale de Chirurgie

Glenoid Aseptic Loosening After Anatomical Shoulder Replacement: a Systematic Review of the Radiolucent Line Significance and of the Loosening Mechanisms

EMERY E | AUGEREAU B | GREGORY T | SUKJAMSRI C | HANSEN U | AMIS AA

Seance of wednesday 18 december 2013 (SEANCE DE CHIRURGIE ORTHOPEDIQUE COMMUNE AVEC LA SOFCOT)

Abstract

Glenoid component aseptic loosening is the main complication after anatomical total shoulder replacement. The mechanisms of the glenoid loosening have been studied through laboratory testing, Finite Element analysis, retrieved component series, and in vivo from the analysis of lucencies on post-operative X-Rays.The present article gives a systematic review of the significance of the lucencies around the glenoid component and of their link with effective loosening in order to provide a thorough understanding of the glenoid loosening mechanisms after Anatomical Total Shoulder Replacement.