Hospital for Special Surgery, 535 E 70th St., New York, NY, 10021, USA,
Curr Rev Musculoskelet Med. 2011 Dec;4(4):191-9. doi: 10.1007/s12178-011-9096-5.
Management of glenohumeral arthrosis with a total shoulder prosthesis is becoming increasingly common. However, failure of the glenoid component remains one of the most common causes for failure. Our understanding of this problem has evolved greatly since the first implants were placed in the 1970's. However glenoid failure remains a challenging problem to address and manage. This article reviews the current knowledge regarding the glenoid in total shoulder arthroplasty touching on anatomy, component design, implant fixation, causes of implant failure, management of glenoid failure and alternatives to glenoid replacement.
全肩关节置换术治疗盂肱关节骨关节炎越来越常见。然而,肩胛盂部件的失败仍然是最常见的失败原因之一。自 20 世纪 70 年代首次植入以来,我们对这个问题的理解已经有了很大的发展。然而,肩胛盂的失败仍然是一个具有挑战性的问题需要解决和管理。本文回顾了全肩关节置换术中肩胛盂的现有知识,涉及解剖、部件设计、植入物固定、植入物失败的原因、肩胛盂失败的处理以及肩胛盂置换的替代方法。