Recently, hybrid glenoid components have been developed, consisting of cementless highly porous metal central peg, monoblock keel or cage along with cemented backside polyethylene surface. The aims of this study were twofold: (1) to determine the revision and complication rates of hybrid glenoid components, consisting of porous metal pegs or coatings attached to the polyethylene, for aseptic loosening in TSA and (2) to evaluate the rate of radiolucent lines in patients who underwent TSA with hybrid glenoid components consisting of porous metal pegs or coatings attached to the polyethylene. The US National Library of Medicine (PubMed/MEDLINE), EMBASE and the Cochrane Database of Systematic Reviews were queried for publications utilizing the following keywords: “hybrid” OR “bone-ingrowth” OR “bone ingrowth” AND “TSA” OR “total” AND “shoulder” AND “arthroplasty” OR “replacement”. Five articles were included for analysis (470 operated shoulders, mean follow-up: 47.5 months). The overall weighted mean modified methodology Coleman score was 51.2/100, indicating a moderate level of overall methodological quality. The survival rate of hybrid glenoid components was 97.4% (458 out of 470 cases), while the rate of glenoid-related complications was 2.8% (13 cases). Finally, there were 54 cases (out of 313 reported; 17.3%) with glenoid radiolucency (none of them required revision). TSA with hybrid fixation glenoid components was associated with high survivorship and low rate of glenoid component-related complications at 4 years mean follow-up. In addition, there was limited evidence to show that the short- to mid-term outcome of TSA using hybrid glenoid components is not inferior to the outcome of cemented all-polyethylene glenoid components.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Haines JF, Trail IA, Nuttall D et al (2006) The results of arthroplasty in osteoarthritis of the shoulder. J Bone Jt Surg Br 88-B:496–501. https://doi.org/10.1302/0301-620X.88B4.16604
Neer CS, Watson KC, Stanton FJ (1982) Recent experience in total shoulder replacement. J Bone Jt Surg Am 64:319–337
Fox TJ, Cil A, Sperling JW et al (2009) Survival of the glenoid component in shoulder arthroplasty. J Shoulder Elbow Surg 18:859–863. https://doi.org/10.1016/j.jse.2008.11.020
Pearl ML, Romeo AA, Wirth MA et al (2005) Decision making in contemporary shoulder arthroplasty. Instr Course Lect 54:69–85
Bohsali KI, Bois AJ, Wirth MA (2017) Complications of shoulder arthroplasty. J Bone Jt Surg 99:256–269. https://doi.org/10.2106/JBJS.16.00935
Wirth MA, Loredo R, Garcia G et al (2012) Total shoulder arthroplasty with an all-polyethylene pegged bone-ingrowth glenoid component: a clinical and radiographic outcome study. J Bone Jt Surg Am 94:260–267. https://doi.org/10.2106/JBJS.J.01400
Cofield RH (1984) Total shoulder arthroplasty with the Neer prosthesis. J Bone Jt Surg 66:899–906. https://doi.org/10.2106/00004623-198466060-00010
Boileau P, Avidor C, Krishnan SG et al (2002) Cemented polyethylene versus uncemented metal-backed glenoid components in total shoulder arthroplasty: a prospective, double-blind, randomized study. J Shoulder Elbow Surg 11:351–359. https://doi.org/10.1067/mse.2002.125807
Papadonikolakis A, Matsen FA (2014) Metal-backed glenoid components have a higher rate of failure and fail by different modes in comparison with all-polyethylene components: a systematic review. J Bone Jt Surg 96:1041–1047. https://doi.org/10.2106/JBJS.M.00674
Clitherow HDS, Frampton CMA, Astley TM (2014) Effect of glenoid cementation on total shoulder arthroplasty for degenerative arthritis of the shoulder: a review of the New Zealand National Joint Registry. J Shoulder Elbow Surg 23:775–781. https://doi.org/10.1016/j.jse.2013.08.022
Friedman RJ, Cheung E, Grey SG et al (2019) Clinical and radiographic comparison of a hybrid cage glenoid to a cemented polyethylene glenoid in anatomic total shoulder arthroplasty. J Shoulder Elbow Surg 28:2308–2316. https://doi.org/10.1016/j.jse.2019.04.049
Budge MD, Kurdziel MD, Baker KC, Wiater JM (2013) A biomechanical analysis of initial fixation options for porous-tantalum-backed glenoid components. J Shoulder Elbow Surg 22:709–715. https://doi.org/10.1016/j.jse.2012.07.001
Grey SG, Wright TW, Flurin P-H et al (2015) Preliminary Results of a Novel Hybrid Cage Glenoid Compared to an All-Polyethylene Glenoid in Total Shoulder Arthroplasty. Bull Hosp Jt Dis 2013 73(Suppl 1):S86–91
Gulotta LV, Chambers LK, Warren RF et al (2015) No differences in early results of a hybrid glenoid compared with a pegged implant. Clin Orthop 473:3918–3924. https://doi.org/10.1007/s11999-015-4558-5
Budge MD, Nolan EM, Heisey MH et al (2013) Results of total shoulder arthroplasty with a monoblock porous tantalum glenoid component: a prospective minimum 2-year follow-up study. J Shoulder Elbow Surg 22:535–541. https://doi.org/10.1016/j.jse.2012.06.001
Nelson CG, Brolin TJ, Ford MC et al (2018) Five-year minimum clinical and radiographic outcomes of total shoulder arthroplasty using a hybrid glenoid component with a central porous titanium post. J Shoulder Elbow Surg 27:1462–1467. https://doi.org/10.1016/j.jse.2018.01.012
Jost B (2015) CORR Insights®: no differences in early results of a hybrid glenoid compared with a pegged implant. Clin Orthop 473:3925–3927. https://doi.org/10.1007/s11999-015-4594-1
Conflict of interest
Author A, Author B, Author C, Author D, Author E, and Author F declare that they have no relevant conflict of interest.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
About this article
Cite this article
Malahias, M., Kostretzis, L., Gkiatas, I. et al. Total shoulder arthroplasty with hybrid fixation of glenoid components consisting of cementless porous metal pegs or cage along with cemented backside polyethylene surface: a systematic review. Musculoskelet Surg (2020). https://doi.org/10.1007/s12306-020-00670-y
- Total shoulder arthroplasty
- Hybrid fixation