Polyethylene Augmented Glenoid Components in Anatomic Total Shoulder Arthroplasty

  • Jason C. Ho
  • Eric T. Ricchetti
  • Joseph P. IannottiEmail author


Glenohumeral osteoarthritis can cause significant glenoid bone loss. Asymmetric bone loss in advanced osteoarthritis is primarily posterior resulting in increased retroversion. In contrast, patients with instability-related arthritis may develop anterior glenoid wear and increased anteversion. Walch initially described a three group classification of wear patterns in advanced osteoarthritis based on the morphology of the glenoid and humeral head subluxation. In a recent article, Walch described the addition of the B3 and D types to the classification to include posterior and central bone loss without hypoplasia and anteverted glenoids, respectively (Fig. 21.1) [1, 2]. Operative treatment options include anatomic and reverse total shoulder arthroplasty (TSA).


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Jason C. Ho
    • 1
  • Eric T. Ricchetti
    • 1
  • Joseph P. Iannotti
    • 1
    Email author
  1. 1.Department of Orthopaedic SurgeryOrthopaedic and Rheumatologic Institute, Cleveland ClinicClevelandUSA

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