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Anatomic or reverse total shoulder surgery for B2 and/or B3 glenoid disease.

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Anatomic or reverse total shoulder surgery for B2 and/or B3 glenoid disease.



For shoulder surgeons, it is difficult to treat severe glenohumeral Osteoarthritis (GHOA), with posterior glenoid erode.

The authors of Anatomic Total Shoulder Arthroplasty with All-Polyethylene Glenoid Component for Primary Osteoarthritis with Glenoid Deficiencies evaluated 66 shoulders with type-B2 glenoids (n = 40) or type-B3 glenoids (n = 26) undergoing total shoulder arthroplasties with a non-augmented glenoid component inserted without attempting to normalize glenoid version.
 
Scores on the Simple Shoulder Test were improved
Preoperatively, 3.2 to 9.9 days after surgery with a mean follow-up of 2.8 for type-B2 Glenoids 
From 
3.0 preoperatively to 8.4 postoperatively with a mean follow-up of 2.9 for type B3 glenoids.
These results were no different from those achieved for shoulders with other type of glenoid. 
Postoperative glenoid version was not significantly different (p > 0.05) from preoperative glenoid version. 
The mean humeralhead decentering of the glenoid facial was reduced 
Type-B2 glenoids: -14% preoperatively, -1% postoperatively
For type-B3 Glenoids, from -4% preoperatively up to -11% postoperatively. 
Type-B2 bone integration rates



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