Glenoid Radiolucent Lines in Anatomic Total Shoulder Arthroplasty are Unaffected by Thrombin Glenoid Preparation

Document Type : RESEARCH PAPER

Authors

1 Rothman Orthopaedic Institute, Department of Orthopaedic Surgery, Thomas Jefferson University Hospitals, Philadelphia, PA, USA

2 Sao João University Hospital, Porto, Portugal

Abstract

Background: Modern glenoid cementing techniques for anatomic total shoulder arthroplasty has improved the
ability to achieve a stable cement mantle, but the efficacy of adjunctive agents in glenoid preparation is unclear. The
purpose of this study is to compare the early radiolucency rate s of glenoids prepared with and without thrombin.
Methods: We identified patients between January 2017 and February 2019 undergoing primary anatomic TSA using
two glenoid types. Group A glenoids had a cemented central peg without peripheral peg cementation, and Group
B glenoids had cemented peripheral pegs without central peg cementation. The first postoperative radiograph
was assessed for radiolucent lines. All patients had the same glenoid preparation except some had the addition of
thrombin as a preparation agent.
Results: We identified 83 Group A glenoids with and 63 without thrombin glenoid preparation, and109 Group B
glenoids with and 48 without thrombin preparation. All Group A glenoids had no radiolucent lines and 5 (3%) Group
B glenoids had radiolucent lines. Use of thrombin showed no difference in early radiolucencies (p=1.00) in either
Group.
Conclusion: The addition of thrombin as a preparation agent had no effect on early glenoid radiolucent lines in
anatomic TSA, and its routine use should be reconsidered.
Level of evidence: III

Keywords

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The Archives of Bone and Joint Surgery
Volume 9, Issue 5
September and October 2021
Pages 543-547

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History

  • Receive Date: 19 March 2020
  • Accept Date: 16 December 2020

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