Glenoid fixation strategies: cemented, metal-backed, and hybrid

Background

Glenoid loosening and wear remain one of the most common complications after total shoulder arthroplasty. In this article, we will review all polyethylene glenoids, metalbacked glenoids, inlay glenoids, and hybrid constructs.

Methods

We hope to synthesize existing literature to understand strategies that can contribute to a more durable and longer lasting implant.

Results

Although all polyethylene glenoids remain the gold standard, recent literature hints at the potential benefits of metal-backed, inset and hybrid glenoids.

Conclusion

As the number of total shoulder arthroplasties that are being done annually continues to rise, renewed interest into glenoid fixation strategies is paramount to help improve patient satisfaction, implant durability, and combat rising healthcare expenditure.