ICJR Interviews: Is Augmenting the Glenoid Better than Reaming?

    In patients with shoulder osteoarthritis undergoing shoulder arthroplasty, surgeons have typically used asymmetric reaming of the “high” side to manage posterior glenoid wear and subluxation of the humeral head on the glenoid.

    A newer technique, now utilized by surgeons at The Rothman Institute in Philadelphia, Pennsylvania, is to use posteriorly augmented glenoid components instead of reaming.

    Rothman surgeon Charles L. Getz, MD, recently spoke with us about a study on asymmetric reaming versus augmenting the glenoid that he and his colleagues presented at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons in Orlando, “Comparison of Asymmetric Reaming versus a Posteriorly Augmented Component” (Poster 326).

    The goal of the study was to determine if the new technique was doing what it was supposed to do – in other words, correcting subluxation of the humeral head and retroversion of the glenoid.

    Secondarily, Dr. Getz and his colleagues wanted to know how this newer technique stacked up against results of the traditional asymmetric reaming technique.

    Click the image above to hear Dr. Getz discuss the methodology and findings of this study.

    Producer: Henrik B. Pedersen, MD; Director: Michael Bugera; Post Production: Charles J. Maynard