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Frederick A. Matsen, M.D. and Mark D. Lazarus, M.D.

Material Covered

Doctors Lazarus and Matsen et.al., evaluated the ability of a group of experienced shoulder surgeons to achieve complete cementing and support in a series of patients managed with both keeled and pegged glenoid components. The study results, published in the July issue of JBJS, showed radiolucencies about the glenoid component on the initial postoperative radiographs in 308 of the 328 shoulders. Incomplete seating of the glenoid component was also common. The effect of surgeon experience on the technical result was also analyzed. When the entire group of surgeons was reviewed there was no correlation between the number of arthroplasties performed per year and the result on either scoring system. However, when the most experienced surgeon was compared with all others, there was a highly significant difference. In this video supplement to their article, Doctors Lazarus and Matsen demonstrate a surgical technique utilizing a pegged glenoid component and provide pearls on avoiding complications.

• Indications
• Contraindications
• Pegged vs Keeled Glenoid Components
• Obtaining Adequate Glenoid Exposure
• Pearls on Proper Glenoid Component Orientation
• The Importance of Trial Reduction
• Avoiding Complications
• Postoperative Protocol

  See the corresponding JBJS Article:

  Mark D. Lazarus, MD, Kirk L. Jensen, MD, Carleton Southworth, MS and Frederick A. Matsen, III, MD.

  The Radiographic Evaluation of Keeled and Pegged Glenoid Component Insertion.
  Bone Joint Surg Am 2002 84: 1174-1182. [Abstract] [Full Text]

• Total Run Time: 20:35 minutes
• Catalog Number: 7047
• Publication Date: September 2002

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