{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:42:54Z","timestamp":1791434574639,"version":"4.3.3"},"reference-count":38,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T00:00:00Z","timestamp":1732147200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Avoiding inclination of the glenoid baseplate in reverse shoulder arthroplasty often requires considerable glenoid reaming. It is proposed that the use of a metal wedged baseplate in all patients can achieve neutral inclination with reduced glenoid reaming.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      A prospective clinical single-centre study with minimum two-year follow-up was carried out. Glenoid deformity was classified on CT and surgery planned using BluePrint\n                      <jats:sup>TM<\/jats:sup>\n                      . The Tornier Perform\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Reversed Wedged Augmented Glenoid was used in all cases. Clinical outcome scores and radiographs were assessed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seventy-three patients, mean age 76.6 years. Twenty-eight demonstrated no glenoid deformity and 19 demonstrated marked retroversion. Seventy completed two-year follow-up. Mean pain scores fell from 6 to 0.7. All Patient Reported Outcome Meaures (PROMS) were significantly improved. Active elevation increased by 62\u00b0 and external rotation by 28.7\u00b0 (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In patients with no glenoid wear (E0\/A1), correction of inferior inclination was achievable with a 15\u00b0 full-wedge baseplate in all cases, reducing the reaming depth by 4.4 mm (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In patients with severe glenoid wear, a 35\u00b0 half wedge baseplate was often necessary to correct the deformity. The most common complications were stress reactions\/fractures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A metal wedged baseplate can achieve neutral inclination in all patients, minimising bone reaming and preserving lateralisation with good two-year outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>IV (case series with no comparison group).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17585732241293396","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T05:41:04Z","timestamp":1732167664000},"page":"736-747","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Minimum two-year follow-up of a reverse total shoulder arthroplasty using a wedged baseplate"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4739-3641","authenticated-orcid":false,"given":"Simon J M","family":"Parker","sequence":"first","affiliation":[{"name":"Melbourne Shoulder and Elbow Centre, Brighton , Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6206-848X","authenticated-orcid":false,"given":"Simon N","family":"Bell","sequence":"additional","affiliation":[{"name":"Melbourne Shoulder and Elbow Centre, Brighton , Victoria, Australia"},{"name":"Department of Surgery (School of Clinical Sciences at Monash Health), Monash University, Clayton, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e9oline","family":"Wiemer","sequence":"additional","affiliation":[{"name":"Melbourne Shoulder and Elbow Centre, Brighton , Victoria, Australia"},{"name":"Department of Surgery (School of Clinical Sciences at Monash Health), Monash University, Clayton, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A","family":"Coghlan","sequence":"additional","affiliation":[{"name":"Melbourne Shoulder and Elbow Centre, Brighton , Victoria, Australia"},{"name":"Department of Surgery (School of Clinical Sciences at Monash Health), Monash University, Clayton, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harry D","family":"Clitherow","sequence":"additional","affiliation":[{"name":"Melbourne Shoulder and Elbow Centre, Brighton , Victoria, Australia"},{"name":"Department of Surgery (School of Clinical Sciences at Monash Health), Monash University, Clayton, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen M","family":"Rayment","sequence":"additional","affiliation":[{"name":"Melbourne Shoulder and Elbow Centre, Brighton , Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11,21]]},"reference":[{"key":"e_1_3_4_2_2","first-page":"407","article-title":"Etude et r\u00e9alisation d\u2019une nouvelle proth\u00e8se d\u2019\u00e9paule","volume":"39","author":"Grammont P","year":"1987","unstructured":"Grammont P, Trouiloud P, Laffay JP, et al. Etude et r\u00e9alisation d\u2019une nouvelle proth\u00e8se d\u2019\u00e9paule. 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