{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T08:07:07Z","timestamp":1784275627101,"version":"3.55.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"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":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This systematic review aims to assess the effectiveness between exclusive polyethylene (PE) glenoid implants and metal back (MB) implants in anatomical total shoulder arthroplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We have systematically reviewed the literature and include full-text randomized clinical trials (RCTs) comparing PE (keeled and pegged) versus MB implants, available in PubMed, Scopus, Embase, Cochrane CENTRAL, LILACS, Web of Science, WHO ICTRP, Clinical trials. Grey literature was also hand searched assessed\n                      <jats:bold>.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight RCTs were included, with 323 patients and 338 shoulders, with follow-up from six weeks to ten years. Shoulder function through the Constant-Murley score, range of motion and pain through the Visual Analogue Scale, were important outcomes to access the PE components that showed no difference; meanwhile, there was a reduction in radiolucency lines (RL) up to grade two around 50% and 12.4% for complications and surgery revisions in favour of the peg over the keel. Compared to MB, there was 25% more RL around PE, however function and complication rates were equivalent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      The PE component in anatomical total shoulder arthroplasty shows more RL compared to MB, especially around the keel design\n                      <jats:italic toggle=\"yes\">.<\/jats:italic>\n                      Despite this, there were no significant differences in complications or revision surgery between both groups.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17585732251414953","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T19:46:31Z","timestamp":1769024791000},"page":"701-709","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Glenoid outcomes after total shoulder arthroplasty with cemented all-polyethylene versus metal-backed implants: A meta-analysis of randomized clinical trials"],"prefix":"10.1177","volume":"18","author":[{"given":"Renato Aroca","family":"Zan","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7328-1446","authenticated-orcid":false,"given":"Fabio Teruo","family":"Matsunaga","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4677-1874","authenticated-orcid":false,"given":"Ramon","family":"Sampaio Souza Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Sao Paulo - Escola Paulista de Medicina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola Archetti","family":"Netto","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Carlos","family":"Belloti","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel Jun Sugawara","family":"Tamaoki","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/ar3846"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197456010-00001"},{"key":"e_1_3_2_4_2","unstructured":"Australian Orthopaedic Association National Joint Replacement Registry. \u201cAnnual report: hip knee and shoulder arthroplasty. 2019."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(99)90097-6"},{"key":"e_1_3_2_6_2","first-page":"2279","article-title":"Complications of total shoulder arthroplasty","volume":"88","author":"Bohsali K","year":"2006","unstructured":"Bohsali K, Wirth M, et al. 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