{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:10:28Z","timestamp":1789841428625,"version":"4.0.1"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100022327","name":"DJO Global","doi-asserted-by":"publisher","award":["This project was sponsored by Enovis, however Enov"],"award-info":[{"award-number":["This project was sponsored by Enovis, however Enov"]}],"id":[{"id":"10.13039\/100022327","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Most reverse total shoulder arthroplasty utilise a cobalt chrome (CoCr) glenosphere with a polyethylene liner. The Lima Shoulder Modular Replacement (SMR)\u2122 platform has inverted the materials to potentially decrease polyethylene debris when the humeral liner contacts the scapula.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective, multi-centre study was conducted to examine the equivalence of the Lima SMR\u2122 40\u2005mm highly cross-linked polyethylene (XLPE) glenospheres to the 36\u2005mm CoCr glenospheres, examining patients from 2013 to 2022 with a minimum of 2-year clinical and radiographic follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      199 patients were investigated: 107 with the XLPE glenosphere and 92 with the CoCr glenosphere. At 2-year follow-up, there was no significant difference in Oxford Shoulder scores (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.081). There were more areas of glenoid radiolucency in the CoCr group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200918 zones in eight patients) at 2 years (\n                      <jats:italic toggle=\"yes\">z<\/jats:italic>\n                      \u2009=\u2009\u22122.04,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.04). There was no significant difference in notching (16% in the XLPE group, 20% in CoCr group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.190)). Two patients in the XLPE group were revised and five in the CoCr group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>XLPE glenosphere outcomes were largely equivalent to a CoCr glenosphere at 2 years. While the XLPE glenosphere had fewer major complications, this could be attributed to other factors including the larger diameter, rather than the polyethylene glenosphere.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III \u2013 retrospective comparative study<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17585732261489263","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T01:10:42Z","timestamp":1789693842000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical and radiographic outcomes of reverse shoulder arthroplasty performed with 40\u2005mm polyethylene glenospheres vs. 36\u2005mm cobalt chrome glenospheres at minimum 2-years follow-up"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2979-4900","authenticated-orcid":false,"given":"Pamela","family":"Boekel","sequence":"first","affiliation":[{"name":"Wrightington Hospital"},{"name":"Department of Orthopaedic Surgery, The Northern Hospital, Epping, Victoria, Australia"},{"name":"Epworth Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P","family":"Piggott","sequence":"additional","affiliation":[{"name":"Wrightington Hospital"},{"name":"St James's Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Conyard","sequence":"additional","affiliation":[{"name":"Wrightington Hospital"},{"name":"Griffith University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Bale","sequence":"additional","affiliation":[{"name":"Wrightington Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9129-8313","authenticated-orcid":false,"given":"Michael","family":"Walton","sequence":"additional","affiliation":[{"name":"Wrightington Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puneet","family":"Monga","sequence":"additional","affiliation":[{"name":"Wrightington Hospital"},{"name":"School of Medicine, Edge Hill University, Ormskirk, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amar","family":"Malhas","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Royal Berkshire NHS Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian A","family":"Trail","sequence":"additional","affiliation":[{"name":"Wrightington Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"Australian National Joint Replacement Registry Annual Report","author":"AOA","year":"2023","unstructured":"AOA. Australian National Joint Replacement Registry Annual Report. Australian Orthopaedic Association, 2023."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2024.11.009"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.sart.2024.07.011"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201107000-00007"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.102B11.BJJ-2020-0449.R1"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B3.14024"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11195796"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-17-00026"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.01.015"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.02.024"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2012.720118"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000001169"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.12.033"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B9.25926"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xrrt.2022.02.009"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2024.03.069"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2025.02.051"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.07.006"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09586-y"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.11.013"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2009.11.008"},{"key":"e_1_3_3_23_2","first-page":"72","article-title":"Failure of universal 2 wrist joint replacements: a retrieval study","volume":"15","author":"Joyce TJ","year":"2024","unstructured":"Joyce TJ, Kandemir G, Zreik NH, et al. Failure of universal 2 wrist joint replacements: a retrieval study. J Wrist Surg 2024; 15: 72\u201378.","journal-title":"J Wrist Surg"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.actbio.2013.05.005"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surfin.2021.101498"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000002293"},{"key":"e_1_3_3_27_2","volume-title":"NJR 21st Annual Report 2024 Shoulders","author":"Registry NJ.","year":"2024","unstructured":"Registry NJ. NJR 21st Annual Report 2024 Shoulders. 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