Watson ST, et al. - The implant survival and clinical outcomes of patients who received a Trabecular Metal–backed glenoid component during primary anatomic total shoulder arthroplasty (TSA) was studied in this trial. A 25% rate of radiographic metal debris and osteolysis was reported by Trabecular Metal–backed glenoids at a minimum 2-year follow-up in this series with one catastrophic failure. Caution ought to be taken while using this implant and close follow-up of patients was recommended.