Reconstruction of massive uncontained glenoid defects using a combined autograft-allograft construct with reverse shoulder arthroplasty: preliminary results

Bateman, Edward; Donald, Simon

doi:10.1016/j.jse.2011.07.009

Cited by 70 publications

(31 citation statements)

References 61 publications

(87 reference statements)

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“…However, bone grafting adds some new risks, including the potential for graft resorption, donor-site morbidity, and disease transmission. 1,10,24 When performing a bone graft procedure, the surgeon must choose the proper graft based on availability, defect shape and status (contained vs uncontained), and other factors such as staging. Allograft bulk grafts have been regularly used, and some studies indicate a higher degree of resorption and subsidence in the anatomic arthroplasty population.…”

Section: Discussionmentioning

confidence: 99%

“…Allograft bulk grafts have been regularly used, and some studies indicate a higher degree of resorption and subsidence in the anatomic arthroplasty population. 1,10,24 Clinical results for patients undergoing bone grafting have been relatively good for pain relief but poorer with regard to motion. 3,25 Although several studies have outlined strategies for dealing with glenoid bone loss in reverse shoulder arthroplasty, 1,6,14,17 few studies have examined clinical results of patients treated with bone grafts for deficient glenoids in the reverse shoulder arthroplasty setting.…”

Section: Discussionmentioning

confidence: 99%

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Achieving fixation in glenoids with superior wear using reverse shoulder arthroplasty

Roche

Stroud

Martin

et al. 2013

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Achieving fixation in glenoids with superior wear using reverse shoulder arthroplasty

Roche

Stroud

Martin

et al. 2013

Journal of Shoulder and Elbow Surgery

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“…[19] Because the native humeral head is absent in the revision setting, several alternatives and techniques have been described including using autograft iliac crest and allograft femoral neck. [1930]…”

Section: Discussionmentioning

confidence: 99%

Management of failed metal-backed glenoid component in patients with bilateral total shoulder arthroplasty

Eichinger

Higgins

2013

Int J Shoulder Surg

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Total shoulder arthroplasty (TSA) is successful in providing pain relief and functional improvements for patients with shoulder arthritis. Outcomes are directly correlated with implant position and fixation, which ultimately affects wear and longevity. Metal-backed glenoid components were introduced as an alternative to the standard cemented glenoid fixation. Early loosening and cavitary glenoid bone loss has been reported as a major complication associated with these metal-backed glenoids, which presents the surgeon with a challenging revision situation. Furthermore, failure of bilateral TSA in patients with metal-backed glenoids is extremely rare. We present two patients with early failure of bilateral TSA secondary to loosening of the metal-backed glenoids. Both patients had significant glenoid bone loss and were treated with four different types of revision techniques. A description of treatments and outcomes of both patients are reported along with the simple shoulder test and American Shoulder and Elbow Surgeons scores. One patient underwent revision to bilateral reverse prosthesis and experienced a much-improved outcome in comparison to the patient revised to a hemiarthroplasty and resection arthroplasty, for each shoulder respectively. In patients who present with failed TSA, revision to a reverse prosthesis with or without staged glenoid bone graft should be considered as an option of treatment. It is also important to rule out infection with intraoperative tissue biopsy before proceeding to revision surgery. However, in patients with catastrophic glenoid bone loss, both hemiarthroplasty and resection arthroplasty can provide an alternative treatment option, but they are associated with a poorer functional outcome and pain relief.

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“…Sin embargo, una vez que el injerto se ha integrado en el hueso nativo, estas fuerzas disminuyen considerablemente, al contrario que la lateralización que se produce en las prótesis anatómicas 18 .…”

Section: Figuraunclassified

La artroplastia invertida de hombro ante defectos óseos glenoideos

Minarro

Fernández

Reyes

et al. 2016

Revista Española de Cirugía Ortopédica y Traumatología

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Reconstruction of massive uncontained glenoid defects using a combined autograft-allograft construct with reverse shoulder arthroplasty: preliminary results

Cited by 70 publications

References 61 publications

Achieving fixation in glenoids with superior wear using reverse shoulder arthroplasty

Achieving fixation in glenoids with superior wear using reverse shoulder arthroplasty

Management of failed metal-backed glenoid component in patients with bilateral total shoulder arthroplasty

La artroplastia invertida de hombro ante defectos óseos glenoideos

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