Original Research

Treating Humeral Bone Loss in Shoulder Arthroplasty: Modular Humeral Components or Allografts

Publish date: February 15, 2018

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Proximal humeral bone loss presents a significant challenge for the shoulder arthroplasty surgeon.
Unsupported long-stemmed humeral components in this setting are prone to early loosening.
APCs can rebuild proximal humeral bone stock, but have concerns with graft resorption and long-term failure.
Modular endoprosthetic reconstruction of proximal humeral bone loss potentially allows those deficiencies to be addressed in a more durable fashion.
Longer-term and larger studies are needed to determine the optimal reconstruction technique for proximal humeral bone loss.

References

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References

2. Hattrup SJ, Waldrop R, Sanchez-Sotelo J. Reverse total shoulder arthroplasty for posttraumatic sequelae. J Orthop Trauma. 2016;30(2):e41-e47. doi:10.1097/BOT.0000000000000416.

6. Kim SH, Wise BL, Zhang Y, Szabo RM. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am. 2011;93(24):2249-2254. doi:10.2106/JBJS.J.01994.

8. Wright TW. Revision of humeral components in shoulder arthroplasty. Bull Hosp Jt Dis. 2013;71(2 suppl):S77-S81.

9. Duquin TR, Sperling JW. Revision shoulder arthroplasty—how to manage the humerus. Oper Tech Orthop. 2011;21(1):44-51. doi:10.1053/j.oto.2010.09.008.

13. Boileau P, Walch G. The three-dimensional geometry of the proximal humerus. Implications for surgical technique and prosthetic design. J Bone Joint Surg Br. 1997;79(5):857-865.

16. De Wilde L, Walch G. Humeral prosthetic failure of reversed total shoulder arthroplasty: a report of three cases. J Shoulder Elbow Surg. 2006;15(2):260-264. doi:10.1016/j.jse.2005.07.014.

27. Kelly JD 2nd, Purchase RJ, Kam G, Norris TR. Alloprosthetic composite reconstruction using the reverse shoulder arthroplasty. Tech Shoulder Elbow Surg. 2009;10(1):5-10.

Treating Humeral Bone Loss in Shoulder Arthroplasty: Modular Humeral Components or Allografts

TAKE-HOME POINTS

References

ABSTRACT

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