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Glenoid Bone Loss in Reverse Shoulder Arthroplasty Treated with Bone Graft Techniques

Publish date: March 23, 2018

TAKE-HOME POINTS

Glenoid deficiencies that occur from dysplasia, arthritis, or polyethylene osteolysis may be successfully addressed with bone grafting techniques and reverse shoulder arthroplasty.
The intact humeral head in a primary case is ideal graft to be shaped to fit the glenoid deficits.
The reverse shoulder with a long post base plate that is fixed securely to the native scapula is the author’s preferred technique.
As the native humeral head is not available in revision cases, the tricortical iliac crest bone graft may be fixed as a structural graft in 1-stage.
When the scapular walls are deficient and medial fixation is not secure, 2 stages 4 months to 6 months apart will be necessary before loading the construct.

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