The management of glenoid bone loss in shoulder arthroplasty

Kyriacou, Steven; Khan, S; Falworth, Mark

doi:10.1016/j.jajs.2018.12.001

Cited by 8 publications

(9 citation statements)

References 102 publications

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“…Types B2 and C present the most severe cases of GBL. A B2-type glenoid is characterized by glenoid biconcavity consisting of both a paleo glenoid (native glenoid) as well as a neo glenoid (new glenoid) and often have varying degrees of posterior humeral head subluxation, while a C-type glenoid is characterized by retroversion greater than 25° ( 1 - 3 , 7 , 11 , 12 , 17 , 19 - 21 ).…”

Section: Findings and Discussionmentioning

confidence: 99%

“…The presence of significant GBL is increased in revision shoulder arthroplasty when compared to primary arthroplasty, and inadequate glenoid bone stock can negatively impact the outcomes of RSA ( 7 ). To minimize the risk of early implant loosening and failure, careful preoperative planning with the goal of maintaining an appropriate glenoid version and ensuring proper implant positioning and robust fixation are crucial ( 7 , 11 ).…”

Section: Introductionmentioning

confidence: 99%

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Glenoid bone loss in shoulder arthroplasty: a narrative review

Al-Omairi,

Albadran,

Dagher

et al. 2024

Ann Joint

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Background and Objective Crucial to the success of any total or reverse shoulder arthroplasty (RSA) is the stability of the glenoid component fixation. Instability can lead to early implant failure and unsatisfactory results. Patients often present with varying forms of glenoid bone loss (GBL) in both the primary and revision settings, which can be a challenge for the treating surgeon. Severe cases of GBL can increase the risk of potential complications and diminish implant longevity. The use of the reverse total shoulder replacement has been particularly helpful when addressing significant glenoid bony defects. Various approaches have been proposed to deal with GBL, all of which require an individualized assessment of the specifics of the defect in order to provide maximal fixation and thereby optimize the longevity of the shoulder arthroplasty. This article aims to review the recent literature on GBL in shoulder arthroplasty to provide guidance when considering treatment based on the best available evidence. Methods PubMed, MEDLINE, EMBASE, AccessMedicine, ClinicalKey, DynaMed, and Micromedex were queried for publications utilizing the following keywords: “glenoid bone loss” AND “glenoid bone deficiency” AND “shoulder arthroplasty” AND “classification”. The search was restricted to research published between 2004 and 2023. There were no restrictions on study type or language. Key Content and Findings GBL should be critically evaluated prior to undertaking total shoulder arthroplasty (TSA). The treating surgeon should be aware of various methods of addressing bone defects. Conclusions The use of TSA is increasing to address various shoulder pathologies. Addressing glenoid bone defects is of critical importance to maximize the longevity and outcome of TSA.

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Section: Findings and Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Glenoid bone loss in shoulder arthroplasty: a narrative review

Al-Omairi,

Albadran,

Dagher

et al. 2024

Ann Joint

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“…Based on the published data, it is recognized that in 38% of cases, traumatologists face a shortage of bone mass in the glenoid cavity of the scapula when performing reverse shoulder arthroplasty [3,4]. Such defects of the scapular glenoid fossa complicate the correct implantation of the metaglene and glenosphere due to the difficulties in intraoperative distinguishing between the true and false articular surface planes.…”

Section: Introductionmentioning

confidence: 99%

Performing reverse shoulder replacement in bone mass defects and deficiency of scapular glenoid fossa

et al. 2022

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Objective: development and efficacy assessment of the tactic of actions in reverse shoulder arthroplasty in bone mass defects and deficiency of the scapular glenoid fossa. Materials and Methods. At the Division of Adult Orthopedics, N.N. Priorov National Medical Research Center of Traumatology and Orthopedics, Ministry of Healthcare of the Russian Federation, 6 patients with glenoid bone mass deficiency were subjected to the reverse shoulder arthroplasty: 4 of those received the replacement of marginal bone defects, whereas 2 subjects underwent the replacement of extensive bone defects. Results. During the follow-up period of the operated patients, which lasted 6-24 months, good clinical, radiological and functional results were obtained. There were no intraoperative or postoperative complications. Conclusion. The proposed replacement method of glenoid defects in reverse arthroplasty exhibited high efficacy.

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“…The management of glenoid bone loss is a highly demanding challenge for orthopedic surgeons, and the number of cases is expected to rise in the future, in proportion to the increase of prosthetic implants, life expectancy, and functional demand of patients [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Custom-made reverse shoulder arthroplasty for severe glenoid bone loss: review of the literature and our preliminary results

et al. 2021

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The treatment of severe glenoid bone loss in shoulder arthroplasty represents a challenge, and the results of current prosthetic designs with only glenoid fixation still remain unsatisfactory. In the past decade, customized glenoid prostheses have been developed to address severe glenoid arthritis and in the revision setting. In this review, we analyzed the current surgical options, the classification limits, past literature evidence, and our preliminary results of 6 patients (3 male, 3 female) treated with a reverse implant and custom-made glenoid implant (ProMade; LimaCorporate, Italy). Computer analysis of the residual shape and the amount of glenoid bone stock in association with new classifications could help the surgeon to obtain good clinical and radiological outcomes. The development of navigation systems could improve the adequacy of the implant and, thus, the reliability and longevity of the implant itself.

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The management of glenoid bone loss in shoulder arthroplasty

Cited by 8 publications

References 102 publications

Glenoid bone loss in shoulder arthroplasty: a narrative review

Glenoid bone loss in shoulder arthroplasty: a narrative review

Performing reverse shoulder replacement in bone mass defects and deficiency of scapular glenoid fossa

Custom-made reverse shoulder arthroplasty for severe glenoid bone loss: review of the literature and our preliminary results

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