Bone grafting in shoulder arthroplasty.

Area of Science:

• Orthopedic Surgery
• Bone Reconstruction

Background:

• Shoulder arthroplasty is a rapidly advancing surgical field.
• Bone stock deficiency in the glenoid or humerus presents a significant challenge in shoulder reconstructions.
• Bone grafting is required in approximately 15% of primary shoulder arthroplasties and more frequently in revision cases.

Purpose of the Study:

• To systematically review current literature on bone grafting techniques for shoulder arthroplasty.
• To outline indications and results of various bone grafting strategies.
• To provide surgeons with actionable techniques for managing bone loss in primary and revision shoulder replacements.

Main Methods:

• Systematic literature review of studies on bone grafting in shoulder arthroplasty.
• Analysis of data focusing on indications, techniques, and outcomes.
• Inclusion of studies addressing both anatomic and reverse shoulder arthroplasty designs.

Main Results:

• Bone grafting is a common necessity in shoulder arthroplasty, particularly for revisions.
• Various bone grafting techniques exist to address glenoid and humeral bone loss.
• Successful outcomes are reported with appropriate application of bone grafting strategies.

Conclusions:

• Bone grafting is an essential tool for managing bone stock deficiency in shoulder arthroplasty.
• A range of strategies are available for primary and revision settings.
• Surgeons can effectively address bone loss using established bone grafting techniques.