Related Experiment Videos
Glenoid bone grafting in primary reverse total shoulder arthroplasty
Lukas Ernstbrunner1, Jean-David Werthel2, Eric Wagner2
1Department of Orthopaedics, Balgrist University Hospital, University of Zürich, Zürich, Switzerland; Department of Orthopaedics and Traumatology, Paracelsus Medical University, Salzburg, Austria.
Journal of Shoulder and Elbow Surgery
|April 5, 2017
Summary
Glenoid bone grafting in primary reverse shoulder arthroplasty effectively relieves pain and restores function. While some complications like lucency and notching occur, revision surgery was not needed in this study.
Area of Science:
- Orthopedic surgery
- Shoulder reconstruction
- Arthroplasty
Background:
- Severe glenoid bone loss presents a significant challenge in shoulder arthroplasty.
- Glenoid bone grafting is a potential solution for significant bone loss.
- Primary reverse shoulder arthroplasty (RSA) outcomes with bone grafting require further investigation.
Purpose of the Study:
- To evaluate the results, complications, and failure rates of glenoid bone grafting in primary RSA.
- To assess functional outcomes and patient satisfaction following glenoid reconstruction in RSA.
Main Methods:
- A review of 41 shoulders that underwent primary RSA with glenoid bone grafting between 2006 and 2013.
- Minimum follow-up of 2 years (mean 2.8 years).
- Graft types included corticocancellous (83%) and structural (17%).
Main Results:
- Significant improvements in active range of motion and pain levels (P < .001).
- High patient satisfaction (93%) and functional scores (ASESS 77, SST 9).
- Graft incorporation observed in 78% of patients; 18% showed glenoid lucency, 30% scapular notching.
Conclusions:
- Glenoid bone grafting in primary RSA successfully relieves pain and restores shoulder function.
- Despite short-term complications like lucency and notching, no revision surgeries were required.
- Bone grafting is a viable option for glenoid reconstruction in primary RSA with severe bone loss.