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Updated: Jan 3, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Proximal Humeral Bone Loss in Revision Shoulder Arthroplasty
Timothy Kahn1, Peter N Chalmers1
1Department of Orthopaedic Surgery, University of Utah Medical Center, 590 Wakara Way, Salt Lake City, UT 84108, USA.
Abstract:
Proximal humeral bone loss in revision shoulder arthroplasty poses a significant obstacle to achieving stable and reliable fixation of the humeral stem. It is important to identify and classify this bone loss preoperatively, which can range from epiphyseal to substantial diaphyseal bone loss. There are several reconstructive options that can address the varying levels of bone loss, including cemented long-stem fixation, a composite construct using proximal humeral allograft or femoral allograft, proximal humeral endoprosthetic replacement, or total humeral replacement. All of these are viable reconstructive options that have demonstrated adequate to good outcomes.
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