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Updated: Jul 18, 2025

Reverse Total Shoulder Arthroplasty
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Patient-specific implants in reverse shoulder arthroplasty.

Emil R Haikal1, Mohamad Y Fares2, Joseph A Abboud2

  • 1Department of Orthopedic Surgery and Trauma, Lebanese American University Medical Center Rizk Hospital, Beirut, Lebanon.

Clinics in Shoulder and Elbow
|August 22, 2023
PubMed
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Patient-specific implants (PSIs) offer a customized solution for severe glenoid bone loss in reverse total shoulder arthroplasty (RTSA). Further research is needed to clarify their effectiveness and cost-efficiency.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Reverse total shoulder arthroplasty (RTSA) is increasingly common for shoulder conditions.
  • Severe glenoid bone loss presents a significant challenge in RTSA procedures.

Purpose of the Study:

  • To review the current literature on patient-specific implants (PSIs) for RTSA with severe glenoid bone loss.
  • To evaluate the potential benefits and limitations of PSI technology in this context.

Main Methods:

  • Literature review of studies investigating PSI use in RTSA for glenoid bone loss.
  • Analysis of reported outcomes, techniques, and challenges associated with PSI implantation.

Main Results:

  • PSIs utilize 3D CT reconstructions for customized glenoid component design, addressing bone loss.
Keywords:
Bone lossOsteoarthritisPatient-specific implantsShoulderShoulder replacement arthroplasty

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  • Existing literature shows promising potential but also reports equivocal outcomes for PSIs.
  • Limited research exists due to the novelty of PSI technology.

    • Conclusions:

    • Patient-specific implants are a viable option for complex RTSA cases with severe glenoid bone loss.
    • Further investigation into indications, outcomes, techniques, and cost-effectiveness is crucial.
    • Establishing clear guidelines for PSI use in RTSA is necessary.