Related Experiment Video
Updated: Sep 16, 2025
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Proximal Humerus Bone Loss in the Setting of Reverse Total Shoulder Arthroplasty
Jonathan E Koa1, Daniel E Goltz1, Mohamad Y Fares1
1Division of Shoulder and Elbow Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania.
Abstract:
» Proximal humerus bone loss (PHBL) is a challenging issue in the setting of reverse total shoulder arthroplasty, particularly during revision surgeries.
Abstract:
» PHBL can compromise the deltoid moment arm, soft tissue attachments, and stability of the humeral and glenoid components.
Abstract:
» Causes of PHBL are multifactorial, and the degree of bone loss can vary widely among patients.
Abstract:
» Treatment options include long-stem reconstruction prostheses, cementoplasty, reverse total shoulder allograft prosthesis composite reconstruction, proximal humerus replacement/endoprosthesis, and custom 3D-printed reconstruction.
Abstract:
» Each treatment option has unique advantages and limitations, emphasizing the importance of individualized management plans tailored to patient needs.
