Bone grafting severe glenoid defects in revision shoulder arthroplasty

Clinical Orthopaedics and Related Research
Jason J Scalise, Joseph P Iannotti

Abstract

During revision total shoulder arthroplasty, bone grafting severe glenoid defects without concomitant reinsertion of a glenoid prosthesis may be the only viable reconstructive option. However, the fate of these grafts is unknown. We questioned the durability and subsidence of the graft and the associated clinical outcomes in patients who have this procedure. We retrospectively reviewed 11 patients with severe glenoid deficiencies from aseptic loosening of a glenoid component who underwent conversion of a total shoulder arthroplasty to a humeral head replacement and glenoid bone grafting. Large cavitary defects were grafted with either allograft cancellous chips or bulk structural allograft, depending on the presence or absence of glenoid vault wall defects, without prosthetic glenoid resurfacing. Clinical outcomes (Penn Shoulder Score, maximum 100 points) improved from 23 to 57 at a minimum 2-year followup (mean, 38 months; range, 24-73 months). However, we observed substantial graft subsidence in all patients, with eight of 11 patients having subsidence greater than 5 mm; the magnitude of graft resorption did not correlate with clinical outcome scores. Greater subsidence was seen with structural than cancellous chip allografts...Continue Reading

References

Aug 1, 1993·The Journal of Arthroplasty·J C Zmolek, L D Dorr
Apr 1, 1996·The Journal of Bone and Joint Surgery. American Volume·M A Wirth, C A Rockwood
Jul 1, 1997·The Journal of Bone and Joint Surgery. American Volume·G A EnghN L Parks
May 1, 1998·The Journal of Bone and Joint Surgery. American Volume·J W SperlingC M Rowland
Mar 6, 1999·The Journal of Bone and Joint Surgery. British Volume·P VyskocilP Bamert
Feb 1, 2000·The Journal of Bone and Joint Surgery. American Volume·G M GartsmanS M Hammerman
May 31, 2001·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·L A Michener, B G Leggin
Jun 16, 2001·Journal of Shoulder and Elbow Surgery·S A AntunaC M Rowland
Nov 2, 2001·Archives of Physical Medicine and Rehabilitation·K F CookS L Olson
Apr 5, 2005·The Journal of Bone and Joint Surgery. American Volume·Scott M SporerWayne G Paprosky
Jan 18, 2006·Journal of Shoulder and Elbow Surgery·Wesley P Phipatanakul, Tom R Norris
Mar 7, 2006·Journal of Shoulder and Elbow Surgery·Lionel NeytonT Bradley Edwards
Apr 7, 2006·The Journal of Orthopaedic and Sports Physical Therapy·Brian G LegginGerald R Williams
Jul 13, 2006·Journal of Shoulder and Elbow Surgery·Alain FarronPhilippe Büchler
Mar 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Ryan W SimovitchChristian Gerber
Aug 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Emilie V CheungRobert H Cofield

❮ Previous
Next ❯

Citations

Dec 11, 2013·International Orthopaedics·Thomas HoffelnerHerbert Resch
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jean Kany, Denis Katz
Nov 7, 2012·Orthopedics·Jonathan C Riboh, Grant E Garrigues
Jan 13, 2015·Current Reviews in Musculoskeletal Medicine·Hithem Rahmi, Andrew Jawa
Sep 24, 2016·Shoulder & Elbow·Amar MalhasIan Trail
Feb 2, 2017·The Journal of Bone and Joint Surgery. American Volume·Kamal I BohsaliMichael A Wirth
Dec 10, 2014·Clinical Orthopaedics and Related Research·Frederick A MatsenSarah E Jackins
Apr 15, 2017·Journal of Shoulder and Elbow Surgery·Yaiza LopizFernando Marco
Mar 16, 2019·Operative Orthopädie und Traumatologie·F GohlkeI Wiese
Aug 10, 2011·Current Reviews in Musculoskeletal Medicine·Mark SchrumpfEdward V Craig
Apr 17, 2018·EFORT Open Reviews·Filippo FamiliariEdward G McFarland
Jul 23, 2014·JBJS Essential Surgical Techniques·Vani SabesanJoseph Iannotti
May 5, 2010·The Journal of Bone and Joint Surgery. American Volume·Steven M KleinMark A Frankle
Jun 7, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Josef HochreiterReinhold Ortmaier
Jan 20, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·G PorcelliniF Catani
Mar 26, 2021·The Journal of Bone and Joint Surgery. American Volume·Douglas W BartelsJoaquin Sanchez-Sotelo
Aug 28, 2020·Journal of Shoulder and Elbow Surgery·Blake M BodendorferAnand M Murthi
Mar 23, 2011·Journal of Shoulder and Elbow Surgery·Jean-François GonzalezPascal Boileau

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Shoulder and Elbow Surgery
Wesley P Phipatanakul, Tom R Norris
Clinical Orthopaedics and Related Research
Bassem ElhassanJon J P Warner
Clinical Orthopaedics and Related Research
Gracia EtienneMichael A Mont
Clinical Orthopaedics and Related Research
M E CabanelaD J Berry
© 2021 Meta ULC. All rights reserved