Baseplate placement in failed total shoulder replacement: Builder’s choice |
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| Institution: | 1. The Cleveland Shoulder Institute—University Hospitals of Cleveland, Cleveland, OH;2. Case Western Reserve University—University Hospitals of Cleveland, Cleveland, OH;1. Department of Dermatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland;2. Department of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland;3. Institute of Medical Microbiology, University of Zurich, Zurich, Switzerland;4. Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland;5. Infectiology, Balgrist University Hospital, University of Zurich, Zurich, Switzerland;6. Department of Internal Medicine, Hospital Zollikerberg, Zollikerberg, Switzerland |
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| Abstract: | Glenoid component loosening has been recognized as one of the common indications for revision surgery after total shoulder arthroplasty. Replacement with a standard glenoid component is sometimes possible when bone loss is minimal and contained within the glenoid vault. If glenoid bone stock is poor, more complex revision strategies include bone graft reconstruction, custom implants, and the use of augmented components. Reverse total shoulder arthroplasty has also developed into a platform for revision surgery. However, surgeons must be aware that when used for revision, complication rates are higher and survival times are shorter. Glenoid revision is technically demanding even for an experienced shoulder surgeon and may lead to early revision failures if done improperly. Shoulder surgeons must have a detailed understanding of expected outcomes, proper indications and current bone grafting techniques when attempting glenoid reconstruction. |
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| Keywords: | shoulder arthroplasty glenoid revision base plate reverse bone loss |
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