Custom-made reverse shoulder arthroplasty for severe glenoid bone loss: review of the literature and our preliminary results

Journal of Orthopaedics and Traumatology - 2021
Giuseppe Porcellini1, Gian Mario Micheloni1, Luigi Tarallo1, Paolo Paladini2, Giovanni Merolla2, Fabio Catani1
1Department of Orthopaedic Surgery, University of Modena and Reggio Emilia, Modena, Italy
2Unit of Shoulder and Elbow Surgery, Ospedale Cervesi, Cattolica, RN, Italy

Tóm tắt

Abstract The treatment of severe glenoid bone loss in shoulder arthroplasty represents a challenge, and the results of current prosthetic designs with only glenoid fixation still remain unsatisfactory. In the past decade, customized glenoid prostheses have been developed to address severe glenoid arthritis and in the revision setting. In this review, we analyzed the current surgical options, the classification limits, past literature evidence, and our preliminary results of 6 patients (3 male, 3 female) treated with a reverse implant and custom-made glenoid implant (ProMade; LimaCorporate, Italy). Computer analysis of the residual shape and the amount of glenoid bone stock in association with new classifications could help the surgeon to obtain good clinical and radiological outcomes. The development of navigation systems could improve the adequacy of the implant and, thus, the reliability and longevity of the implant itself.

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Tài liệu tham khảo

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Journal of Orthopaedics and Traumatology

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