Top

Journal of Orthopaedics and Traumatology

Published in:

Open Access 01-12-2021 | Review article

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

Authors: G. Porcellini, G. M. Micheloni, L. Tarallo, P. Paladini, G. Merolla, F. Catani

Published in: Journal of Orthopaedics and Traumatology | Issue 1/2021

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.

Chammaa R, Uri O, Lambert S (2017) Primary shoulder arthroplasty using a custom-made hip-inspired implant for the treatment of advanced glenohumeral arthritis in the presence of severe glenoid bone loss. J Shoulder Elbow Surg 26(1):101–107CrossRef

Lubbeke A, Rees JL, Barea C, Combescure C, Carr AJ, Silman AJ (2017) International variation in shoulder arthroplasty. Acta Orthoped 88(6):592–599CrossRef

Kyriacou S, Khan S, Falworth M (2019) The management of glenoid bone loss in shoulder arthroplasty. J Arthrosc Joint Surg 6:21–30CrossRef

Gupta A, Thussbas C, Koch M, Seebauer L (2017) Management of glenoid bone defects with reverse shoulder arthroplasty–surgical technique and clinical outcomes. J Shoulder Elbow Surg 27(5):853–862CrossRef

Steinmann SP, Cofield RH (2000) Bone grafting for glenoid deficiency in total shoulder replacement. J Shoulder Elbow Surg 9:361–367CrossRef

Gunther SB, Lynch TL (2012) Total shoulder replacement surgery with custom glenoid implants for severe bone deficiency. J Shoulder Elbow Surg 21:675–684CrossRef

Denard PJ, Walch G (2013) Current concepts in the surgical management of primary glenohumeral arthritis with a biconcave glenoid. J Shoulder Elbow Surg 22:1589–1598CrossRef

Cil A, Sperling JW, Cofield RH (2014) Nonstandard glenoid components for bone deficiencies in shoulder arthroplasty. J Shoulder Elbow Surg 23:e149–e157CrossRef

Williams GR Jr, Iannotti JP (2007) Options for glenoid bone loss: composites of prosthetics and biologics. J Shoulder Elbow Surg 16:S267–S272CrossRef

10.

Antuna SA, Sperling JW, Cofield RH, Rowland CM (2001) Glenoid revision surgery after total shoulder arthroplasty. J Shoulder Elbow Surg 10:217–224CrossRef

11.

Boileau P, Moineau G, Roussanne Y, O’Shea K (2017) Bony increased-offset reversed shoulder arthroplasty (BIO-RSA). JBJS Essent Surg Tech 7(4):e37CrossRef

12.

Boileau P, Moineau G, Roussanne Y, O’Shea K (2011) Bony increased-offset reversed shoulder arthroplasty: minimizing scapular impingement while maximizing glenoid fixation. Clin Orthop Relat Res 469(9):2558–2567CrossRef

13.

Paul RA, Maldonado-Rodriguez N, Docter S, Khan M, Veillette C, Verma N, Nicholson G, Leroux T (2019) Glenoid bone grafting in primary reverse total shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg 22(11):1530–1536

14.

Hendel MD, Werner BC, Camp CL, Gulotta LV, Walch G, Dines DM, Dines JS (2016) Management of the biconcave (B2) glenoid in shoulder arthroplasty: technical considerations. Am J Orthoped 45(4):220–227

15.

Iannotti JP, Lappin KE, Klotz CL, Reber EW, Swope SW (2013) Liftoff resistance of augmented glenoid components during cyclic fatigue loading in the posterior-superior direction. J Shoulder Elbow Surg 22(11):1530–1536CrossRef

16.

Sandow M, Schutz C (2016) Total shoulder arthroplasty using trabecular metal augments to address glenoid retroversion: the preliminary result of 10 patients with minimum 2-year follow-up. J Shoulder Elbow Surg 25(4):598–607CrossRef

17.

Hsu JE, Ricchetti ET, Huffman GR, Iannotti JP, Glaser DL (2013) Addressing glenoid bone deficiency and asymmetric posterior erosion in shoulder arthroplasty. J Shoulder Elbow Surg 22:1298–1308CrossRef

18.

Iannotti JP, Norris TR (2003) Influence of preoperative factors on outcome of shoulder arthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 85:251–258CrossRef

19.

Levine WN, Djurasovic M, Glasson JM, Pollock RG, Flatow EL, Bigliani LU (1997) Hemiarthroplasty for glenohumeral osteoarthritis: results correlated to degree of glenoid wear. J Shoulder Elbow Surg 6:449–454CrossRef

20.

Levine WN, Fischer CR, Nguyen D, Flatow EL, Ahmad CS, Bigliani LU (2012) Long-term follow-up of shoulder hemiarthroplasty for glenohumeral osteoarthritis. J Bone Joint Surg Am 94:e164CrossRef

21.

Sperling JW, Cofield RH, Rowland CM (1998) Neer hemiarthroplasty and Neer total shoulder arthroplasty in patients fifty years old or less. Long-term results. J Bone Joint Surg Am 80:464–473CrossRef

22.

Strauss EJ, Roche C, Flurin PH, Wright T, Zuckerman JD (2009) The glenoid in shoulder arthroplasty. J Shoulder Elbow Surg 18:819–833CrossRef

23.

Hill JM, Norris TR (2001) Long-term results of total shoulder arthroplasty following bone-grafting of the glenoid. J Bone Joint Surg Am 83:877–883CrossRef

24.

Klika BJ, Wooten CW, Sperling JW, Steinmann SP, Schleck CD, Harmsen WS et al (2014) Structural bone grafting for glenoid deficiency in primary total shoulder arthroplasty. J Shoulder Elbow Surg 23:1066–1072CrossRef

25.

Nicholson GP, Cvetanovich GL, Rao AJ, O’Donnell P (2017) Posterior glenoid bone grafting in total shoulder arthroplasty for osteoarthritis with severe posterior glenoid wear. J Shoulder Elbow Surg 26:1844–1853CrossRef

26.

Sabesan V, Callanan M, Ho J, Iannotti JP (2013) Clinical and radiographic outcomes of total shoulder arthroplasty with bone graft for osteoarthritis with severe glenoid bone loss. J Bone Joint Surg Am 95:1290–1296CrossRef

27.

Scalise JJ, Iannotti JP (2008) Bone grafting severe glenoid defects in revision shoulder arthroplasty. Clin Orthop Relat Res 466:139–145CrossRef

28.

Frankle M, Siegal S, Pupello D, Saleem A, Mighell M, Vasey M (2005) The reverse shoulder prosthesis for glenohumeral arthritis associated with severe rotator cuff deficiency. A minimum two-year follow-up study of sixty patients. J Bone Joint Surg Am 87:1697–1705PubMed

29.

Neyton L, Sirveaux F, Roche O, Mole D, Boileau P, Walch G (2004) Results of revision surgery for glenoid loosening: a multicentric series of 37 shoulder prosthesis [in French]. Rev Chir Orthop Reparatrice Appar Mot 90:111–121CrossRef

30.

Malhas A, Rashid A, Copas D, Bale S, Trail I (2019) Glenoid bone loss in primary and revision shoulder arthroplasty. Shoulder Elbow 8(4):229–240CrossRef

31.

Malhas AM, Granville-Chapman J, Robinson PM (2018) Reconstruction of the glenoid using autologous bone-graft and SMR Axioma TT metal-backed prosthesis: the first 45 sequential cases at a minimum of two years’ follow-up. Bone Joint J 100-B(12):1609–1617CrossRef

32.

Stoffelen D, Eraly K, Debeer P (2015) The use of 3D printing technology in reconstruction of a severe glenoid defect: a case report with 25 years of follow-up. J Shoulder Elbow Surg 24:e218–e222CrossRef

33.

Dines DM, Gulotta L, Craig EV, Dines JS (2017) Novel solution for massive glenoid defects in shoulder arthroplasty: a patient-specific glenoid vault reconstruction system. Am J Orthop 46(2):104–108PubMed

34.

Debeer P, Berghs B, Pouliart N, Van den Bogaert G, Verhaegen F, Nijs S (2019) Treatment of severe glenoid deficiencies in reverse shoulder arthroplasty: the Glenius Glenoid Reconstruction System experience. J Shoulder Elbow Surg 28(8):1601–1608CrossRef

Title: Custom-made reverse shoulder arthroplasty for severe glenoid bone loss: review of the literature and our preliminary results
Authors: G. Porcellini
G. M. Micheloni
L. Tarallo
P. Paladini
G. Merolla
F. Catani
Publication date: 01-12-2021
Publisher: Springer International Publishing
Published in: Journal of Orthopaedics and Traumatology / Issue 1/2021
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI: https://doi.org/10.1186/s10195-020-00564-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2021

Arthrofibrosis after total knee arthroplasty: patients with keloids at risk

Functional and radiographical results of asymmetrically reconstructed total hip arthroplasty in patients with bilateral dysplastic arthritic hips with one hip Crowe II–III and the other Crowe IV: a retrospective cohort study

Clinical and radiological outcomes of acetabular revision surgery with trabecular titanium cups in Paprosky type II and III bone defects

Risk factors for refracture of the femoral shaft in children after removal of external fixation

Arthroscopic incidence of lateral meniscal root avulsion in patients with anterior cruciate ligament injury

Reverse shoulder arthroplasty in complex fractures of the proximal humerus: results after 7 years of follow-up