Proximal Humerus Bone Loss in the Setting of Reverse Total Shoulder Arthroplasty

被引：0

作者：

Koa, Jonathan E. ^{[1
]}

Goltz, Daniel E. ^{[1
]}

Fares, Mohamad Y. ^{[1
]}

Boufadel, Peter ^{[1
]}

Daher, Mohammad ^{[1
]}

Kolakowski, Logan ^{[2
]}

Lo, Eddie Y. ^{[3
]}

Krishnan, Sumant G. ^{[3
]}

Frankle, Mark A. ^{[2
]}

Abboud, Joseph A. ^{[1
]}

机构：

[1] Rothman Orthopaed Inst, Div Shoulder & Elbow Surg, Philadelphia, PA 19107 USA

[2] Florida Orthopaed Inst, Shoulder & Elbow Serv, Tampa, FL USA

[3] Baylor Univ Med Ctr, Shoulder Serv, Baylor Scott & White Hlth, Dallas, TX USA

来源：

JBJS REVIEWS | 2025年 / 13卷 / 07期

关键词：

REVISION; PROSTHESIS; RECONSTRUCTION; COMPLICATIONS; COMPOSITE;

D O I：

10.2106/JBJS.RVW.25.00006

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

>> Proximal humerus bone loss (PHBL) is a challenging issue in the setting of reverse total shoulder arthroplasty, particularly during revision surgeries. >> PHBL can compromise the deltoid moment arm, soft tissue attachments, and stability of the humeral and glenoid components. >> Causes of PHBL are multifactorial, and the degree of bone loss can vary widely among patients. >> Treatment options include long-stem reconstruction prostheses, cementoplasty, reverse total shoulder allograft prosthesis composite reconstruction, proximal humerus replacement/endoprosthesis, and custom 3D-printed reconstruction. >> Each treatment option has unique advantages and limitations, emphasizing the importance of individualized management plans tailored to patient needs. Level of Evidence: Level IV. See Instructions for Authors for a complete description of levels of evidence.

引用

页数：11

共 36 条

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