Glenoid bone grafting in primary reverse total shoulder arthroplasty

Lukas Ernstbrunner, Jean David Werthel, Eric Wagner, Taku Hatta, John W. Sperling, Robert H. Cofield

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background Severe glenoid bone loss remains a challenge in patients requiring shoulder arthroplasty and may necessitate glenoid bone grafting. The purpose of this study was to determine results, complications, and rates of failure of glenoid bone grafting in primary reverse shoulder arthroplasty. Methods Forty-one shoulders that underwent primary reverse arthroplasty between 2006 and 2013 with a minimum follow-up of 2 years (mean, 2.8 years; range, 2-6 years) were reviewed. Thirty-four (83%) received corticocancellous grafts and 7 (17%) structural grafts. Results Active range of motion and pain levels were significantly improved (P <.001), with mean American Shoulder and Elbow Surgeons score of 77, Simple Shoulder Test score of 9, and patient satisfaction of 93% at the most recent follow-up. Preoperative severe glenoid erosion and increasing body mass index were significantly associated with worse American Shoulder and Elbow Surgeons scores (P =.04). On radiographic evaluation, 7 patients (18%) had grade 1 or grade 2 glenoid lucency. Glenoid bone graft incorporation was observed in 31 patients (78%). Twelve patients (30%) suffered from grade 1 or grade 2 scapular notching. All of the patients with structural grafts showed graft incorporation and no signs of glenoid lucency. Conclusion Although glenoid lucency, glenoid graft resorption, and scapular notching were present at short-term to midterm follow-up, none of the patients needed revision surgery. Primary reverse shoulder arthroplasty with glenoid reconstruction using bone graft relieved pain and restored shoulder function and stability.

Original languageEnglish
Pages (from-to)1441-1447
Number of pages7
JournalJournal of Shoulder and Elbow Surgery
Volume26
Issue number8
DOIs
Publication statusPublished - 2017 Aug 1
Externally publishedYes

Keywords

  • Shoulder
  • arthroplasty
  • bone
  • glenoid
  • graft
  • reverse

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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  • Cite this

    Ernstbrunner, L., Werthel, J. D., Wagner, E., Hatta, T., Sperling, J. W., & Cofield, R. H. (2017). Glenoid bone grafting in primary reverse total shoulder arthroplasty. Journal of Shoulder and Elbow Surgery, 26(8), 1441-1447. https://doi.org/10.1016/j.jse.2017.01.011