Abstract
Management of bone loss on both sides of the glenohumeral joint has been made much easier by the introduction of the reverse shoulder arthroplasty (RSA). While traditional posterior bone grafting and newer augmented glenoid components are still being used for Walch type B2 glenoids, there is movement and the trend towards using the reverse prosthesis with Bone Ingrowth Offset (BIO-RSA) techniques. Bone loss on the humeral side can be managed by the prosthesis itself, fresh matched or frozen proximal humerus allografts, femoral shaft allografts, or tibial strut allografts. Several cases will be shown to illustrate each technique.
