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General Orthopaedics

MANAGING GLENOID BONE LOSS: ROLE OF AUGMENTED PATIENT-SPECIFIC IMPLANTS

The Current Concepts in Joint Replacement (CCJR) Spring Meeting, Las Vegas, May 2017.



Abstract

Glenoid bone loss is not an uncommon challenge in both primary shoulder arthroplasty surgery and revision surgery. Walch described the classification of glenoid morphology and this has led to an understanding of the expanded role for bone grafting, patient-specific implants and reverse prostheses. While bone grafting of the glenoid in conventional arthroplasty has been shown to be successful in some patients it is more routinely used in combination with reverse prostheses. More recently, augmented glenoid components have been developed for both conventional and reverse arthroplasty, though follow-up is insufficient to confirm their durability at this time.