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. 2019 Dec 10:20:78-86.
doi: 10.1016/j.jor.2019.12.005. eCollection 2020 Jul-Aug.

Bone grafting in primary and revision reverse total shoulder arthroplasty for the management of glenoid bone loss: A systematic review

Michael-Alexander Malahias  1 , Dimitrios Chytas  2 , Lazaros Kostretzis  3 , Emmanouil Brilakis  1 , Emmanouil Fandridis  4 , Michael Hantes  5 , Emmanouil Antonogiannakis  1
Affiliations

Bone grafting in primary and revision reverse total shoulder arthroplasty for the management of glenoid bone loss: A systematic review

Michael-Alexander Malahias et al. J Orthop. .

Abstract

Purpose: We performed a systematic review of the studies including clinical/functional outcomes and complications of bone grafting for glenoid defects in reverse total shoulder arthroplasty (RTSA).

Methods: The PubMed and Cochrane databases were searched for relevant papers.

Results: Thirteen articles were included. The mean clinical/functional subjective scores significantly improved postoperatively. The implant revision rate for primary and revision RTSA was 3.1% and 21.1% respectively. The reoperation rate was 3.5% and 24.4% respectively.

Conclusions: There was moderate evidence that bone grafting is effective for glenoid defects in primary RTSA. Further high-quality research is required about revision RTSA for moderate-to-severe glenoid defects.

Keywords: Glenohumeral osteoarthritis; Glenoid bone grafting; Glenoid bone loss; Reverse shoulder arthroplasty; Rotator cuff arthropathy; Systematic review.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
The flowchart of the selection of the studies.
See this image and copyright information in PMC

References

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