Cox JL, et al. - In view of the limited reconstruction options for patients with pain and disability due to a prior failed shoulder arthroplasty with associated proximal humeral bone loss, researchers reported the results of a large cohort of patients treated with a reverse shoulder allograft-prosthetic composite (APC). A total of 73 patients were treated with a reverse shoulder APC between 2002 and 2012 and had adequate follow-up. Outcomes revealed improvement in the total American Shoulder and Elbow Surgeons score from 33.8 to 51.4, and the Simple Shoulder Test score from 1.3 to 3.5. They reported good to excellent results in 42 of 60 patients (70%), satisfactory results in 10 patients (17%), and there were 8 patients (13%) who were unsatisfied. These findings support the reliability of using a reverse total shoulder APC for pain relief and improved range of motion, with an acceptable rate of complications. Patient satisfaction remained high despite the achievement of limited ultimate function.