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Early radiographic failure of reverse total shoulder arthroplasty with structural bone graft for glenoid bone loss

Journal of Shoulder and Elbow Surgery Oct 20, 2019

Ho JC, et al. - A total of 44 individuals who underwent reverse total shoulder arthroplasty (RSA) with structural bone grafting for glenoid bone defects were retrospectively recognized in order to determine early radiographic failure of RSA with structural bone graft for glenoid bone loss. A total of 37 primary RSA and seven revision RSA were there. At a median of 8 months, graft resorption and radiographic failure were discovered in 11 of 44 and 11 of 44 patients, respectively. Forward elevation, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, Single Assessment Numeric Evaluation (SANE), and Simple Shoulder Test (SST) scores all notably enhanced postoperatively. At final follow-up, radiographic baseplate failure was related to graft resorption, more retroversion correction, and worse SANE scores. Hence, RSA with structural bone graft enhanced range of motion and function, however, a higher baseplate loosening rate than fomerly reported was noted. Moreover, this early radiographic loosening seemed to be correlated to graft resorption, retroversion correction, and worse outcome scores.
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