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Management of Large Glenoid Defects: Bone Grafts and Augmented Components

  • Peter N. ChalmersEmail author
Chapter

Abstract

As experience has grown with shoulder arthroplasty and as shoulder arthroplasty has come to be performed in an increasing number of patients, the number of procedures performed in patients with large glenoid bone defects has increased. Performing a shoulder arthroplasty in a patient with a large glenoid bone defect requires a detailed preoperative understanding of the extent and morphology of both the defect and the underlying remaining bone stock. This can then be used to compare among options such as bone grafting and augmented components to create a plan to optimize component position, stability, and longevity. Intraoperatively, exposure of the defect and the periarticular landmarks is crucial to translate the preoperative plan. Execution of this plan can be technically challenging, and backup options and secondary plans are a necessity. These procedures are technically challenging, the complication rate is high, and the results are inferior to shoulder arthroplasty performed in the setting of normal glenoid bone. However, these procedures still lead to significant improvements in pain and function as compared preoperatively, and most patients are satisfied with the outcome if appropriately counseled preoperatively.

Keywords

Shoulder arthroplasty Shoulder replacement Bone grafting Revision Reoperation Glenoid bone loss 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Shoulder and Elbow Surgery, Department of Orthopaedic SurgeryUniversity of UtahSalt Lake CityUSA

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