Survivorship of Allologous Structural Bone Graft at a Minimum of 2 Years When Used to Address Significant Glenoid Bone Loss in Revision Shoulder Arthroplasty: A Computed Tomographic and Clinical Review
Background This study assesses outcomes in revision shoulder replacements where the glenoid bone loss was managed using a structural allograft (donated femoral head) in combination with a trabecular titanium (TT) implant. Methods We contacted patients who had undergone revision shoulder arthroplasty...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-05-01
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| Series: | Journal of Shoulder and Elbow Arthroplasty |
| Online Access: | https://doi.org/10.1177/24715492231172371 |
| _version_ | 1797829093610225664 |
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| author | Aparna Viswanath FRCS (T & O) Amy K Newell BSc(Hons) Lindsay J Cunningham DCR (R) PGD, PGCE (HE) Mike Walton FRCS (T & O) Puneet Monga MD, FRCS (T & O) Steve Bale FRCS (T & O) Ian A Trail MD, FRCS |
| author_facet | Aparna Viswanath FRCS (T & O) Amy K Newell BSc(Hons) Lindsay J Cunningham DCR (R) PGD, PGCE (HE) Mike Walton FRCS (T & O) Puneet Monga MD, FRCS (T & O) Steve Bale FRCS (T & O) Ian A Trail MD, FRCS |
| author_sort | Aparna Viswanath FRCS (T & O) |
| collection | DOAJ |
| description | Background This study assesses outcomes in revision shoulder replacements where the glenoid bone loss was managed using a structural allograft (donated femoral head) in combination with a trabecular titanium (TT) implant. Methods We contacted patients who had undergone revision shoulder arthroplasty using the Lima Axioma TT metal-backed glenoid with an allologous bone graft as a composite who were over 2 years since surgery. Patients underwent computerd tomography evaluation, clinical review, and scoring preoperatively, at 6 months and the latest follow-up. Results Fifteen patients were included with a mean age of 59 (33-76). The average follow-up period was 40.5 months (24-51). 80% showed satisfactory bone graft incorporation and peg integration at the latest follow-up. Three had signs of significant bone graft resorption, although in 2 patients the pegs were still soundly fixed in the host bone. Clinically all patients showed a statistically significant improvement in pain relief, movement, and function. No unusual complications were reported. Conclusion Results show femoral head structural allograft in combination with TT metal-backed glenoid baseplate is a viable option for revision total shoulder replacement in the context of massive glenoid bone loss. We do, however, acknowledge that this resorption rate is higher than in other reported series where autograft is used. |
| first_indexed | 2024-04-09T13:14:57Z |
| format | Article |
| id | doaj.art-b4354d48df004610bfde620262bcb26b |
| institution | Directory Open Access Journal |
| issn | 2471-5492 |
| language | English |
| last_indexed | 2024-04-09T13:14:57Z |
| publishDate | 2023-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Shoulder and Elbow Arthroplasty |
| spelling | doaj.art-b4354d48df004610bfde620262bcb26b2023-05-12T03:33:20ZengSAGE PublishingJournal of Shoulder and Elbow Arthroplasty2471-54922023-05-01710.1177/24715492231172371Survivorship of Allologous Structural Bone Graft at a Minimum of 2 Years When Used to Address Significant Glenoid Bone Loss in Revision Shoulder Arthroplasty: A Computed Tomographic and Clinical ReviewAparna Viswanath FRCS (T & O)Amy K Newell BSc(Hons)Lindsay J Cunningham DCR (R) PGD, PGCE (HE) Mike Walton FRCS (T & O)Puneet Monga MD, FRCS (T & O)Steve Bale FRCS (T & O)Ian A Trail MD, FRCSBackground This study assesses outcomes in revision shoulder replacements where the glenoid bone loss was managed using a structural allograft (donated femoral head) in combination with a trabecular titanium (TT) implant. Methods We contacted patients who had undergone revision shoulder arthroplasty using the Lima Axioma TT metal-backed glenoid with an allologous bone graft as a composite who were over 2 years since surgery. Patients underwent computerd tomography evaluation, clinical review, and scoring preoperatively, at 6 months and the latest follow-up. Results Fifteen patients were included with a mean age of 59 (33-76). The average follow-up period was 40.5 months (24-51). 80% showed satisfactory bone graft incorporation and peg integration at the latest follow-up. Three had signs of significant bone graft resorption, although in 2 patients the pegs were still soundly fixed in the host bone. Clinically all patients showed a statistically significant improvement in pain relief, movement, and function. No unusual complications were reported. Conclusion Results show femoral head structural allograft in combination with TT metal-backed glenoid baseplate is a viable option for revision total shoulder replacement in the context of massive glenoid bone loss. We do, however, acknowledge that this resorption rate is higher than in other reported series where autograft is used.https://doi.org/10.1177/24715492231172371 |
| spellingShingle | Aparna Viswanath FRCS (T & O) Amy K Newell BSc(Hons) Lindsay J Cunningham DCR (R) PGD, PGCE (HE) Mike Walton FRCS (T & O) Puneet Monga MD, FRCS (T & O) Steve Bale FRCS (T & O) Ian A Trail MD, FRCS Survivorship of Allologous Structural Bone Graft at a Minimum of 2 Years When Used to Address Significant Glenoid Bone Loss in Revision Shoulder Arthroplasty: A Computed Tomographic and Clinical Review Journal of Shoulder and Elbow Arthroplasty |
| title | Survivorship of Allologous Structural Bone Graft at a Minimum of 2 Years When Used to Address Significant Glenoid Bone Loss in Revision Shoulder Arthroplasty: A Computed Tomographic and Clinical Review |
| title_full | Survivorship of Allologous Structural Bone Graft at a Minimum of 2 Years When Used to Address Significant Glenoid Bone Loss in Revision Shoulder Arthroplasty: A Computed Tomographic and Clinical Review |
| title_fullStr | Survivorship of Allologous Structural Bone Graft at a Minimum of 2 Years When Used to Address Significant Glenoid Bone Loss in Revision Shoulder Arthroplasty: A Computed Tomographic and Clinical Review |
| title_full_unstemmed | Survivorship of Allologous Structural Bone Graft at a Minimum of 2 Years When Used to Address Significant Glenoid Bone Loss in Revision Shoulder Arthroplasty: A Computed Tomographic and Clinical Review |
| title_short | Survivorship of Allologous Structural Bone Graft at a Minimum of 2 Years When Used to Address Significant Glenoid Bone Loss in Revision Shoulder Arthroplasty: A Computed Tomographic and Clinical Review |
| title_sort | survivorship of allologous structural bone graft at a minimum of 2 years when used to address significant glenoid bone loss in revision shoulder arthroplasty a computed tomographic and clinical review |
| url | https://doi.org/10.1177/24715492231172371 |
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