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Impaction bone grafting of the glenoid in revision shoulder arthroplasty : classification, technical description and early results

Page, Richard S., Haines, John F. and Trail, Ian 2009, Impaction bone grafting of the glenoid in revision shoulder arthroplasty : classification, technical description and early results, Shoulder and elbow, vol. 1, no. 2, pp. 81-88, doi: 10.1111/j.1758-5740.2009.00017.x.

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Title Impaction bone grafting of the glenoid in revision shoulder arthroplasty : classification, technical description and early results
Author(s) Page, Richard S.ORCID iD for Page, Richard S. orcid.org/0000-0002-2225-7144
Haines, John F.
Trail, Ian
Journal name Shoulder and elbow
Volume number 1
Issue number 2
Start page 81
End page 88
Total pages 8
Publisher Wiley - Blackwell Publishing
Place of publication Oxford, England
Publication date 2009-10
ISSN 1758-5732
1758-5740
Keyword(s) revision
total
shoulder
glenoid
impaction
grafting
level of evidence : IV
Summary Background Glenoid component fixation remains an issue in the long-term survival of total shoulder arthroplasty. As a consequence revision of the glenoid component is becoming increasingly more common and reconstructive techniques to preserve and restore bone stock are becoming more important.

Methods In this article we describe the combined technique of impaction grafting and glenoid component exchange together with a classification of the glenoid defect with a report on four sequential cases in patients with rheumatoid arthritis with an average age of 56 years. The minimum follow-up was 34 months (range 34 months to 62 months).

Results Patients reported excellent pain relief and some improvement in motion and function. The complication rate remains low. Radiological assessment using tomograms showed good incorporation of the bone graft and minimal signs of glenoid loosening.

Conclusion The results of this study confirm that at least in the short term impaction grafting techniques used to reconstitute the glenoid in revision surgery can be successful.
Language eng
DOI 10.1111/j.1758-5740.2009.00017.x
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2009, Wiley-Blackwell Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30047410

Document type: Journal Article
Collection: School of Medicine
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