Clinical Orthopaedics and Related Research

, Volume 466, Issue 3, pp 599–607 | Cite as

Glenoid Reconstruction in Revision Shoulder Arthroplasty

  • Bassem Elhassan
  • Mehmet Ozbaydar
  • Lawrence D. Higgins
  • Jon J. P. WarnerEmail author
Symposium: New Approaches to Shoulder Surgery


Failed shoulder arthroplasty associated with glenoid bony deficiency is a difficult problem. Revision surgery is complex with unpredictable outcome. We asked whether revision shoulder arthroplasty with glenoid bone grafting could lead to good outcome. We retrospectively reviewed 21 patients who underwent glenoid bone grafting using corticocancellous bone grafting or impaction grafting using cancellous bone graft. Three patients underwent revision TSA, five patients hemiarthroplasty, 10 patients hemiarthroplasty with biologic resurfacing of the glenoid, and three patients revision to reverse TSA. The patients had minimum 25 months followup (average, 45 months; range, 25–92 months). All patients had improvement in their range of motion and the Constant-Murley score. Most improvement occurred in patients with glenoid reimplantation. Patients who underwent revision reverse TSA had improvement in shoulder flexion but decrease in external rotation motion. We conclude revision shoulder arthroplasty with glenoid bone grafting can produce good short-term outcome and glenoid component reinsertion should be attempted whenever possible.

Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.


External Rotation Shoulder Arthroplasty Total Shoulder Arthroplasty Glenoid Component Forward Flexion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© The Association of Bone and Joint Surgeons 2008

Authors and Affiliations

  • Bassem Elhassan
    • 1
  • Mehmet Ozbaydar
    • 1
  • Lawrence D. Higgins
    • 2
  • Jon J. P. Warner
    • 3
    Email author
  1. 1.Harvard Shoulder Service, Harvard Medical SchoolMassachusetts General HospitalBostonUSA
  2. 2.Sports Medicine and the Shoulder ServiceHarvard Medical School, Brigham and Women’s HospitalBostonUSA
  3. 3.Division of Shoulder Surgery, Department of Orthopedic Surgery, Harvard Shoulder Service, Harvard Medical SchoolMassachusetts General HospitalBostonUSA

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