Next Article in Journal
Clinical and Electrocardiographic Predictors of Cardiac Resynchronization Therapy Response That Correlate with the 6 min Walking Test
Next Article in Special Issue
Development, Evolution, and Outcomes of More Anatomical Reverse Shoulder Arthroplasty
Previous Article in Journal
Vertebral Body Morphology in Neuromuscular Scoliosis with Spastic Quadriplegic Cerebral Palsy
Previous Article in Special Issue
The Use of Glenoid Structural Allografts for Glenoid Bone Defects in Reverse Shoulder Arthroplasty
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
JCM
Volume 13
Issue 20
10.3390/jcm13206290
jcm-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Systematic Review

Allograft Prosthetic Composite (APC) for Proximal Humeral Bone Deficiency in Revision Reverse Shoulder Arthroplasty: A Technical Note and Systematic Review

by
Hean Wu Kang
1,2,3,4,
Christopher Child
1,2,3,4,
Kristine Italia
1,2,5,
Mirek Karel
1,2,3,4,
Luke Gilliland
1,5,
Helen Ingoe
1,2,3,4,
Jashint Maharaj
1,2,
Sarah Whitehouse
1,
Kenneth Cutbush
1,2,4,6 and
Ashish Gupta
1,2,3,5,*
1
Queensland Unit for Advanced Shoulder Research (QUASR), Queensland University of Technology (QUT), Brisbane, QLD 4000, Australia
2
Australian Shoulder Research Institute, Brisbane, QLD 4000, Australia
3
Greenslopes Private Hospital, Brisbane, QLD 4120, Australia
4
St Andrew’s War Memorial Hospital, Brisbane, QLD 4000, Australia
5
Akunah, Brisbane, QLD 4101, Australia
6
School of Medicine, University of Queensland, Brisbane, QLD 4072, Australia
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2024, 13(20), 6290; https://doi.org/10.3390/jcm13206290
Submission received: 25 June 2024 / Revised: 24 September 2024 / Accepted: 17 October 2024 / Published: 21 October 2024
(This article belongs to the Special Issue Advances, New Technologies and Optimization of Reverse Shoulder Arthroplasty)
Browse Figures
Versions Notes

Abstract

Background: Proximal humeral bone deficiency in revision shoulder arthroplasty is an emerging and challenging problem as the use of reverse shoulder arthroplasty (RSA) increases. This paper presents a technical note discussing our detailed preoperative planning steps, surgical techniques, and their rationale in carrying out the use of an allograft prosthetic composite (APC) to address proximal humeral bone deficiency in revision RSA. The outcomes of this technique are also presented. This paper also presents a systematic review to further discuss the existing literature on RSA with APCs. Methods: The preoperative surgical planning and the surgical technique employed to execute proximal humeral reconstruction using APC during revision arthroplasty are discussed in the technical note. The preliminary clinical and radiological results of five patients who underwent revision shoulder arthroplasty with proximal humeral reconstruction using APCs are presented. The PRISMA guidelines were followed to perform the systematic review. A systematic search using PubMed, Embase, and Cochrane databases was conducted. All studies involving RSA and APCs were pooled, and the data were extracted and analyzed. Results: A total of 14 studies were eligible for inclusion in the systematic review, with a total of 255 patients and a mean follow-up of 57 months. All studies in the systematic review and the patients included in the author’s case series showed improvements in the level of pain, range of motion, function, and satisfaction. Graft incorporation in the systematic review was 84%. Conclusions: Based on the available literature and the results of our case series, the use of an APC construct is a viable option for proximal humeral bone deficiency in revision shoulder arthroplasty.
Keywords: allograft prosthetic composite; revision shoulder arthroplasty; preoperative planning; proximal humeral bone deficiency allograft prosthetic composite; revision shoulder arthroplasty; preoperative planning; proximal humeral bone deficiency

Share and Cite

MDPI and ACS Style

Kang, H.W.; Child, C.; Italia, K.; Karel, M.; Gilliland, L.; Ingoe, H.; Maharaj, J.; Whitehouse, S.; Cutbush, K.; Gupta, A. Allograft Prosthetic Composite (APC) for Proximal Humeral Bone Deficiency in Revision Reverse Shoulder Arthroplasty: A Technical Note and Systematic Review. J. Clin. Med. 2024, 13, 6290. https://doi.org/10.3390/jcm13206290

AMA Style

Kang HW, Child C, Italia K, Karel M, Gilliland L, Ingoe H, Maharaj J, Whitehouse S, Cutbush K, Gupta A. Allograft Prosthetic Composite (APC) for Proximal Humeral Bone Deficiency in Revision Reverse Shoulder Arthroplasty: A Technical Note and Systematic Review. Journal of Clinical Medicine. 2024; 13(20):6290. https://doi.org/10.3390/jcm13206290

Chicago/Turabian Style

Kang, Hean Wu, Christopher Child, Kristine Italia, Mirek Karel, Luke Gilliland, Helen Ingoe, Jashint Maharaj, Sarah Whitehouse, Kenneth Cutbush, and Ashish Gupta. 2024. "Allograft Prosthetic Composite (APC) for Proximal Humeral Bone Deficiency in Revision Reverse Shoulder Arthroplasty: A Technical Note and Systematic Review" Journal of Clinical Medicine 13, no. 20: 6290. https://doi.org/10.3390/jcm13206290

APA Style

Kang, H. W., Child, C., Italia, K., Karel, M., Gilliland, L., Ingoe, H., Maharaj, J., Whitehouse, S., Cutbush, K., & Gupta, A. (2024). Allograft Prosthetic Composite (APC) for Proximal Humeral Bone Deficiency in Revision Reverse Shoulder Arthroplasty: A Technical Note and Systematic Review. Journal of Clinical Medicine, 13(20), 6290. https://doi.org/10.3390/jcm13206290

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop