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Femoral Allograft-Prosthesis Composite in Reverse Total Shoulder Arthroplasty: A Revision Procedure for Failed Arthroplasty

March 01, 2019

Contributors: Tyler Michael Bauer, BA, BS; John G Horneff, MD, FAAOS; Mark D Lazarus, MD; Jason Scott Klein, MD; Jason Scott Klein, MD

2019 HONORABLE MENTION The burden of upper extremity revision arthroplasty in the United States is increasing. Anatomic arthroplasty and reverse arthroplasty are revision options for patients in whom primary arthroplasty fails; however, these revision procedures fail in patients with osteolysis. Although allograft-prosthesis composite arthroplasty was originally used in patients who underwent tumor resection, the procedure also has been used to salvage failed arthroplasty in the elbow and hip, especially in patients with osteolysis. This video discusses a case series of 10 patients who underwent revision reverse total shoulder arthroplasty with the use of a proximal femoral allograft-prosthesis composite after failed primary anatomic shoulder arthroplasty, reverse arthroplasty, hemiarthroplasty, or open reduction and internal fixation. Allograft-prosthesis composite arthroplasty is a potential salvage procedure that should be considered in patients with concurrent massive bone loss after failed shoulder surgery.

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