Management of the Failed Arthroplasty for Proximal Humerus Fracture

Djuro Petkovic, MD; David Kovacevic, MD; William N. Levine, MD; Charles M. Jobin, MD

Disclosures

J Am Acad Orthop Surg. 2019;27(2):39-49. 

In This Article

Future Trends

Trends that will advance the management of failed arthroplasty for fracture include increasing use of RTSA for acute fractures, the use of pyrocarbon hemiarthroplasty heads to reduce glenoid wear, enhancements in preoperative templating, and progress in infection prevention and diagnosis. The management of failed RTSA for fracture is especially complex because surgical solutions are limited. Promising concepts include staged glenoid bone grafting and cage-like scapular reconstructions for severe glenoid bone loss. Future research will likely focus on the successes and failures of glenoid structural bone grafting, management of periprosthetic joint infections, and implant designs that allow for increased modularity and convertibility between reverse and anatomic reconstruction.

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