Michael-Alexander Malahias1, Dimitrios Chytas2, Lazaros Kostretzis3, Emmanouil Brilakis1, Emmanouil Fandridis4, Michael Hantes5, Emmanouil Antonogiannakis1. 1. 3rd Orthopaedic Department, Hygeia Hospital, 4, Erythrou Stavrou Str., 15123, Marousi, Greece. 2. Department of Anatomy, European University of Cyprus, 6, Diogenous Str., 2404, Engomi, Nicosia, Cyprus. 3. HKF Zentrum, ATOS Klinik, 9-15, Bismarckstraße Str., 69115, Heidelberg, Germany. 4. Hand-Upper Limb and Microsurgery Department, KAT Hospital, 2, Nikis Str., 14561, Kifissia, Greece. 5. Department of Orthopaedic Surgery, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41110, Larissa, Greece.
Abstract
PURPOSE: We performed a systematic review of the studies including clinical/functional outcomes and complications of bone grafting for glenoid defects in reverse total shoulder arthroplasty (RTSA). METHODS: The PubMed and Cochrane databases were searched for relevant papers. RESULTS: Thirteen articles were included. The mean clinical/functional subjective scores significantly improved postoperatively. The implant revision rate for primary and revision RTSA was 3.1% and 21.1% respectively. The reoperation rate was 3.5% and 24.4% respectively. CONCLUSIONS: There was moderate evidence that bone grafting is effective for glenoid defects in primary RTSA. Further high-quality research is required about revision RTSA for moderate-to-severe glenoid defects.
PURPOSE: We performed a systematic review of the studies including clinical/functional outcomes and complications of bone grafting for glenoid defects in reverse total shoulder arthroplasty (RTSA). METHODS: The PubMed and Cochrane databases were searched for relevant papers. RESULTS: Thirteen articles were included. The mean clinical/functional subjective scores significantly improved postoperatively. The implant revision rate for primary and revision RTSA was 3.1% and 21.1% respectively. The reoperation rate was 3.5% and 24.4% respectively. CONCLUSIONS: There was moderate evidence that bone grafting is effective for glenoid defects in primary RTSA. Further high-quality research is required about revision RTSA for moderate-to-severe glenoid defects.
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