AI Article Synopsis
- A 68-year-old male underwent a two-stage revision of right reverse total shoulder arthroplasty (RTSA) due to a periprosthetic joint infection and significant bone loss in the proximal humerus.
- The initial stage involved the use of an antibiotic spacer, followed by a custom long-stem RTSA for definitive reconstruction.
- Two years later, the patient experienced notable improvements in pain and functional motion, suggesting that custom long-stem RTSA may be a promising option for severe bone loss cases.
Article Abstract
Case: A 68-year-old male, status post revision right reverse total shoulder arthroplasty (RTSA) for periprosthetic fracture, suffered a periprosthetic joint infection necessitating 2-stage revision. Imaging revealed 8.6 cm of ipsilateral proximal humeral bone loss (PHBL) including loss of the greater and lesser tuberosities. A 2-stage revision was performed using an antibiotic spacer, followed by a custom long-stem RTSA for definitive reconstruction. Two years postoperatively, the patient had significantly improved pain and functional range of motion.
Conclusion: Custom long-stem RTSA could serve as a potentially viable reconstructive option in patients with severe PHBL.
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| http://dx.doi.org/10.2106/JBJS.CC.20.00426 | DOI Listing |
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