Grapefruit Method: Metaphyseal Bone Grafting to Improve Press-fit of Cementless Humeral Stems in Reverse Shoulder Arthroplasty

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Journal of Clinical Orthopaedics | Vol 9 | Issue 2 |  July-December 2024 | page: 26-28 | Manit Arora

DOI: https://doi.org/10.13107/jcorth.2024.v09i02.652

Submitted Date: 19 July 2024, Review Date: 25 Aug 2024, Accepted Date: 12 Sep 2024 & Published Date: 10 Dec 2024

Author: Manit Arora [1]

[1] Department of Orthopaedics and Sports Medicine, Fortis Hospital, Mohali, Punjab, India.

Address of Correspondence

Manit Arora,
Department of Orthopaedics and Sports Medicine, Fortis Hospital, Mohali, Punjab, India.
E-mail: manit_arora@hotmail.com

Abstract

Reverse shoulder arthroplasty is one of the fastest-growing orthopedic surgeries globally. There exist two options for stemmed humeral components: Cemented and cementless or press-fit designs. In cases of osteoporosis or poor metaphyseal bone stock, generally, the choice is made to opt for the former. We describe a method for metaphyseal bone grafting using the resected humeral head as an autograft to improve metaphyseal bone stock and allow for press-fit humeral component in such cases.
Keywords: Shoulder replacement, Shoulder surgery, Reverse shoulder replacement, Bone grafting

References

1. Levy O, Narvani A, Hous N, Abraham R, Relwani J, Pradhan R, et al. Reverse shoulder arthroplasty with a cementless short metaphyseal humeral implant without a stem: Clinical and radiologic outcomes in prospective 2- to 7-year follow-up study. J Shoulder Elbow Surg 2016;25:1362-70.
2. Plachel F, Scheibel M. Humeral bone grafting in stemless shoulder arthroplasty. Obere Extrem 2017;12:183-5.
3. Micheloni GM, Salmaso G, Berti M, Bortolato S, Zecchinato G, Momoli A, et al. Cementless metaphyseal reverse shoulder arthroplasty: Our preliminary experience. Acta Bio Med Atenei Parm 2019;90 Suppl 1:47-53.

How to Cite this article: Arora M. Grapefruit Method: Metaphyseal Bone Grafting to Improve Press-fit of Cementless Humeral Stems in Reverse Shoulder Arthroplasty. Journal of Clinical Orthopaedics 2024:July-December:9(2)26-28.

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