反向全肩关节置换术中肱骨近端骨丢失。

IF 2.4 Q2 SURGERY

JBJS Reviews Pub Date : 2025-07-09 eCollection Date: 2025-07-01 DOI:10.2106/JBJS.RVW.25.00006

Jonathan E Koa, Daniel E Goltz, Mohamad Y Fares, Peter Boufadel, Mohammad Daher, Logan Kolakowski, Eddie Y Lo, Sumant G Krishnan, Mark A Frankle, Joseph A Abboud

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引用次数: 0

摘要

肱骨近端骨丢失（PHBL）是逆行全肩关节置换术中一个具有挑战性的问题，特别是在翻修手术中。PHBL会损害三角力臂、软组织附着物以及肱骨和肩关节的稳定性。PHBL的病因是多因素的，患者的骨质流失程度差异很大。治疗方案包括长柄重建假体、骨水泥成形术、反向全肩异体假体复合重建、肱骨近端置换术/内假体和定制3d打印重建。每种治疗方案都有其独特的优点和局限性，强调了根据患者需求量身定制个性化管理计划的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Proximal Humerus Bone Loss in the Setting of Reverse Total Shoulder Arthroplasty.

» Proximal humerus bone loss (PHBL) is a challenging issue in the setting of reverse total shoulder arthroplasty, particularly during revision surgeries.

» PHBL can compromise the deltoid moment arm, soft tissue attachments, and stability of the humeral and glenoid components.

» Causes of PHBL are multifactorial, and the degree of bone loss can vary widely among patients.

» Treatment options include long-stem reconstruction prostheses, cementoplasty, reverse total shoulder allograft prosthesis composite reconstruction, proximal humerus replacement/endoprosthesis, and custom 3D-printed reconstruction.

» Each treatment option has unique advantages and limitations, emphasizing the importance of individualized management plans tailored to patient needs.

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来源期刊

JBJS Reviews SURGERY-

CiteScore

4.40

自引率

4.30%

发文量

132

期刊介绍： JBJS Reviews is an innovative review journal from the publishers of The Journal of Bone & Joint Surgery. This continuously published online journal provides comprehensive, objective, and authoritative review articles written by recognized experts in the field. Edited by Thomas A. Einhorn, MD, and a distinguished Editorial Board, each issue of JBJS Reviews, updates the orthopaedic community on important topics in a concise, time-saving manner, providing expert insights into orthopaedic research and clinical experience. Comprehensive reviews, special features, and integrated CME provide orthopaedic surgeons with valuable perspectives on surgical practice and the latest advances in the field within twelve subspecialty areas: Basic Science, Education & Training, Elbow, Ethics, Foot & Ankle, Hand & Wrist, Hip, Infection, Knee, Oncology, Pediatrics, Pain Management, Rehabilitation, Shoulder, Spine, Sports Medicine, Trauma.