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Management of Glenoid Bone Loss in Reverse Shoulder Arthroplasty Using Virtual Planning with a Patient-Specific Guide

February 10, 2018

Contributors: Derek Berglund, MD; Brandon Horn, DO; Jonathan Chad Levy, MD; Jonathan Chad Levy, MD

Keywords: Bony Procedure

This video discusses the management of glenoid bone loss during reverse shoulder arthroplasty. Glenoid bone loss is commonly encountered during reverse shoulder arthroplasty. Abnormal wear patterns are observed in approximately 40% of glenoids. Virtual planning software increases a surgeon's ability to identify areas of bone deficiency. Humeral head autografting is commonly used to manage glenoid bone deficiency. The surgical technique shown in this video highlights the advantage of virtual software in planning glenoid component placement and anticipating areas that may require a graft. Using a three-dimensional model of a glenoid, a humeral head graft is created to match the area of bone deficiency. The model allows for selection of a graft that perfectly matches the glenoid. The patient-specific guide can then be used to reproduce the virtual plan. This video demonstrates the planning process, graft preparation, and component placement.

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