Florida Orthopaedic Institute, 13020 North Telecom Parkway, Temple Terrace, FL 33647, USA.
Florida Orthopaedic Institute, 13020 North Telecom Parkway, Temple Terrace, FL 33647, USA; Department of Orthopaedic Surgery and Sports Medicine, University of South Florida, Florida Orthopaedic Institute, 13020 N. Telecom Parkway, Temple Terrace, FL 33647, USA.
Orthop Clin North Am. 2024 Jan;55(1):101-111. doi: 10.1016/j.ocl.2023.05.011. Epub 2023 Jul 11.
As the incidence of shoulder arthroplasty continues to rise, encountering significant glenoid bone loss in the primary and revision setting is becoming a common occurrence. To effectively treat these difficult scenarios, surgeons must understand the common patterns of glenoid bone loss and be aware of the various techniques available for treatment. Understanding bone loss requires careful pre-operative evaluation with appropriate imaging and pre-operative planning software. Treatment algorithms consist of primary anatomic and reverse arthroplasty as well as the use of allograft or autograft bone grafting, augmented glenoid components, specialized surgical techniques, or custom implant designs. Ultimately, good outcomes are able to be obtained with various techniques when applied to the appropriate clinical situation.
随着肩关节置换术的发病率不断上升，在初次和翻修手术中遇到严重的肩胛盂骨量丢失变得越来越常见。为了有效地治疗这些困难的情况，外科医生必须了解肩胛盂骨量丢失的常见模式，并熟悉各种可供选择的治疗技术。了解骨量丢失需要通过适当的影像学检查和术前规划软件进行仔细的术前评估。治疗方案包括解剖型初次置换和反置型置换，以及同种异体或自体植骨、增强型肩胛盂假体、特殊的手术技术或定制假体设计。最终，当应用于适当的临床情况时，各种技术都能取得良好的效果。
