Concurrent Revision Reverse Total Shoulder Arthroplasty and Scapular Spine ORIF for Periprosthetic Fractures: A Report of 2 Cases Using a Dual-Strategy Solution.
Cynthis Wong, Eddie Y Lo, Sri Tummala et al.
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Case in brief
Two elderly women with chronic periprosthetic scapular spine fractures following reverse total shoulder arthroplasty presented with displaced fractures and component malposition. They underwent concurrent revision surgery to address both the fractures and the malposition, which included fixation of the scapular spine. At 27 months post-surgery, both patients achieved radiographic union, reduced pain, and improved function without complications.
Diagnostic / clinical pearl
Concurrent revision reverse total shoulder arthroplasty with scapular spine fixation can effectively address both periprosthetic fractures and component malposition, leading to successful outcomes.
Why it matters
This case highlights the importance of addressing biomechanical stressors in reverse total shoulder arthroplasty to enhance healing and functional recovery.