Uso de artroplastia reversa de hombro más aloinjerto estructural en paciente con defecto glenoideo anteroinferior: reporte de caso y revisión de la literatura

Abstract

Glenoid defects in a primary or revision prosthesis are a challenge for an orthopedic surgeon. Appropriate decision-making and preoperative planning are two fundamental tools for the surgical act to present the best results. There are various imaging methods to determine the type of defect that the glenoid may present, whether it is increased retroversion or, worse still, an anteverted glenoid accompanied by a subluxation or dislocation as such.

The following is a case of a 47-year-old male patient with Hamada type IV glenohumeral osteoarthritis, Patte type 3 rotator cuff injury, with marked functional limitation and imaging achievements of alterations in his bone structure at the level of the glenoid and humeral head, with two years of evolution. A reverse shoulder prosthesis with the use of a structural allograft of the distal tibia is proposed as treatment, and the case is presented with a 6-month follow-up of ranges of motion and pain scale.