Cementless reverse total shoulder arthroplasty in a patient affected by Osteogenesis Imperfecta: a case report and review of the literature.

Main Article Content

Francesco Mancuso
Paolo Di Benedetto
Andrea Marchetti
Dario Ghassempour
Alessandro Beltrame
Araldo Causero

Keywords

Cementless, osteogenesis imperfecta, arthroplasty, shoulder

Abstract

Background and aim of the work: Osteogenesis Imperfecta is a rare genetic condition. The use of total shoulder arthroplasty in these patients is very uncommon, with only two cases reported in the literature. This study describes a cementless reverse total shoulder arthroplasty (rTSA) for a multi-fragmented fracture in a patient affected by Osteogenesis Imperfecta (OI) type 1 and aims to review literature results of shoulder replacement in patients affected by this uncommon condition.


Methods: the case of a woman affected by OI type 1 treated with a cementless rTSA for a multi-fragmented proximal humerus facture is reported. Focusing on the fixation technique, a research of all articles regarding the orthopaedic treatments in patients affected by Osteogenesis Imperfecta was performed and compared to the techniques used in the unaffected population.


Result: Our patient shows good results in terms of clinical and radiological outcomes at the short term follow up. Few studies treat the orthopaedic manifestation of this rare genetic condition and only two are focused on shoulder arthroplasty. Cement is the preferred method for fixation in both papers.


Conclusion: Cementless reverse shoulder arthroplasty may be an option in patients affected by OI type 1, although literature seems to support cement as the fixation method of choice.

Downloads

Download data is not yet available.
Abstract 122 | PDF Downloads 60

References

1. Beltrame A, Di Benedetto P, Cicuto C, Cainero V, Chisoni R, Causero A. Onlay versus Inlay humeral steam in Reverse Shoulder Arthroplasty (RSA): clinical and biomechanical study. Acta Bio-Medica Atenei Parm. 2019;90(12-S):54-63. doi:10.23750/abm.v90i12-S.8983
2. Marini JC, Forlino A, Bächinger HP, et al. Osteogenesis imperfecta. Nat Rev Dis Primer. 2017;3:17052. doi:10.1038/nrdp.2017.52
3. Papagelopoulos PJ, Morrey BF. Hip and knee replacement in osteogenesis imperfecta. J Bone Joint Surg Am. 1993;75(4):572-580. doi:10.2106/00004623-199304000-00011
4. Gil JA, DeFroda SF, Sindhu K, Cruz AI, Daniels AH. Challenges of Fracture Management for Adults With Osteogenesis Imperfecta. Orthopedics. 2017;40(1):e17-e22. doi:10.3928/01477447-20161006-04
5. Roberts TT, Cepela DJ, Uhl RL, Lozman J. Orthopaedic Considerations for the Adult With Osteogenesis Imperfecta. J Am Acad Orthop Surg. 2016;24(5):298-308. doi:10.5435/JAAOS-D-15-00275
6. Krishnan H, Patel NK, Skinner JA, et al. Primary and revision total hip arthroplasty in osteogenesis imperfecta. Hip Int J Clin Exp Res Hip Pathol Ther. 2013;23(3):303-309. doi:10.5301/hipint.5000014
7. Wagner R, Luedke C. Total knee arthroplasty with concurrent femoral and tibial osteotomies in osteogenesis imperfecta. Am J Orthop Belle Mead NJ. 2014;43(1):37-42.
8. Mnif H, Koubaa M, Zrig M, et al. Bilateral posterior fracture dislocation of the shoulder. Chir Main. 2010;29(2):132-134. doi:10.1016/j.main.2009.11.001
9. McLaughlin RJ, Watts CD, Rock MG, Sperling JW. Reverse total shoulder arthroplasty in a patient with osteogenesis imperfecta type I complicated by a proximal humeral enchondroma: a case report and review of the literature. JSES Open Access. 2017;1(2):119-123. doi:10.1016/j.jses.2017.03.012
10. Wright JO, Ho A, Kalma J, et al. Uncemented Reverse Total Shoulder Arthroplasty as Initial Treatment for Comminuted Proximal Humerus Fractures. J Orthop Trauma. 2019;33(7):e263-e269. doi:10.1097/BOT.0000000000001465
11. Youn S-M, Deo S, Poon PC. Functional and radiologic outcomes of uncemented reverse shoulder arthroplasty in proximal humeral fractures: cementing the humeral component is not necessary. J Shoulder Elbow Surg. 2016;25(4):e83-e89. doi:10.1016/j.jse.2015.09.007
12. Wiater JM, Moravek JE, Budge MD, Koueiter DM, Marcantonio D, Wiater BP. Clinical and radiographic results of cementless reverse total shoulder arthroplasty: a comparative study with 2 to 5 years of follow-up. J Shoulder Elbow Surg. 2014;23(8):1208-1214. doi:10.1016/j.jse.2013.11.032
13. Phadnis J, Huang T, Watts A, Krishnan J, Bain GI. Cemented or cementless humeral fixation in reverse total shoulder arthroplasty? a systematic review. Bone Jt J. 2016;98-B(1):65-74. doi:10.1302/0301-620X.98B1.36336
14. Castagna A, Delle Rose G, De Giorgi S, Gumina S, Garofalo R, Borroni M. Do radiolucent lines and stress shielding of the humeral shaft really matter in shoulder arthroplasty? J Biol Regul Homeost Agents. 2020;34(4 Suppl. 3):309-314. Congress of the Italian Orthopaedic Research Society.
15. Beltrame A, Di Benedetto P, Salviato D, et al. The SMR reverse shoulder arthroplasty in rotator cuff arthropathy management. Acta Bio-Medica Atenei Parm. 2017;88(4S):81-89. doi:10.23750/abm.v88i4 -S.6798):

Most read articles by the same author(s)

1 2 3 4 > >>