Humeral Head Autograft Compaction for Glenoid Preparation in Anatomic Total Shoulder Arthroplasty. A Technical Note from the LaTour Study Group

Guillermo Vera Valencia; Philippe Collin; Alberto Guevara-Álvarez; Alexandre Lädermann

Abstract

This technical note describes a surgical method for enhancing glenoid component fixation in anatomic total shoulder arthroplasty (TSA) by employing autograft from the humeral head. The technique emphasizes cancellous compaction without extensive reaming, optimizing bone preservation and providing structural stability. Clinical implementation of this method has demonstrated promising outcomes with reduced radiolucent line progression and durable glenoid fixation. This report outlines the procedural steps, potential challenges, and advantages of this bone-conserving approach. This reproducible autograft compaction method may enhance glenoid fixation and implant stability in TSA.Keywords: Glenoid reconstruction, Loosening, Complication, Graft harvesting.https://doi.org/10.70885/hmsj.2025.07.001

References

  1. Walch G, Young AA, Boileau P, Loew M, Gazielly D, Mole D. Patterns of loosening of polyethylene keeled glenoid components after shoulder arthroplasty for primary osteoarthritis: results of a multicenter study with more than five years of follow-up. J Bone Joint Surg Am. 2012;94(2):145-50. DOI: 10.2106/JBJS.J.00699
  2. Evans JP, Batten T, Bird J, Thomas WJ, Kitson JB, Smith CD. Survival of the Aequalis total shoulder replacement at a minimum 20-year follow-up: a clinical and radiographic study. J Shoulder Elbow Surg. 2021;30(10):2355-60. DOI: 10.1016/j.jse.2021.01.038
  3. Gazielly DF, Scarlat MM, Verborgt O. Long-term survival of the glenoid components in total shoulder replacement for arthritis. International orthopaedics. 2015;39(2):285-9. DOI: 10.1007/s00264-014-2562-3
  4. Mehta N, McCormick JR, Garrigues GE. Preoperative planning and its role in anatomic total shoulder arthroplasty. Seminars in Arthroplasty: JSES. 2024;34(1):242-51. DOI:10.1053/j.sart.2023.04.015
  5. Denard PJ, Noyes MP, Ladermann A. A Tensionable Method for Subscapularis Repair after Shoulder Arthroplasty. JSES Open Access. 2018;2(4):205-10. DOI: 10.1016/j.jses.2018.06.003
  6. Martinho T, Zbinden J, Elsenbsy A, Ladermann A. Long Head of the Biceps Tendon Pediculated Autograft Augmentation of Subscapularis Repair During Total Shoulder Arthroplasty. Arthrosc Tech. 2025;14(1):103152. DOI: 10.1016/j.eats.2024.103152
  7. Denard PJ, Lädermann A. Immediate versus delayed passive range of motion following total shoulder arthroplasty. J Shoulder Elbow Surg. 2016;25(12):1918-24. DOI: 10.1016/j.jse.2016.06.024
  8. Collin P, Matsukawa T, Denard PJ, Gain S, Ladermann A. Pre-operative factors influence the recovery of range of motion following reverse shoulder arthroplasty. International orthopaedics. 2017. DOI: 10.1007/s00264-017-3472-2

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