title: Revision of humeral components in shoulder arthroplasty.
abstract: Revision of a shoulder arthroplasty often requires removal of a well fixed humeral component. Revision of this component can be quite easy in the case of a non-infected platform stem or be very difficult when removal of a well cemented or on-growth stem with distal texturing is required. The purpose of this paper is to provide a series of techniques designed for revision of the humeral component in shoulder arthroplasty. Revision of the stem can be easy with a non-infected platform stem only requiring exchange of the epiphyseal component. Some stems, usually uncemented, can readily be removed from a proximal only approach. Stems with excellent cement mantles may require a longitudinal only split in the humerus done with minimal stripping of the brachialis. If complete cement removal is needed for infection or there is distal stem on growth, then a vascularized door technique is indicated. These techniques are explained in detail in this manuscript.
authors: Thomas W
authors: TW
authors: Wright
mesh_terms: D019643:Arthroplasty, Replacement / Q000009:adverse effects / Q000379:methods*; D001843:Bone Cements / Q000009:adverse effects*; D002484:Cementation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D006811:Humerus / Q000601:surgery*; D007595:Joint Prosthesis; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods; D012785:Shoulder Joint / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements