One-stage or multiple-stage revision

One- or two-stage revisions (and in some cases revisions with additional stages) may be required in cases of periprosthetic fatigue fractures of the humerus and/or the glenoid. Indications are mainly based on the quantity of bone stock that remains, and infection status. Humeral deficiencies are usually treated with a one-stage revision. The treatment for glenoid deficiencies depends on the fracture type and bone quality and may require a two-stage reconstruction.

One-stage revision is generally more cost-effective due to a single operation, faster recovery, and shorter hospital stay.

Indications:

• Patients with humeral deficiencies
• Patients with sufficient glenoid bone stock
• No history of previous infection

Indications:

• Severe glenoid bone deficiency without sufficient bone stock to gain stable primary baseplate fixation, even with bony reconstruction
• Previously diagnosed infection