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May 1, 2026JSES Reviews Reports and TechniquesOpen Access

Reverse Total Shoulder Arthroplasty with Total Humeral Head Autograft Surgical Technique for Subtotal Glenoid Bone Loss

Clayton Garrison Joel Bird Srinath Kamineni

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Key Points

This study aims to evaluate the effectiveness of reverse total shoulder arthroplasty combined with total humeral head autograft in patients with significant glenoid bone loss.
Performed reverse total shoulder arthroplasty using total humeral head autograft
Pre-operative imaging included X-ray and CT scans to assess bone loss
Post-operative imaging assessed graft integration and component positioning
Confirmed graft integration with stable fixation by post-operative CT and X-ray
Achieved 145 degrees flexion, 145 degrees abduction, and 70 degrees external rotation
Pain reduced to 0/10 with no complications during 12-month follow-up

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Implication

Demonstrates improved shoulder function in patients with severe glenoid bone loss, suggesting a viable surgical option.

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Cite This Study

Garrison et al. (2026) studied this question.

synapsesocial.com/papers/69fc2b608b49bacb8b347856 https://doi.org/10.1016/j.xrrt.2026.100759

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Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Reverse Total Shoulder Arthroplasty With Humeral Head Autograft Fixed Onto Glenoid for Treatment of Severe Glenoid Retroversionother · 2017 · 10 citations
2Structural Bone Grafting for Glenoid Bone Loss in Primary Anatomic Total Shoulder Arthroplasty: A Case Series and Technique Report2024
3Reverse Total Shoulder Arthroplasty in Patients with Severe Rotator Cuff-Deficient Shoulder - A Minimum Three-Year Follow-up Study -case_series · 2013
4Survival of humeral head autograft for glenoid bone loss in reverse total shoulder arthroplasty: a case report of long-term follow-up post ground level fallCase Report · 2025
5Femoral Head Allograft Glenoid Bone Reconstruction in Reverse Shoulder ArthroplastyOriginal Research · 2026

Revision Reverse Total Shoulder Arthroplasty Using an Augmented Glenoid Baseplate: A Review of Current Glenoid Baseplate Options and a Case Report2024
Surgical Options for the Management of Severe Glenoid Structural Deficiencies in the Setting of Revision Reverse Shoulder Arthroplasty: A Systematic Review2026
Short-Term Results after Reversed Total Shoulder Arthroplasty2024
Association of frailty indices with post-operative outcomes in shoulder surgery: a systematic reviewJSES Reviews Reports and Techniques · 2026
The Addition of Remplissage to Arthroscopic Labral Repair is Associated with Lower Rates of Recurrent Instability and Higher Rates of Return to Sport for Patients with On-Track Hill-Sachs Lesions: A Systematic Review and Meta-Analysis of Comparative StudiesJSES Reviews Reports and Techniques · 2026

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