{"id":"https://openalex.org/W3028916618","doi":"https://doi.org/10.1177/2471549220925464","title":"Reverse Shoulder Arthroplasty for Failed Proximal Humerus Osteosynthesis With Intramedullary Allograft: A Case Series","display_name":"Reverse Shoulder Arthroplasty for Failed Proximal Humerus Osteosynthesis With Intramedullary Allograft: A Case Series","publication_year":2020,"publication_date":"2020-01-01","ids":{"openalex":"https://openalex.org/W3028916618","doi":"https://doi.org/10.1177/2471549220925464","mag":"3028916618"},"language":"en","primary_location":{"id":"doi:10.1177/2471549220925464","doi":"https://doi.org/10.1177/2471549220925464","is_oa":true,"landing_page_url":"https://doi.org/10.1177/2471549220925464","pdf_url":null,"source":{"id":"https://openalex.org/S4210224556","display_name":"Journal of Shoulder and Elbow Arthroplasty","issn_l":"2471-5492","issn":["2471-5492"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Shoulder and Elbow Arthroplasty","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1177/2471549220925464","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5069556568","display_name":"Teja S. Polisetty","orcid":"https://orcid.org/0000-0002-2880-1905","observed_orcids":["https://orcid.org/0000-0002-2880-1905"]},"institutions":[{"id":"https://openalex.org/I2799854417","display_name":"Holy Cross Hospital","ror":"https://ror.org/054kr1687","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799854417"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Teja Polisetty","raw_affiliation_strings":["Department of Orthopedics, Holy Cross Orthopedic Institute, Fort Lauderdale, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Holy Cross Orthopedic Institute, Fort Lauderdale, Florida","institution_ids":["https://openalex.org/I2799854417"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042529560","display_name":"Paul M. DeVito","orcid":"https://orcid.org/0000-0002-6252-8949","observed_orcids":["https://orcid.org/0000-0002-6252-8949"]},"institutions":[{"id":"https://openalex.org/I2799854417","display_name":"Holy Cross Hospital","ror":"https://ror.org/054kr1687","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799854417"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Paul DeVito","raw_affiliation_strings":["Department of Orthopedics, Holy Cross Orthopedic Institute, Fort Lauderdale, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Holy Cross Orthopedic Institute, Fort Lauderdale, Florida","institution_ids":["https://openalex.org/I2799854417"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019772845","display_name":"Hyrum Judd","orcid":"https://orcid.org/0000-0002-3723-9221","observed_orcids":["https://orcid.org/0000-0002-3723-9221"]},"institutions":[{"id":"https://openalex.org/I2802655110","display_name":"Larkin Community Hospital","ror":"https://ror.org/02wcweb64","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802655110"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Hyrum Judd","raw_affiliation_strings":["Department of Orthopedics, Larkin Community Hospital, South Miami, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Larkin Community Hospital, South Miami, Florida","institution_ids":["https://openalex.org/I2802655110"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090055357","display_name":"Andrew Malarkey","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2799854417","display_name":"Holy Cross Hospital","ror":"https://ror.org/054kr1687","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799854417"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew Malarkey","raw_affiliation_strings":["Department of Orthopedics, Holy Cross Orthopedic Institute, Fort Lauderdale, Florida"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Holy Cross Orthopedic Institute, Fort Lauderdale, Florida","institution_ids":["https://openalex.org/I2799854417"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5048886632","display_name":"Jonathan C. Levy","orcid":"https://orcid.org/0000-0002-1699-0841","observed_orcids":["https://orcid.org/0000-0002-1699-0841"]},"institutions":[{"id":"https://openalex.org/I2799854417","display_name":"Holy Cross Hospital","ror":"https://ror.org/054kr1687","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799854417"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jonathan C Levy","raw_affiliation_strings":["Department of Orthopedics, Holy Cross Orthopedic Institute, Fort Lauderdale, Florida"],"raw_orcid":"https://orcid.org/0000-0002-1699-0841","affiliations":[{"raw_affiliation_string":"Department of Orthopedics, Holy Cross Orthopedic Institute, Fort Lauderdale, Florida","institution_ids":["https://openalex.org/I2799854417"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5048886632"],"corresponding_institution_ids":["https://openalex.org/I2799854417"],"apc_list":{"value":750,"currency":"USD","value_usd":750},"apc_paid":{"value":750,"currency":"USD","value_usd":750},"fwci":0.4464,"has_fulltext":false,"cited_by_count":5,"citation_normalized_percentile":{"value":0.57879572,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":96},"biblio":{"volume":"4","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10280","display_name":"Shoulder Injury and Treatment","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10630","display_name":"Orthopedic Surgery and Rehabilitation","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/reverse-shoulder-arthroplasty","display_name":"reverse shoulder arthroplasty","score":1.0},{"id":"https://openalex.org/keywords/proximal-humeral-fractures","display_name":"proximal humerus fracture","score":0.8040000200271606},{"id":"https://openalex.org/keywords/failed-osteosynthesis","display_name":"failed osteosynthesis","score":0.8040000200271606},{"id":"https://openalex.org/keywords/revision-shoulder-arthroplasty","display_name":"revision shoulder arthroplasty","score":0.7649999856948853},{"id":"https://openalex.org/keywords/intraoperative-complications","display_name":"intraoperative complications","score":0.6639999747276306},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.5630000233650208}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9631986618041992},{"id":"https://openalex.org/C92162645","wikidata":"https://www.wikidata.org/wiki/Q655955","display_name":"Intramedullary rod","level":2,"score":0.8918087482452393},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.8063341379165649},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.5642602443695068},{"id":"https://openalex.org/C2776206872","wikidata":"https://www.wikidata.org/wiki/Q162595","display_name":"Humerus","level":2,"score":0.5257034301757812},{"id":"https://openalex.org/C2777304102","wikidata":"https://www.wikidata.org/wiki/Q1667915","display_name":"Osteosynthesis","level":2,"score":0.4860392212867737},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.46020835638046265},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.45105093717575073},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.06951802968978882},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1177/2471549220925464","doi":"https://doi.org/10.1177/2471549220925464","is_oa":true,"landing_page_url":"https://doi.org/10.1177/2471549220925464","pdf_url":null,"source":{"id":"https://openalex.org/S4210224556","display_name":"Journal of Shoulder and Elbow Arthroplasty","issn_l":"2471-5492","issn":["2471-5492"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Shoulder and Elbow Arthroplasty","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:d17c89d2eaa944a1b628a9c2eb6d53aa","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/d17c89d2eaa944a1b628a9c2eb6d53aa","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Shoulder and Elbow Arthroplasty, Vol 4 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/2471549220925464","doi":"https://doi.org/10.1177/2471549220925464","is_oa":true,"landing_page_url":"https://doi.org/10.1177/2471549220925464","pdf_url":null,"source":{"id":"https://openalex.org/S4210224556","display_name":"Journal of Shoulder and Elbow Arthroplasty","issn_l":"2471-5492","issn":["2471-5492"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Shoulder and Elbow Arthroplasty","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.8999999761581421,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":35,"referenced_works":["https://openalex.org/W1963855043","https://openalex.org/W1969142104","https://openalex.org/W1978444178","https://openalex.org/W1981606459","https://openalex.org/W1985012494","https://openalex.org/W1985108944","https://openalex.org/W1989719205","https://openalex.org/W1992049102","https://openalex.org/W1992658143","https://openalex.org/W1994444359","https://openalex.org/W1995091539","https://openalex.org/W1997007860","https://openalex.org/W2001629799","https://openalex.org/W2010756009","https://openalex.org/W2027917342","https://openalex.org/W2058965291","https://openalex.org/W2064433922","https://openalex.org/W2071708663","https://openalex.org/W2073947310","https://openalex.org/W2078156385","https://openalex.org/W2086896326","https://openalex.org/W2106188993","https://openalex.org/W2115726943","https://openalex.org/W2120504402","https://openalex.org/W2130765159","https://openalex.org/W2138949461","https://openalex.org/W2151735287","https://openalex.org/W2160085658","https://openalex.org/W2165376050","https://openalex.org/W2169307993","https://openalex.org/W2243368440","https://openalex.org/W2280377805","https://openalex.org/W2318095253","https://openalex.org/W2510563035","https://openalex.org/W2783231405"],"related_works":["https://openalex.org/W2033192534","https://openalex.org/W2243368440","https://openalex.org/W4250869382","https://openalex.org/W2969273262","https://openalex.org/W2335804502","https://openalex.org/W2051258543","https://openalex.org/W2769604597","https://openalex.org/W2074322029","https://openalex.org/W4406071538","https://openalex.org/W2117979027"],"abstract_inverted_index":{"Introduction":[0],"The":[1],"presence":[2,81],"of":[3,39,52,58,62,70,82,94,172],"retained":[4,119,191],"intramedullary":[5,44,84,216],"fibular":[6],"allograft":[7,85,168,192,217,245],"presents":[8,26],"many":[9],"challenges":[10],"during":[11,86],"reverse":[12],"shoulder":[13],"arthroplasty":[14],"(RSA),":[15],"which":[16],"have":[17],"been":[18],"discussed":[19],"in":[20,154,166,248],"limited":[21],"fashion.":[22],"This":[23],"case":[24,103],"series":[25],"a":[27,56,118,124,128,138,151,190],"single-surgeon":[28],"experience":[29],"with":[30,34,55,117,177,189,214,220],"6":[31],"patients":[32,54,116,228],"treated":[33,188],"RSA":[35,53,208],"following":[36],"failed":[37,67,210],"osteosynthesis":[38],"proximal":[40,71,183,211],"humerus":[41,72,184,212],"fractures":[42],"using":[43],"allografts.":[45],"Methods":[46],"A":[47],"retrospective":[48],"review":[49,109],"was":[50,141],"conducted":[51],"minimum":[57],"2-year":[59],"follow-up":[60],"(exception":[61],"1":[63],"deceased":[64],"patient)":[65],"for":[66,209,235],"plate":[68],"fixation":[69,213],"fractures.":[73],"Two":[74],"cohorts":[75],"were":[76,105,163],"created":[77],"based":[78],"on":[79],"the":[80,87,121,135,147,167,244],"an":[83],"procedure.":[88],"Patient-reported":[89],"outcome":[90],"measures,":[91],"active":[92],"range":[93],"motion,":[95],"time":[96,156,223],"to":[97,132,143,150,242],"revision,":[98],"surgical":[99,155],"time,":[100],"complications,":[101,226],"and":[102,110,137,145,182,224,227,239],"descriptions":[104],"obtained":[106],"from":[107,127],"chart":[108],"radiographic":[111],"analysis.":[112],"Results":[113],"When":[114],"treating":[115],"allograft,":[120,148],"surgeon":[122],"used":[123,142],"guide":[125],"pin":[126],"cannulated":[129,139],"screw":[130],"set":[131],"advance":[133],"through":[134],"graft,":[136],"drill":[140],"ream":[144],"bypass":[146,243],"contributing":[149],"22%":[152],"increase":[153],"(151":[157],"vs":[158],"124":[159],"min).":[160],"Intraoperative":[161],"complications":[162],"observed":[164],"only":[165],"cohort":[169],"(50%;":[170],"3":[171],"6),":[173],"including":[174],"cortical":[175],"perforation":[176],"cement":[178],"extrusion,":[179],"humeral":[180,236],"loosening,":[181],"bone":[185],"loss.":[186],"Patients":[187],"experienced":[193],"pain":[194,232],"relief":[195],"(":[196],"P":[197],"=":[198],".001)":[199],"but":[200],"did":[201],"not":[202],"gain":[203],"significant":[204],"functional":[205],"improvements.":[206],"Conclusion":[207],"healed":[215],"is":[218],"associated":[219],"increased":[221],"operative":[222],"intraoperative":[225],"can":[229],"mostly":[230],"expect":[231],"relief.":[233],"Techniques":[234],"canal":[237],"preparation":[238],"stem":[240],"placement":[241],"are":[246],"helpful":[247],"managing":[249],"these":[250],"revisions.":[251]},"counts_by_year":[{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":1}],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2020-06-05T00:00:00"}