Revision of a failed humeral stem with sufcient bone stock

Revision shoulder arthroplasty is a challenging procedure that has been shown to have inferior outcomes and higher complication rates when compared with primary shoulder arthroplasty. Revision of a failed stem in shoulder arthroplasty is often necessary and presents significant challenges. Both the quantity and quality of remaining humeral bone are important considerations to be assessed before treating these patients. Bilateral full-length radiographs of the humeri in neutral rotation and computed tomography (CT) scans are needed preoperatively. Several treatment strategies have been described to address a failed humeral stem with no or short proximal humeral bone loss (PHBL). Few heterogenous studies describe results of revision of a failed humeral stem with sufficient bone stock and literature is lacking of trials comparing different treatment options outlined before in patients with short or no PHBL.