Double Plating With Fibular Allograft Reinforcement of Scapular Spine Fracture After Reverse Shoulder Arthroplasty

Alexandre Lädermann; Jeanni Zbinden; Alaa Elsenbsy; Sumanth Nayak; Alberto Guizzi; Philippe Collin

doi:10.1016/j.eats.2024.103050

Double Plating With Fibular Allograft Reinforcement of Scapular Spine Fracture After Reverse Shoulder Arthroplasty

Arthrosc Tech. 2024 Jun 17;13(9):103050. doi: 10.1016/j.eats.2024.103050. eCollection 2024 Sep.

Authors

Alexandre Lädermann^{1

2

3}, Jeanni Zbinden¹, Alaa Elsenbsy^{1

4}, Sumanth Nayak⁵, Alberto Guizzi⁶, Philippe Collin^{7

8

9}

Affiliations

¹ Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland.
² Faculty of Medicine, University of Geneva, Geneva, Switzerland.
³ Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland.
⁴ Department of Orthopedic and Trauma Surgery, Faculty of Medicine, South Valley University, Qena, Egypt.
⁵ Tejasvini Hospital and SSIOT, Mangaluru, India.
⁶ Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
⁷ CHP Saint-Gregoire, Saint-Grégoire, France.
⁸ Clinique Victor Hugo, Paris, France.
⁹ American Hospital of Paris, Neuilly-sur-Seine, France.

Abstract

Scapular spine fractures following reverse shoulder arthroplasty have been associated with complications that include nonunion and fixation failure. This Technical Note presents a surgical approach for enhancing the stability and strength of spine fracture osteosynthesis. The method involves the utilization of double plating in conjunction with fibular allograft reinforcement anchored in the supraspinous fossa to provide support under the acromion. The allograft, offering an enhanced structural integrity, may contribute to an improved rate of bone fusion and clinical outcomes without donor site morbidity.