{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:45:18Z","timestamp":1778503518565,"version":"3.51.4"},"reference-count":11,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T00:00:00Z","timestamp":1706659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Periprosthetic fractures are a serious complication of joint replacement surgery. With the growing prevalence of reverse total shoulder arthroplasty (RTSA), the incidence of relatively uncommon periprosthetic humeral fractures has increased. Here, we present the unique case of a 74-year-old woman who developed atrophic non-union after plate osteosynthesis for a periprosthetic fracture associated with RTSA. Fixation failure was evident 3 months after the surgical intervention; the patient underwent a 3-month course of arm sling immobilization. However, bone resorption continued, and varus angulation of the fracture developed. In this case, surgical strategy involved the use of long proximal humerus internal locked system plate (DePuy Synthes, Paoli, PA, USA), augmented with autologous iliac bone graft and allogenic humerus structural bone graft with the \u201cbamboo support technique\u201d, fixed with Cable System (DePuy Synthes, Paoli, PA, USA). No reports have addressed the management of failed periprosthetic fractures using allogeneic humeral strut bone grafts. This report aims to fill the gap by presenting a novel surgical technique for the management of periprosthetic fractures associated with RTSA in case of treatment failure.<\/jats:p>","DOI":"10.3390\/jcm13030825","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T10:44:24Z","timestamp":1706697864000},"page":"825","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Treatment of Periprosthetic Fracture Revision of the Humerus with \u201cBamboo Support\u201d Structural Allograft Technique\u2014Atrophic Non-Union of a Post-Operative Periprosthetic Fracture after Reverse Total Shoulder Arthroplasty: A Case Report"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1858-5863","authenticated-orcid":false,"given":"Hsien-Hao","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Yongin Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"},{"name":"Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joon-Ryul","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2859-5240","authenticated-orcid":false,"given":"Tae-Hwan","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"},{"name":"Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8147-6136","authenticated-orcid":false,"given":"Yong-Min","family":"Chun","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyoung-Sik","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Yongin Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"},{"name":"Department of Orthopaedic Surgery, Arthroscopy and Joint Research Institute, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e230","DOI":"10.3928\/01477447-20160119-03","article-title":"Reverse Total Shoulder Arthroplasty and Work-Related Outcomes","volume":"39","author":"Garcia","year":"2016","journal-title":"Orthopedics"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1007\/s12178-019-09586-y","article-title":"Reverse Total Shoulder Arthroplasty: Biomechanics and Indications","volume":"12","author":"Rugg","year":"2019","journal-title":"Curr. Rev. Musculoskelet. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1016\/j.jse.2020.08.010","article-title":"Increasing incidence of primary reverse and anatomic total shoulder arthroplasty in the United States","volume":"30","author":"Best","year":"2021","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_4","first-page":"8","article-title":"Post-operative periprosthetic humeral fractures after reverse shoulder arthroplasty: A review of the literature","volume":"90","author":"Canton","year":"2019","journal-title":"Acta Biomed."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1007\/s00264-018-3774-5","article-title":"Validation of a new classification for periprosthetic shoulder fractures","volume":"42","author":"Kirchhoff","year":"2018","journal-title":"Int. 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Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.cjtee.2019.04.002","article-title":"Nonunions of the humerus\u2014Treatment concepts and results of the last five years","volume":"22","author":"Leiblein","year":"2019","journal-title":"Chin. J. Traumatol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1097\/BOT.0000000000002493","article-title":"Reliability of Current Classification Systems for Periprosthetic Fractures of the Humerus","volume":"37","author":"Auran","year":"2023","journal-title":"J. Orthop. Trauma"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"42","DOI":"10.5397\/cise.2021.00066","article-title":"Complications of reverse shoulder arthroplasty: A concise review","volume":"24","author":"Kim","year":"2021","journal-title":"Clin. Shoulder Elb."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/3\/825\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:52:22Z","timestamp":1760104342000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/3\/825"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,31]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["jcm13030825"],"URL":"https:\/\/doi.org\/10.3390\/jcm13030825","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,31]]}}}