Rather than trying to remove a cemented prosthesis from this fragile bone and convert this shoulder to a reverse, we elected to revise this loose and weak joint to a cuff tear arthropathy humeral head and attempt to achieve stability by upsizing the diameter and height of the head. This enabled us to restore stability with a good range of motion.
The patient has started active assisted rehabilitation and now has over 120 degrees of assisted elevation without instability and with increased comfort.
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