Wednesday, August 3, 2016

Shoulder joint replacement arthroplasty - avoid problems by slimming the stem

This x-ray shows arthritis of the left shoulder.

It was treated elsewhere with a total shoulder using a large stemmed humeral component. Post operative films show that use of this humeral prosthesis appears to (1) have caused a fracture of the tuberosity (arrow) and (2) have prevented full seating because of diaphyseal tightness.

The fractured tuberosity resorbed (arrow).

Leaving the shoulder with cuff deficiency, pseudoparalysis, and rocking horsing of the glenoid (arrow).

Our preference is to minimize the risk of these problems by using a slim stem fixed with impaction grafting in both total shoulder replacement

And in the ream and run procedure