The patient wished to avoid a reverse total shoulder arthroplasty and asked to have an anatomic total shoulder. Two years after a total shoulder with a standard glenoid component, the patient has a comfortable, stable and functional shoulder. Current x-rays show centering of the humeral head in the prosthetic glenoid without evidence of instabilty or loosening.
The patient desires a similar procedure on the left.
Comment: This pathology is unusual in our experience. For this active patient, we elected the most bone-conserving method of reconstruction. Should this fail down the line, there would be sufficient bone stock for a reverse total shoulder.
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