His x-rays on presentation are shown here.
The humerus was prepared to receive the definitive humeral component, which was the 56 18 12. A rotator interval plication was not required to provide posterior stability. A stable articulation was achieved.
Now, 6 weeks after surgery he has improved comfort and active elevation to 120 degrees. His x-rays are shown below.
Comment: This approach seemed appropriately conservative for a young active person in comparison to posterior bone grafting, a posteriorly augmented glenoid component or a reverse total shoulder. It is also conservative in that the amount of bone removal was minimal, leaving all other reconstructive options available in the future.
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