In this article our former fellow, Tony Romeo, recapitulates the split osteotomy technique described previously for the removal of a well-fixed humeral component. This procedure is part of our comprehensive approach to the revision of failed shoulder arthroplasty.
Our only issue with this paper is that the authors recommend repairing the osteotomy with circumferential wires. The danger here is that the radial nerve comes to lie in a groove behind the humerus. While they had no nerve palsies, it is possible to circlage this nerve, so we prefer the 'bodice' repair.
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