Total shoulder arthroplasty for arthritis after coracoid transfer for instability

In a prior post (see this link) we reviewed the problem of arthritis after a Bristow or Latarjet procedure. Because of the increasing utilization of these coracoid transfer surgeries, there is an increasing number of shoulders requiring revision because of complications or because of capsulorrhaphy arthropathy. 

We had such a case recently, in which the dissection was difficult, the subscapularis was scarred and the screw and bone block were approximated to the axillary nerve.

 In spite of his B2 glenoid, this shoulder was managed with a standard (non-augmented) all polyethylene glenoid component. The screw and most of the bone block was removed by careful dissection. The subscapularis was securely reconstructed.

 The patient sent us this photo of his motion at his home on the second day after surgery.

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We have a new set of shoulder youtubes about the shoulder, check them out at this link.

Be sure to visit "Ream and Run - the state of the art" regarding this radically conservative approach to shoulder arthritis at this link and this link

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How you can support progress in shoulder surgery

You may be interested in some of our most visited web pages arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'