A year ago, he had a single stage revision with removal of the "too high" humeral component, removal of the loose glenoid component, smoothing of the residual glenoid bone, and impaction allografting of a new humeral component with a 56 mm diameter of curvature. All of his intraoperative cultures were negative.
One year after this revision he had full function of his right shoulder with a Simple Shoulder Test score of 11 of 12 and the x-rays shown below
He recently presented with arthritis of his left shoulder
And elected to have a ream and run procedure.
Comment: When presented with a failed total shoulder with a loose glenoid component, our practice is to perform a single stage revision to an impaction allografted hemiarthroplasty with smoothing of the residual glenoid bone. We routinely obtain deep cultures and cover the patient with postoperative antibiotics until the culture results are finalized.
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How you can support progress in shoulder surgery
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