A middle aged patient presented with persistent pain and feelings of instability after a total shoulder arthroplasty. The patient's x-rays are shown below.
Her axillary "truth" view showed a posteriorly eccentric humeral head and posterior instability of the shoulder in a position of functional elevation of the arm.
The patient elected to have a single stage revision to a ream and run procedure. At surgery the glenoid component was loose. After the revision the patient was placed on the Red antibiotic protocol because of positive intraopertive cultures for Cutibacterium. At 6 months after her ream and run revision she had improved comfort and function with active elevation to 130 degrees. Her six month x-rays are shown below.
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