We've been impressed with the utility of a hemiarthroplasty to salvage a failed reverse.
A colleague recently sent the post-op x-ray of a lady with rheumatoid arthritis for whom he used a hemiarthroplasty to salvage a shoulder that had a reverse total shoulder that failed because of baseplate loosening. Of note is the fact that at the time of revision she had a failed subscapularis as well.
Preop films below
Postoperative film below
She showed off her active elevation 8 weeks after the procedure
Comment: Cases such as this make us wonder how this patient might have fared with a primary hemiarthroplasty.
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Here are some videos that are of shoulder interest
Shoulder arthritis - what you need to know (see this link).
How to x-ray the shoulder (see this link).
The total shoulder arthroplasty (see this link).
The ream and run technique is shown in this link.
The cuff tear arthropathy arthroplasty (see this link).
The reverse total shoulder arthroplasty (see this link).
Shoulder rehabilitation exercises (see this link).
Follow on twitter: Frederick Matsen (@shoulderarth)
