reverse total shoulder replacement

Complications

Intraoperative glenoid fracture

 

Avoid by

- careful reaming and drilling osteoporotic bone

 

Management

1.  Rotate metaglene

- use locking screws to stabilise glenoid

2.  PA screws

- cannulated 4.0 mm screws

- inserted percutaneously from posterior

 

Haematomas

 

Great deal of dead space is created

- always use a drain

Technique

1.  Templating

 

Xray

 

Rotator Cuff Arthropathy

 

AP in plane of scapula

- template glenoid 

- most inferior screw is in thick bone of scapular axillary border

 

AP humerus

- size and fit of diaphyseal and metaphyseal humeral components

 

CT

Background

Rotator Cuff Arthropathy for Reverse TSR

 

Indications

 

1.  RC arthropathy / > 70 / low functional demand

 

2.  Revision TSR

 

3.  Failed Hemiarthoplasty in proximal humerus fracture

 

Design