Name:
Reverse Shoulder Replacement in a Chronic Dislocated Shoulder with Massive Cuff Tear
Description:
Reverse Shoulder Replacement in a Chronic Dislocated Shoulder with Massive Cuff Tear
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/0b94f657-0e46-4068-9a46-1057be6cd46f/videoscrubberimages/Scrubber_1.jpg
Duration:
T00H05M00S
Embed URL:
https://stream.cadmore.media/player/0b94f657-0e46-4068-9a46-1057be6cd46f
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/0b94f657-0e46-4068-9a46-1057be6cd46f/Reverse Shoulder replacement.mp4?sv=2019-02-02&sr=c&sig=Bag2clAYYubwItfF%2FOwA1KekJ1OXb5sL2zN8TbHSdOQ%3D&st=2024-11-22T05%3A30%3A44Z&se=2024-11-22T07%3A35%3A44Z&sp=r
Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
This will be a technique demonstration of reverse shoulder replacement. Patient is a known case of rheumatoid arthritis with a chronic, neglected shoulder dislocation and a massive cuff tear, which is irreparable. We go through a delta pectoral interval approach. The cephalic vein is taken laterally.
The biceps groove is then opened. The synovial is excised. The next step involves tenotomy of the subscapularis. And of eloff from the neck and the humeral head where it stuck. We do not we extend from superior to increasingly along the article.
We then remove the capsule which is adherent to the subscapularis muscle.
This gives more freedom to the subscapularis. The subscapularis is then pushed back in the subscapularis fossa. The labrum is then removed first anteriorly. And then inferiorly the removal extends to 7 o'clock posteriorly also to expose the entire glenoid.
We then go to the humerus and expose the anatomical neck along which our cut is made. Free hand. After the cut, we then open up the medullary canal. Adequate sized reamers are used.
Then the next step is to broach to the adequate size and trial broach, which is then inserted inside. After this, the glenoid exposure is achieved by using adequate number of retractors anteriorly, posteriorly and inferiorly.
The glenoid exposure is the key. The cartilage to the glenoid was then removed. No reaming was done in this skin because of soft bone. Then a central pin is inserted with the help of the glenoid pin and sort of guide. The next step is the reaming for the central peg of the glenoid baseplate.
Then we do insert the glenoid baseplate and central screw is used first, and then we insert all the peripheral force screws.
The glenosphere is then inserted over the base plate and gentle taps are made to secure the glenosphere in place. Step is to trial reduced by first putting the trial poly and then reducing the humeral tray on the glenosphere.
