reverse total shoulder replacement

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

1.  Templating

Xray

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

Indications

1.  RC arthropathy / > 70 / low functional demand

2.  Revision TSR

3.  Failed Hemiarthoplasty in proximal humerus fracture

Design