Rotator cuff
- often deficient
Bone stock
- often deficient
Glenoid
- often posterior version
1. TSR
Indications
- cuff intact
Indications have narrowed
- due to success of shoulder arthroplasty
1. Chronic infections of GHJ
2. Stabilization in paralytic disorders
3. Post-traumatic brachial plexus palsy
4. Salvage of failed GHJ Arthroplasty
- may need bone graft procedures
5. Arthritic diseases unsuitable for arthroplasty / young patient
All possible length should be preserved consistent with clinical judgement
- function of amputated stumps decrease progressively with each higher level of amputation
- prosthetic rejection by patient increases with the more proximal amputations
- most ADL'S can be performed adequately with one limb, so don't use prosthesis
- all nerves are drawn distally into wound & sectioned so they retract well proximally to bone level of amputation