Tuesday 3 May 2016

ShoulderHemiarthroplasty

A 58 year old female presented with history of fall at home. She sustained injury to her right shoulder. She had a Previous history of IHD.

X ray of Right shoulder showed Four Part Right Proximal Humerus Fracture.



FACTORS IN CONSIDERATION :

·         - Age of the patient
·        -  Low Demand
·         - Comminution
·         - Osteoporosis

In view of the above factors HEMIARTHROPLASTY was offered to the patient.

OPERATIVE PEARLS:

·         - Separation and preservation of Greater and Lesser Tuberosity
·        -  Modular Prosthesis for achieving perfect fit and tension
·        -  After the prosthesis was fit the tuberosity were fixed with each other and to the prosthesis
·         - Bone graft from the head was packed at the Shaft Tuberosity junction











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