Joint Replacement | Spine | Trauma Solutions

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