The first experience of individual revers shoulder arthroplasty in case of post-traumatic glenoid deformation (case from practice)

Authors

  • Maxim Golovakha Zaporizhzhia State Medical University. Ukraine, Ukraine https://orcid.org/0000-0003-2835-9333
  • Stanislav Bondarenko «Motor Sich» Clinic, Zaporizhzhia. Ukraine, Ukraine
  • Olexandra Grytsenko «Ekodnipro LLC», Dnipro. Ukraine, Ukraine
  • Anton Pogarsky Colleagial Studio, Zaporizhzhia. Ukraine, Ukraine

DOI:

https://doi.org/10.15674/0030-598720221-293-98

Keywords:

Shoulder, chronic dislocation, revers shoulder arthroplasty

Abstract

Total shoulder arthroplasty (anatomical or reversible) has gained considerable popularity, but the difficulty of installing the glenoid component determines the development of 30–50 % of mechanical complications and revision operations. To simplify glenoid installation, an individual tool of an unusual design is used. Objective. To show clinical case of individual modeling of a glenoid implant, made by 3D printing, for the patient with old fixed humeral dislocation. Methods. A 52-year-old patient complained of severe pain and impaired limb function 4 years after a fracture-dislocation of the left numeral head, that was not reduced. The difficulty was in the presence of a significant HillSachs impression and huge anterior glenoid defect, IV stage osteoarthritis. Results. To solve the problem, a three-dimensional modelof the scapula was built based on the results of computer tomography, and its plastic model was printed. Designed individual augment for glenosphere installation.
Lateralization of the center of rotation by 5 mm and downward inclination of the glenosphere by 5° was performed in the implant. The implant stem channel and screw holes are modeled to pass through the most massive parts of the scapula. An individual tool has been developed for installing this component and drillings for the screws. During the surgical intervention, the prepared tools and implant allowed to install a revers total shoulder implant and obtain the nearest positive result. Conclusions. It is advisable to use three-dimensional modelling with 3D printing in cases of reversible shoulder arthroplasty for patients with old fixed humeral dislocation and significant glenoid defect.

Author Biographies

Maxim Golovakha, Zaporizhzhia State Medical University. Ukraine

MD, Prof. in Traumatology and Orthopaedics

Stanislav Bondarenko, «Motor Sich» Clinic, Zaporizhzhia. Ukraine

MD

Olexandra Grytsenko, «Ekodnipro LLC», Dnipro. Ukraine

MD

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How to Cite

Golovakha, M. ., Bondarenko, S. ., Grytsenko, O. ., & Pogarsky, A. . (2023). The first experience of individual revers shoulder arthroplasty in case of post-traumatic glenoid deformation (case from practice). ORTHOPAEDICS TRAUMATOLOGY and PROSTHETICS, (1-2), 93–98. https://doi.org/10.15674/0030-598720221-293-98

Issue

No. 1-2 (2022)

Section

SHORT REPORTS AND NEWS FROM PRACTICE

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