Resurfacing Hemiarthroplasty To Treat Glenohumeral Joint (Shoulder) Osteoarthritis

Description

In this detailed instructional video, Dr. Alejandro Badia presents a comprehensive overview of shoulder resurfacing and hemiarthroplasty techniques tailored for patients suffering from glenohumeral joint issues, particularly those with osteoarthritis and significant joint space narrowing. The video highlights the surgical approach, beginning with a deltopectoral incision to expose the shoulder joint. Throughout the procedure, the importance of identifying and managing anatomical structures, such as the deltoid and pectoralis major muscles as well as the cephalic vein, is emphasized. Several techniques for tissue retraction and the use of various surgical instruments, such as Hohmann retractors and Ethibond sutures, illustrate the meticulous nature of joint surgery. Fluid from the arthritic joint is noted during the dissection process, and critical steps including the removal of inferior osteophytes and the precise sizing of the implant are demonstrated. The video culminates with the installation of a titanium plasma-coated hemi implant, ensuring careful evaluation of implant placement to avoid rotator cuff impingement. Finally, a thorough closure process and post-operative care are discussed, including rehabilitation protocols to ensure optimal recovery.

Specialties