Reverse Shoulder - Deltoid Split Trauma

Description

This presentation by Dr. Bijayendra Singh focuses on the surgical procedure for a reverse polarity shoulder replacement in a 75-year-old patient who suffered a non-reconstructible four-part fracture of the proximal humerus. The session begins with the assessment and surgical preparation of the patient, emphasizing the importance of careful anatomical considerations, particularly related to the axillary nerve.



Once in the operating room, Dr. Singh explains the deltoid split approach and details each step of the procedure, from flap elevation and deltoid dissection to acromioplasty and the removal of fragmented bone. He discusses the necessity of proper glenoid preparation, including reaming techniques and careful handling of the glenoid baseplate during insertion to avoid complications like cracking.



The presentation showcases the methodical steps involved in placing the humeral implant, utilizing sutures for tuberosity reattachment, and ensuring optimal positioning of the prosthesis. Dr. Singh emphasizes the significance of engaging the morse taper properly and repair techniques to stabilize the rotator cuff and deltoid tissue after the implant has been positioned.



Post-operative care and rehabilitation protocols are briefly outlined, highlighting the importance of early mobilization with pendular exercises following surgery, and the gradual progression to active assisted movements. Dr. Singh invites further inquiries from both patients and professionals and encourages viewers to explore additional resources available on his online channels.

Specialties