24/7 Accident & Fracture Service

044 - 2650 2100 / 2101 / 2102

No 39, 40, 41, 200 ft Road, Ambedkar Nagar Bus stop, Kolathur, Chennai - 600 099

Case study - 2

Primary Hemiarthroplasty Shoulder

    This 71 years old female patient came with h/o fall. She is a Diabetic & Hypertensive.

    The problems to be tackled in management are.

  • 1. Severe Osteoporotic bone, where the screw purchase may not be good.
  • 2. Severely comminuted fracture head, where the reduction could be technically difficult.
  • 3. 71 years of age.

All the above parameters were considered and it was decided, it would be prudent to do a Primary Hemiarthroplasty of the shoulder joint in this patient. It is one month since surgery & the patient is doing well. The patient was discharged on the 4th day. Pre operative & Post operative x-rays are shown above, will update as the patient comes for follow up.

Literature:

In young individuals primary TSR (Total Shoulder Replacement ) might be a better choice. In older individuals primary Hemiarthroplasty of the shoulder should be considered before a TSR ( Total shoulder Replacement ). Since TSR is a technically demanding and costlier surgery.

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