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.
Good job ?
Thank you for the appreciation…
Dr Elangovan and his team are very skilled and experts in this field. They take the best approach as to what is best for the patient. Here we experience optimal treatment keeping the the patients well-being in mind. The patients care and comfort is the first priority for the staff working here. And last but not the least, Doctor has the miraculous healing touch!
I am indeed grateful for your words of appreciation …. hope to keep the bar raised.