Dr. Braito´s solution
with the LINK Embrace Shoulder System
Patient case from St. Johann, Austria
PD Dr. Matthias Braito, PhD
Orthopaedics and Traumatology
Hospital St. Johann
Tyrol, Austria
Pre-op
- 49-year-old male
- Height 187 cm / Weight 107 kg
- After three revisions of a right reverse shoulder prosthesis the component got infected with subsequent stem loosening (cemented revision stem)
- Infection treatment with cement spacer
- Target: Reimplantation of cementless RSA with individualized custom-made reverse glenoid baseplate
(Kopie 22)
(Kopie 21)
- CT-Scan image a/p with cement spacer
- Large glenoid defect
- Large humeral bone defect
3D CT–Data analysis and resection proposal
(Kopie 6)
Resection of the inferior bone fragments on the glenoid side
Cement removal from the humeral cavity
(Kopie 18)
(Kopie 27)
(Kopie 26)
First design proposal
(Kopie 2)
Design proposal for the glenoid (customLINK)
(Kopie 5)
(Kopie 9)
customLink glenoid baseplate with TrabecuLink structure
15 mm Central peg lenght and 7 cortical screws
Coracoid and acromial flap
Excentrical Glenosphere, dia. 42mm, 4 mm ecc.
Inclination / inferior tilt 5 degree
(Kopie 17)
(Kopie 7)
Design proposal for the humerus (customLINK)
(Kopie 10)
(Kopie 4)
Modular Revision Stem, 165 mm length, diameter between 18 to 24 mm
Proximal Body, size M, height +0 mm
Reverse Humeral Tray, neutral
Reverse Humeral Insert, UHMWPE, dia. 42 mm, height 3 mm
(Kopie 14)
Post-op
(Kopie 13)
(Kopie 12)
Implants used:
- customLINK implant was a perfect fit
- Stable fixation of glenoid with seven bone screws
- Eccentric Glenosphere 42 mm / 4mm
- Modular Revision Stem, 75 mm length, size 24 mm
- Proximal Body, size L, height +5 mm
- Reverse Humeral Tray, neutral
- Reverse Humeral Insert, UHMWPE, dia. 42 mm, height 6 mm, 10° inclined
(Kopie 15)
Final result:
- Good range of motion
- Good joint stability
- Good pain relief
(Kopie 16)
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