Dr. Marcus Beuchel´s solution
with the LINK Embrace Shoulder System
Oldenburg, Germany
Dr. Marcus Beuchel
Head of the Shoulder Department
Pius Hospital
Oldenburg, Germany
Pre-op
Pictures 1 and 2: X-ray a-p and MRI
Picture 3 and 4: X-ray m-l and MRI
Patient:
- 73 year old male with bone tumor in the proximal humerus right side
Surgical plan:
- Humeral resection appr. 5 cm below surgical neck
- Joint restoration using a proximal humerus component
- Cemented humeral stem fixation
- Reverse joint configuration with appropriate deltoid tensioning
Intra-op
Picture 5, 6, 7: Exposure of humeral head, resected head and defect
Procedure
- Acces to the joint via delto-pectoral approach
- Exposure and resection of proximal humerus appr.6 cm below head
(Kopie 3)
Picture 8 and 9: MEGA C UL Components and assembled humeral MEGA C UL component
(Kopie 4)
Procedure continued ….
Implantation of Embrace Reverse Glenoid Baseplate with...
Pressfit fixation and 3 cortical locking screws superior, inferior, posterior
Implantation of Embrace Glenosphere in 39 mm diameter, eccentrical
Selection, assembly, insertion and trialing of LINK Megasystem C Upper Limb trial components for humeral replacement
Assembly of MEGA C Upper Limb System components, consisting of MEGA C UL Proximal Body Size 42, 20 mm Humeral Segment wit TrabecuLink surface and Cemented Stem, Dia. 11mm, 90 mm length, Adapters and Fixation Screws
(Kopie 6)
Pictures 10 and 11: Application of suture tapes for reattachment of soft tissue
(Kopie 7)
Procedure continued ….
- Preparation and application of high viscosity bone cement
- Implantation of humeral component
- Application of surgical sutures for muscle reattachment
- Mounting of LINK Embrace Reverse Tray, neutral version
- Implantation of Embrace Reverse Insert height 0
- Final reduction with good stability and ROM
- Wound closure
(Kopie 9)
(Kopie 10)
Post-op
- Pictures 12 and 13: post op x-rays with MEGA C Upper Limb and LINK Embrace components
- Good caudal overhang of eccentrical glenosphere and voluminous Proximal Body for appropriate deltoid pre-tensioning
- Distal Stem, cemented and well fixed
PATIENT CASES
Prof. Dr. R. Capanna
Patient Case from
Pisa, Italy
Dr. D. Heredia
Patient Case from
Madrid, Spain
Dr. A. Margies
Patient Case from
St. Ingbert, Germany
PD Dr. M. Braito, PhD
Patient Case from
Austria
Dr. S. Pietsch
Patient Case from
Eisenberg, Germany
Dr. G. Claret Garcia
Patient Case from
Barcelona, Spain
Dr. J. Beardi
Patient Case from
Fulda, Germany
Dr. N. Ivaldo
Patient Case from
Italy
Dr. M. A. Ruiz Ibán
Patient Case from
Madrid, Spain
Dr. P. Cañete
Patient Case from
Valencia, Spain
Dr. E. Guerra
Patient Case from
Bologna, Italy
PD Dr. J. Kircher
Patient Case from
Hamburg, Germany
Dr. J. Löwe
Patient Case from
Kiel, Germany
