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Orthopaedics
Periprosthetic Fractures of the Shoulder (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Periprosthetic Fractures (AO Foundation)
What’s inside
1 sections · 108 slides
Overview
- Introduction and implant design
- Periprosthetic shoulder fractures
- Periprosthetic shoulder fractures
- Humeral component: levels of fixation
- Humeral component: levels of fixation
- Humeral components: pros and cons
- Humeral components: pros and cons
- Reverse total shoulder replacement
- Reverse total shoulder replacement
- Glenoid components: pros and cons
- Glenoid components: pros and cons
- Clinical and radiographic assessment
- Patient and prosthesis evaluation
- Patient and prosthesis evaluation
- Signs of prosthetic loosening
- Signs of prosthetic loosening
- Imaging of periprosthetic fractures
- Diagnostic workup for infection
- Infection: treatment strategy
- Perioperative care and blood loss
- Classification
- UCPF codes: humerus
- UCPF codes: scapula
- UCPF type tree at the shoulder
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- B-type fractures: decision logic
- Tuberosity avulsion fractures
- Greater tuberosity avulsion (1-A1)
- Greater tuberosity avulsion (1-A1)
- Greater tuberosity: treatment options
- Greater tuberosity: treatment options
- Greater tuberosity suture fixation
- Greater tuberosity suture fixation
- Lesser tuberosity avulsion (1-A2)
- Lesser tuberosity avulsion (1-A2)
- Humeral fractures around the stem
- Stable implant (1-B1) and distal (1-C)
- Stable implant (1-B1) and distal (1-C)
- Options for 1-B1 and 1-C fractures
- Options for 1-B1 and 1-C fractures
- Plating principles around the stem
- Plating principles around the stem
- Peri-implant fixation options
- Peri-implant fixation options
- Loose humeral implant (1-B2, 1-B3)
- Options for a loose humeral implant
- Options for a loose humeral implant (cont.)
- Humeral osteotomy for stem removal
- Humeral osteotomy for stem removal
- Choosing the revision stem fixation
- Choosing the revision stem fixation
- Canal preparation and cementing
- Canal preparation and cementing
- Anatomic or reverse at revision
- Anatomic or reverse at revision
- Bone loss: struts and APC
- Bone loss: struts and APC
- Glenoid periprosthetic fractures
- Glenoid fractures (14-B1 to 14-B3)
- Glenoid fractures (14-B1 to 14-B3)
- Glenoid: treatment options
- Glenoid: treatment options
- Planning a glenoid revision
- Planning a glenoid revision
- Glenoid defects (Gohlke) and grafting
- Glenoid defects (Gohlke) and grafting
- Bone graft or metal augmentation
- Bone graft or metal augmentation
- One-stage or two-stage revision
- Scapular process and body fractures
- Acromion fractures (14-A2)
- Acromion: treatment options
- Acromion: treatment options (cont.)
- Spine of scapula fractures (14-A3)
- Spine of scapula fractures (14-A3)
- Reconstruction plate: spine and acromion
- Reconstruction plate: spine and acromion
- Coracoid fractures (14-A1)
- Coracoid fractures (14-A1)
- Scapular body fractures (14-C)
- Scapular body fractures (14-C)
- Approaches and positioning
- Main surgical approaches
- Main surgical approaches
- Nerves at risk
- Nerves at risk
- Deltopectoral approach in revision
- Deltopectoral approach in revision
- Finding the axillary nerve in scar
- Finding the axillary nerve in scar
- Patient positioning
- Patient positioning
- Aftercare, outcomes and complications
- Four phases of aftercare
- Four phases of aftercare
- Follow-up and outcome assessment
- Adverse events and salvage
- Take-home messages
- References (1 of 7)
- References (2 of 7)
- References (3 of 7)
- References (4 of 7)
- References (5 of 7)
- References (6 of 7)
- References (7 of 7)
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