Reverse shoulder arthroplasty in a patient with glenoid deformity: a clinical case



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Abstract

BACKGROUND: Shoulder joint endoprosthetics is one of the methods of treating patients with deforming arthrosis and degenerative changes in the structures of the shoulder, providing relief of pain, improving the functions of the upper limb and, accordingly, improving the patient's quality of life. However, postoperative complications after reverse shoulder arthroplastystill occur quite oftenand make up to 20% of the total number of patients with reverse unrelated endoprostheses. In this regard, there are relatively few publications describing the tactics of surgical treatment and methods of prosthetics of the formed glenoid deformity in patients with severe arthrosis of the shoulder joint.

CLINICAL CASES DESCRIPTION: The article presents a case of surgical treatment of a 70-year-old patient with grade 3 omarthrosis, who underwent CT scanning, based on which the glenoid type Walch C, Favard E3, lower inclination of about 17 degrees, retroversion of 37 degrees, multiple head cysts were determined. Using additive technologies and personalized instrumentation, the patient successfully underwent reverse shoulder arthroplasty with deformation leveling due to an individual augment.

CONCLUSION: The use of modern 3D technologies allows, based on the results of CT modeling, not only to plan the stages of arthroplasty, select the necessary size and shape of implants, but also to manufacture individual augments using 3D printing to level the deformation of the articular process of the scapula with planning the correct physiological axis of the upper limb.

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About the authors

Ivan Nikolaevich Marychev

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: dr.ivan.marychev@mail.ru
ORCID iD: 0000-0002-5268-4972

postgraduate student, traumatologist-orthopedist

Russian Federation

Yago Gogievich Gudushauri

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: gogich71@mail.ru
ORCID iD: 0009-0002-1584-1999

MD, orthopedic traumatologist, head of the department

Evgeniy Yurievich Fedotov

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: fedotovej@mail.ru
ORCID iD: 0009-0000-1965-4264

PhD, traumatologist-orthopedist

Sergey Sergeevich Stoyukhin

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: stoyukhin@gmail.com
ORCID iD: 0009-0009-8511-3613

PhD, traumatologist-orthopedist

Vyacheslav Valerievich Konovalov

Priorov National Medical Research Center of Traumatology and Orthopedics

Email: slava2801@yandex.ru
ORCID iD: 0000-0002-8954-9192
SPIN-code: 9552-2408

postgraduate student, traumatologist-orthopedist

Alexander Denisovich Lamasov

Priorov National Medical Research Center of Traumatology and Orthopedics

Author for correspondence.
Email: lamasovsasha@gmail.com
ORCID iD: 0009-0008-3669-3167

clinical resident

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