Anatomical InvRev Shoulder Surgical Technique

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1、AnatomicalInverse/ReverseShoulderSystemSurgicalTechniqueFromAnatomicaltoInverse/ReverseAnatomicalShoulderTMInverse/ReverseSurgicalTechnique3SurgicalTechniqueTableofContentsAnatomicalShoulderInverse/ReverseForeword4Indications,Contraindications5DevelopedinconjunctionwithChris

2、tianGerber,MDBiomechanicalConcept5BalgristUniversityHospitalZurich,SwitzerlandDescriptionoftheImplants8LaurenceD.Higgins,MDBrighamandWomen’sHospitalOverviewoftheInstruments10Boston,MA,USAPreoperativePlanning11JonJ.P.Warner,MDMassachusettsGeneralHospitalBoston,MA,USASurgicalT

3、echnique13PatientPositioningandSurgicalApproach13PrimaryImplantation14FromAnatomicaltoInverse/Reverse23Revision26OrderingInformation27Implants27Instruments30

4、icalreconstructionoftheshoulder.AnatomicalreconstructionusingtheAnatomicalShoulderSystemallowsthepotentialforthesurgeontorestorethegeometryofanormaljoint,thusensuringgoodmotionandpainrelief,aswellasdurabilityofthereconstruction.Whenthereisseveredistortionofosseousanatomyandl

5、ossofnormalrotatorcufftendonstructure,anatomicalrestorationoftheglenohumeraljointisnotpossible.Suchpatientswhohaveseverelossofrotatorcufffunctionmaypresentwithapseudoparalysisaswellaswithpain.Insuchsituationsreconstructioninordertorestorefunctionispossibleusinganinverse/reve

6、rsesolution.TheAnatomicalShoulderInverse/Reverseoptionofferstheabilityforpainreliefandrestorationoffunctionusingthesamehumeralstemusedforprimary,revision,orfracturereconstructions.ChristianGerber,MD,Zurich,SwitzerlandJonJ.P.Warner,MD,Boston,MA,USALaurenceD.Higgins,MD,Boston,

7、MA,USAAnatomicalShoulderTMInverse/ReverseSurgicalTechnique5BiomechanicalConceptM
MCenterofRotation
SSConeAxisConeAxisDifferenceofthecenterofrotation(COR)betweenAnatomicalShoulderStan-dardandInverse/Reverse.WithrespecttothehumeralshaftaxistheCORisshiftedmediallyandsuperiorly.

8、AxisAxisHumeralStemHemiHumeralStemInverse/ReverseTheAnatomicalShoulderInver