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13 Cards in this Set

  • Front
  • Back

Perform Humeral was designed for (2 things)

optimize primary stability


minimize stress shielding

PH stem was designed to allow for glenoid lateralization and inferior glenosphere overhang to allow for (3 things)

ability to tension soft tissue on glenoid and humeral side


decreased perimeter impingement


humeral head cut at or above the anatomic neck

WHAT determines component alignment?

humeral head cut

a humeral head cut should be at or slightly higher than the

anatomic neck

PH stem long stems are necessary for (2 things)

more surface area and stability

For a reverse with PH stems, what options are there for lateralization? (2)

+6 mm or full wedge baseplate

what ranges are there for poly thickness options and if those are not enough what’s next?

0,3,6 mm poly


spacer

if transitioning from a 145 reverse system, consider using a _____ _____ poly to limit variables

ten degree

if joint stability is suboptimal, consider (2 options)

upsizing thickness or retentive poly

Blueprint can measure humeral inclination angle to help with neck cut, if humeral resection deviates from ___, axis of the humeral prosthesis may not be in line with the humeral _____

135


canal

checking for stem alignment: what can happen with reamer (pin) and compactor handle to watch for?

reamer- guide pin stability dependent on bone quality


compactor handle weight may tilt compactor into varus

Steps when standard size short compactor doesn’t feel stable:

consider using largest size to engage bone


consider implanting a plus size and not using the plus size compactor


if plus size is not solid,consider using morselized bone graft from head at the metaphysis before impacting the component


consider trial with a long stem compactor (traditional length?)


consider cementing

Why should osteophytes be removed?

to limit perimeter impingement