Glenohumeral Arthrodesis After Failed Prosthetic Shoulder Arthroplasty by Jason J. Scalise, and Joseph P. Iannotti JBJS Essent Surg Tech Volume os-91(Supplement.

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Glenohumeral Arthrodesis After Failed Prosthetic Shoulder Arthroplasty by Jason J. Scalise, and Joseph P. Iannotti JBJS Essent Surg Tech Volume os-91(Supplement 2 Part 1):30-37 March 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

The skin incision is carried from the spine of the scapula laterally and distally over the anterior aspect of the acromion and often can be joined distally with previous deltopectoral skin incisions. Jason J. Scalise, and Joseph P. Iannotti J Bone Joint Surg Am 2009;os-91:30-37 ©2009 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative photograph demonstrating substantial deficiency of the proximal humeral bone and complete rotator cuff deficiency as well as malposition (anteversion) of the humeral implant. Jason J. Scalise, and Joseph P. Iannotti J Bone Joint Surg Am 2009;os-91:30-37 ©2009 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative photograph demonstrating the unicortical osteotomy of the humerus, facilitating removal of the humeral prosthesis. Jason J. Scalise, and Joseph P. Iannotti J Bone Joint Surg Am 2009;os-91:30-37 ©2009 by The Journal of Bone and Joint Surgery, Inc.

Jason J. Scalise, and Joseph P. Iannotti J Bone Joint Surg Am 2009;os-91:30-37 ©2009 by The Journal of Bone and Joint Surgery, Inc.

Jason J. Scalise, and Joseph P. Iannotti J Bone Joint Surg Am 2009;os-91:30-37 ©2009 by The Journal of Bone and Joint Surgery, Inc.

A: Intraoperative photograph of a right shoulder after arthrodesis for treatment of a failed prosthetic arthroplasty. Jason J. Scalise, and Joseph P. Iannotti J Bone Joint Surg Am 2009;os-91:30-37 ©2009 by The Journal of Bone and Joint Surgery, Inc.

The fibular autograft is secured to both the glenoid and the remaining part of the humerus with the anastomosis performed after the graft has been secured. Jason J. Scalise, and Joseph P. Iannotti J Bone Joint Surg Am 2009;os-91:30-37 ©2009 by The Journal of Bone and Joint Surgery, Inc.