@orthobullets If there is still some cartilage left on the reverse Hill Sachs I’ve had some luck with doing a humeral head osteoplasty. I’ll use allograft chips or cement to backfill the defect after I tamp up articular surface and then try to get everything repaired especially in young pts
@generalorthomd A couple years ago I had a similar reviewer deny rotator cuff surgery to a patient who had undergone physical therapy, cortisone shot, and close to a year of conservative care because the full thickness tear on the report was “too small“
@generalorthomd Had this exact same guy about six months ago. I love replacing shoulders but my trauma partner had just done his hip and we elected to see how it goes. I have to say that he did pretty well. Not as good IMO as a good reverse, but certainly better than a bad one.
Consider your clothing needs before your surgery. You'll want loose-fitting, button-up shirts that you can get into easily. Don't plan on over-the-head t-shirts for a while. https://t.co/MVYIhWN8aG
General anesthesia, as well as regional anesthesia, could be used in arthroscopic surgery depending on your medical background. https://t.co/MVYIhX4J2e
Patients can expect arthroscopic surgery to last usually anywhere from 30 minutes to 2 hours. Plan on resting in a recovery room for a few hours before having someone drive you home. https://t.co/MVYIhWN8aG