Total Shoulder Replacement with Intact Bone and Soft Tissue.

Video Description

For shoulder arthroplasty, insertion of a glenoid component requires excellent exposure. There are many steps that aid in exposure and these steps include everything from patient positioning to proper retractor placement. The crucial factors in glenoid exposure include the following:
Complete muscle relaxation, often with general anesthesia.
The arin prepped completely free and scapula stabilized.
Complete release of subdeltoid, subacromial, and subpectoral adhesions.
The complete release of the subscapularis muscle.
Complete excision of humeral head osteophytes.
Complete humeral head excision.
Complete anterior and, when necessary, inferior capsular release.
Retractor placement that maximizes visualization posteriorly, superiorly, and anteriorly.