51
50
place the DELTA XTEND cTA head reamer guide in the
epiphysis (Figure 95). Align the anterior and posterior slot
of the reaming guide with the slots of the epiphysis and
impact the reaming guide gently with a mallet.
REvisioN To hEmi-ARThRopLAsTy
This technique can be used both
for revision of cemented monobloc
implant or cementless modular
implant.
When revision of a reverse shoulder is required due
to glenoid loosening, or when glenoid bone stock is
insufficient to fix a metaglene securely, the reverse shoulder
can be converted to an hemi-prosthesis as a salvage
procedure. specific hemi-heads with increased cover,
DELTA XTEND cTA heads, are available.
Remove the glenosphere using the 3.5 hex head
screwdriver (yellow handle). Remove the metaglene locking
screws using the locking screwdriver and the non-locking
screw using the 3.5 mm hex head screwdriver.
Remove the metaglene using the extraction T-handle.
Remove the humeral cup using the cup extraction clamp
(Figure 94).
Figure 94
Figure 97
Figure 96
Figure 95
