65 year old, 18 months post surface replacement in apatient for OA shoulder with cuff tear. She has a malunited shaft fracture 18 years old.

1.Was the choice coloured against a TSR due to the malunion

2. Was the cuff tear signifcant for TSR and Cap to fail....

3 Reverse shoulder would have been the option if the cuff was deficient?

The much hyped reverse shoulder has finally reached our shores. It took five years for depuy to consider bringing this implant to india. This is more difficult operation to do with a reported published complication rate as high as 25%. sHE IS 3 MONTHS NOW WITH 100 ABD,90DEGRESS FLEXION, 30 DEGREES EXT ROTATION.

Scapular notching, stress fractures, dislocation etc are reported. It is important to be tight unlike TSR where in 50% subuxation should be possible after closure for a well functioning TSR. TSR OR Shoulder capping is acceptable in the young active person as the reported rate of glenoid loosening is high at 10 years.