Dr. Braito´s solution
with the LINK Embrace Shoulder System
Patient case from St. Johann, Austria
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito/Dr_Matthias_Braito_rund.png)
PD Dr. Matthias Braito, PhD
Orthopaedics and Traumatology
Hospital St. Johann
Tyrol, Austria
Pre-op
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/Pre-OP_01.jpg)
- 49-year-old male
- Height 187 cm / Weight 107 kg
- After three revisions of a right reverse shoulder prosthesis the component got infected with subsequent stem loosening (cemented revision stem)
- Infection treatment with cement spacer
- Target: Reimplantation of cementless RSA with individualized custom-made reverse glenoid baseplate
(Kopie 22)
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/Pre-OP_02.jpg)
(Kopie 21)
- CT-Scan image a/p with cement spacer
- Large glenoid defect
- Large humeral bone defect
3D CT–Data analysis and resection proposal
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/1_CT_01.jpg)
(Kopie 6)
Resection of the inferior bone fragments on the glenoid side
Cement removal from the humeral cavity
(Kopie 18)
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/1_CT_03-1_2.png)
(Kopie 27)
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/1_CT_02-1.jpg)
(Kopie 26)
First design proposal
(Kopie 2)
Design proposal for the glenoid (customLINK)
(Kopie 5)
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/2_Glenoid_01.jpg)
(Kopie 9)
customLink glenoid baseplate with TrabecuLink structure
15 mm Central peg lenght and 7 cortical screws
Coracoid and acromial flap
Excentrical Glenosphere, dia. 42mm, 4 mm ecc.
Inclination / inferior tilt 5 degree
(Kopie 17)
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/2_Glenoid_02.jpg)
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/2_Glenoid_03_2.jpg)
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/2_Glenoid_04_2.jpg)
(Kopie 7)
Design proposal for the humerus (customLINK)
(Kopie 10)
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/3_Humerus_02.jpg)
(Kopie 4)
Modular Revision Stem, 165 mm length, diameter between 18 to 24 mm
Proximal Body, size M, height +0 mm
Reverse Humeral Tray, neutral
Reverse Humeral Insert, UHMWPE, dia. 42 mm, height 3 mm
(Kopie 14)
Post-op
(Kopie 13)
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/Post-OP_01_2.jpg)
(Kopie 12)
Implants used:
- customLINK implant was a perfect fit
- Stable fixation of glenoid with seven bone screws
- Eccentric Glenosphere 42 mm / 4mm
- Modular Revision Stem, 75 mm length, size 24 mm
- Proximal Body, size L, height +5 mm
- Reverse Humeral Tray, neutral
- Reverse Humeral Insert, UHMWPE, dia. 42 mm, height 6 mm, 10° inclined
(Kopie 15)
Final result:
- Good range of motion
- Good joint stability
- Good pain relief
(Kopie 16)
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/Post-OP_02_2.jpg)
![](/fileadmin/user_upload/Microsites/Embrace/Cases/Braito_2/Post-OP_03.jpg)
PATIENT CASES