06/03/2026
Not every shoulder replacement follows the standard playbook.
This patient came to see me 8 months after a shoulder replacement done interstate, with a failed glenoid (socket) component and significant bone loss. Situations like this are rarely a simple revision.
First step was removing all implants and treating the shoulder as a potential infection to give things the best chance of settling down. Once everything was cleared, we moved to the reconstruction phase.
For the rebuild we used a 3D-printed patient-specific glenoid implant, designed to match the individual bone defect and give fixation where standard implants simply wouldn’t work. Technology like this is opening the door to solving problems that used to be extremely difficult. 5 screws were completely pre planned in their direction and length to the millimetre… very cool tech!
One of the best parts of working in a teaching hospital environment is doing cases like this with the next generation of upper limb surgeons in the room. Always great having enthusiastic trainees around the table.
And a shout out to Alice, a 4th year Adelaide University medical student, who scrubbed in as an extra pair of hands for the case. Love seeing engaged students getting involved early — it’s how the next batch of upper limb superstars gets started.
Complex problems matched with clever solutions and a great team.
This was the final act of a 7 month ordeal for this patient, we are wishing them all the best for their recovery 💪🏼💪🏼