Related Experiment Video
Updated: Jul 22, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Total humerus replacement with reverse shoulder design for non-oncologic indication: A case report
Manh Nguyen Huu1, Quyet Tran1, Viet Vu Duc1
1Department of Orthopaedic Surgery, Vin University, Hanoi, Viet Nam; Orthopaedic and Sports Medicine Center, Vinmec Healthcare System, Viet Nam.
Introduction And Importance:
Reconstruction of large skeletal defects pose significant challenges for orthopedic surgeons, particularly in cases of chronic skeletal defects where the surrounding structures differ substantially from the original anatomical structures, further complicating management.
Case Presentation:
A 54 year old male patient presented with a large skeletal defect after osteomyelitis surgery. The treatment of choice for this case was reconstruction using a total humerus megaprosthesis. The prosthesis was custom-designed with a reversed shoulder joint and a total elbow joint, which were 3D printed using CT-Scan imaging.
Clinical Discussion:
A short-term follow-up revealed improvements for the patient in arm functionality and expectation-based satisfaction at 6 months post-surgery.
Conclusion:
Total humerus megaprosthesis joint replacement may be a promising option for treating chronic humeral defects.

