Hemiarthroplasty for proximal humerus fracture—a dying art
نویسندگان
چکیده
منابع مشابه
Hemiarthroplasty for head-split fractures of the proximal humerus.
Hemiarthroplasty has been recommended for 3- and 4-part fractures of the proximal humerus. Outcomes are most affected by final implant and tuberosity position. Reports of outcome and management of head-split fractures with humeral head replacement are lacking. The purpose of this study was to report the outcomes after humeral head replacement and the radiographic characteristics identified in h...
متن کاملShoulder hemiarthroplasty for fractures of the proximal humerus
Proximal humeral fractures were managed with primary hemiarthroplasty in 57 patients, 53 women (93%) and 4 men (7%) aged 51-87 years (mean 72.2). The mean follow-up period was 52 months (range 12-98), and the mean Constant score was 59.2 (range 38-76). Patients were very satisfied (n = 19); satisfied (n = 32) or dissatisfied with the outcome (n = 5). One patient required early revision surgery....
متن کاملHemiarthroplasty for three- and four-part proximal humerus fractures.
Displaced three- and four-part proximal humerus fractures are among the most challenging shoulder conditions to manage. Because of the risk of symptomatic malunion, nonunion, and humeral head osteonecrosis, surgical management is preferred. Locking plate technology has provided an alternative to hemiarthroplasty for certain three- and four-part fracture patterns, even in the setting of osteopen...
متن کاملHemiarthroplasty for Complex Four-Part Fracture of the Proximal Humerus: Technical Considerations and Surgical Technique
The four-part fracture complex described by Neer is a rare but severely disabling injury to the proximal humerus [18]. It is an injury which, while historically rare, has become increasingly more common as the population ages and remains physiologically active. This injury is specifically disabling when it involves the dominant arm. The severity of this injury is due to the associated vascular ...
متن کاملHemiarthroplasty versus reverse total shoulder arthroplasty for acute proximal humerus fractures in elderly patients.
Proximal humerus fractures are the third most common fracture in elderly patients. Hemiarthroplasty has been the treatment of choice in patients with bone quality and fracture patterns not amenable to open reduction and internal fixation. Reverse total shoulder arthroplasty is a newer option that appears to be less dependent on tuberosity healing than hemiarthroplasty. The authors hypothesized ...
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ژورنال
عنوان ژورنال: Annals of Joint
سال: 2021
ISSN: 2415-6809
DOI: 10.21037/aoj-2019-mfas-08