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Published in: Archives of Orthopaedic and Trauma Surgery 2/2009

01-02-2009 | Trauma Surgery

Periprosthetic humeral fractures after shoulder arthroplasty: operative management and functional outcome

Authors: Sebastian Wutzler, Helmut L. Laurer, Stefan Huhnstock, Emanuel V. Geiger, Volker Buehren, Ingo Marzi

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 2/2009

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Abstract

Background

Currently, little information is available on functional outcome of periprosthetic humeral fractures after shoulder arthroplasty. This investigation aimed to evaluate functional and radiological outcome and patients’ satisfaction following this type of injury treated by open reduction and internal fixation.

Methods

Retrospective chart analysis of patients treated at two level-I trauma centers. Patients were examined clinically and radiologically. Additionally, functional outcome was assessed using the established DASH-questionnaire and standardized examination for calculation of the Constant score.

Results

Five out of six patients showed complete fracture consolidation with satisfying functional results (mean follow up time 62 weeks). One patient showed major complications with poor outcome. DASH and Constant scores were comparable to those described after primary shoulder arthroplasty.

Conclusions

Periprosthetic humeral fractures after shoulder arthroplasty can be treated by angular stable plating with low complication rates and acceptable results.
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Metadata
Title
Periprosthetic humeral fractures after shoulder arthroplasty: operative management and functional outcome
Authors
Sebastian Wutzler
Helmut L. Laurer
Stefan Huhnstock
Emanuel V. Geiger
Volker Buehren
Ingo Marzi
Publication date
01-02-2009
Publisher
Springer-Verlag
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 2/2009
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-008-0746-z

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