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Open Access 01-07-2011

Shoulder hemiarthroplasty for fractures of the proximal humerus

Authors: R. Castricini, M. De Benedetto, P. Pirani, N. Panfoli, N. Pace

Published in: MUSCULOSKELETAL SURGERY | Special Issue 1/2011

Abstract

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. Surgical treatment of three- and four-part fractures of the proximal humerus with hemiarthroplasty is a safe and effective approach, the outcome of which appears to be related to the quality of the anatomical reconstruction of the tuberosities.

Bengner U, Johnell O, Redlund-Johnell I (1988) Changes in the incidence of fractures of the upper end of the humerus during a 30 years study period: a study of 2,125 fractures. Clin Orthop 231:179–182PubMed

Lind T, Kroner TK, Jensen J (1989) The epidemiology of fractures of the proximal humerus. Arch Orthop Trauma Surg 108:285–287PubMedCrossRef

Horak J, Nilsson BE (1975) Epidemiology of fracture of the upper end of the humerus. Clin Orthop 112:250–253PubMed

Rose SH, Melton LJ III, Morrey BF, Ilstrup DM, Riggs BL (1982) Epidemiologic features of humeral fractures. Clin Orthop Relat Res 168:24–30PubMed

Moonot P, Ashwood N, Hamlet M (2007) Early results for treatment of three- and four-part fractures of the proximal humerus using the PHILOS plate system. J Bone Jt Surg [Br] 89:1206–1209

Gerber C, Werner CM, Vienne P (2004) Internal fixation of complex fractures of the proximal humerus. J Bone Jt Surg [Br] 86:848–855CrossRef

Wijgman AJ, Roolker W, Patt TW, Raaymakers EL, Marti RK (2002) Open reduction and internal fixation of three and four-part fractures of the proximal part of the humerus. J Bone Jt Surg [Am] 84:1919–1925

Solberg BD, Moon CN, Franco DP, Paiement GD (2009) Surgical treatment of three and four-part proximal humeral fractures. J Bone Jt Surg [Am] 91(7):1689–1697CrossRef

Hertel R, Hempfing A, Stiehler M, Leunig M (2004) Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Should Elbow Surg 13:427–433CrossRef

10.

Phipatanakul WP, Norris TR (2005) Indications for prosthetic replacement in proximal humeral fractures. Instr Course Lect 54:357–362PubMed

11.

Mighell MA, Kolm GP, Collinge CA, Frankle MA (2003) Outcomes of hemiarthroplasty for fractures of the proximal humerus. J Should Elbow Surg 12:569–577CrossRef

12.

Bosch U, Skutek M, Fremery RW, Tscherne H (1998) Outcome after primary and secondary hemiarthroplasty in elderly patients with fractures of the proximal humerus. J Should Elbow Surg 7:479–484CrossRef

13.

Brian DS, Charles NM, Dennis PF, Guy DPM (2009) Surgical treatment of three and four-part proximal humeral fractures. J Bone Jt Surg [Am] 91:1689–1697CrossRef

14.

Kontakis G, Koutras C, Tosounidis T, Giannoudis P (2008) Early management of proximal humeral fractures with hemiarthroplasty: a systematic review. J Bone Jt Surg [Br] 90-B:1407–1413

15.

Neer CS II (1970) Displaced proximal humeral fractures. II. Treatment of three- and four-part displacement. J Bone Jt Surg [Am] 52:1090–1103

16.

Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164PubMed

17.

Zyto K, Wallace WA, Frostick SP, Preston BJ (1998) Outcome after hemiarthroplasty for three- and four-part fractures of the proximal humerus. J Should Elbow Surg 7:85–89CrossRef

18.

Compito CA, Self EB, Bigliani LU (1994) Arthroplasty and acute shoulder trauma. Reasons for success and failure. Clin Orthop Relat Res 307:27–36PubMed

19.

Kralinger F, Schwaiger R, Wambacher M, Farrell E, Menth-Chiari W, Lajtai G, Hübner C, Resch H (2004) Outcome after primary hemiarthroplasty for fracture of the head of the humerus. A retrospective multicentre study of 167 patients. J Bone Jt Surg [Br] 86:217–219CrossRef

20.

Kontakis GM, Tosounidis TI, Christoforakis Z, Hadjipavlou AG (2009) Early management of complex proximal humeral fractures using the Aequalis fracture prosthesis: a 2–5 years follow-up report. J Bone Jt Surg [Br] 91(10):1335–1340

21.

Krishnan SG, Bennion PW, Reineck JR, Burkhead WZ (2008) Hemiarthroplasty for proximal humeral fracture: restoration of the Gothic arch. Orthop Clin North Am 39:441–450PubMedCrossRef

22.

Nho SJ, Brophy RH, Barker JU, Cornell CN, MacGillivray JD (2007) Innovations in the management of displaced proximal humerus fractures. J Am Acad Orthop Surg 15:12–26PubMed

23.

DeFranco MJ, Brems JJ, Williams GR Jr, Iannotti JP (2006) Evaluation and management of valgus impacted four-part proximal humerus fractures. Clin Orthop Relat Res 442:109–114PubMedCrossRef

24.

Moeckel BH, Dines DM, Warren RF, Altchek DW (1992) Modular hemiarthroplasty for fractures of the proximal part of the humerus. J Bone Jt Surg [Am] 74:884–889

25.

Ricchetti ET, DeMola PM, Roman D, Abboud JA (2009) The use of precontoured humeral locking plates in the management of displaced proximal humerus fracture. J Am Acad Orthop Surg 17:582–590PubMed

26.

Thanasas C, Kontakis G, Angoules A, Limb D, Giannoudis P (2009) Treatment of proximal humerus fractures with locking plates: a systematic review. J Should Elbow Surg 18:837–844CrossRef

27.

Dines DM, Warren RF (2008) Arthroplasty for proximal humerus fractures. In: Dines DM, Lorich DG, Helfet DL (eds) Solutions for complex upper extremity trauma. Thieme, NY, pp 79–87

28.

Bastian JD, Hertel R (2009) Osteosynthesis and hemiarthroplasty of fractures of the proximal humerus: outcomes in a consecutive case series. J Should Elbow Surg 18:216–219CrossRef

29.

Dines DM, Warren RF (1994) Modular shoulder hemiarthroplasty for acute fractures. Surgical considerations. Clin Orthop Relat Res 307:18–26PubMed

30.

Hertel R (2005) Fractures of the proximal humerus in osteoporotic bone. Osteoporos Int 16(Suppl 2):S65–S72PubMedCrossRef

31.

Boileau P, Coste JS, Ahrens PM, Staccini P (2002) Prosthetic shoulder replacement for fracture: results of the multicenter study. In: Walch G, Boileau P, Mole D (eds) 2000 Shoulder prostheses: 2–10 years follow-up. Sauramps Medical, Montpellier, pp 561–573

32.

Naranja RJ Jr, Iannotti JP (2000) Displaced three- and four-part proximal humerus fractures: evaluation and management. J Am Acad Orthop Surg 8:373–382PubMed

33.

Boileau PCJ, Coste J-S, Ahrens PM, Staccini P (2001) Prosthetic shoulder replacement for fracture: results of the multicentre study. In: Walch G, Boileau P, Mole D (eds) 2000 Shoulder prostheses: 2–10 years follow up. Sauramps Medical, Montpellier, pp 561–578

34.

Agorastides I, Sinopidis C, El Meligy M et al (2007) Early versus late mobilization after hemiarthroplasty for proximal humeral fractures. J Should Elbow Surg 16(3 Suppl):S33–S38CrossRef

Title: Shoulder hemiarthroplasty for fractures of the proximal humerus
Authors: R. Castricini
M. De Benedetto
P. Pirani
N. Panfoli
N. Pace
Publication date: 01-07-2011
Publisher: Springer Milan
Published in: MUSCULOSKELETAL SURGERY / Issue Special Issue 1/2011
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-011-0112-0

2024 ASCO Annual Meeting

Springer Medicine

Shoulder hemiarthroplasty for fractures of the proximal humerus

Abstract

2024 ASCO Annual Meeting

Springer Medicine

Abstract

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