Hemiarthroplasty for severe fractures of the proximal humerus

Prakash, Udai; McGurty, D. W.; Dent, John A.

doi:10.1067/mse.2002.126615

Cited by 88 publications

(61 citation statements)

References 9 publications

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“…Demirhan et al [23] had around 27% greater tuberosity displacement rate. Prakash et al [21] reported greater tuberosity had displaced in 12.5% of their patients. Although, 96% tuberosity union was reported by Mighell et al [12].…”

Section: Discussionmentioning

confidence: 88%

“…In their series of 20 patients, Anjum et al [20] reported that four patients claimed to have moderate pain after the hemiarthroplasty and the median forward elevation and abduction was around 60°. Prakash et al [21] stated that among their 22 patients mean forward flexion was 93°and the pain relief was the most predictable outcome. The mean active forward elevation in our report was 85.1°, which is comparable to other studies.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the studies report patient satisfaction rate of approximately 80% after hemiarthroplasty [3,12,20,21,23]. This high patient satisfaction rate despite reduced range of movement and function could be due to reasonable pain relief following hemiarthroplasty.…”

Section: Discussionmentioning

confidence: 99%

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Shoulder hemiarthroplasty for the treatment of three and four part fractures of the proximal humerus using Comprehensive® Fracture stem

Shah

Iqbal

Brookes-Fazakerley

et al. 2010

International Orthopaedics (SICOT)

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We looked at the functional outcome of 32 consecutive patients with proximal humeral fractures that required hemiarthroplasty. Functional status was assessed using University of California Los Angeles (UCLA) shoulder end result assessment, simple shoulder test (SST) and American Shoulder and Elbow Society (ASES) shoulder index. Mean age of the patients was 72.2 years and the mean follow-up was 25.3 months. The mean score on UCLA shoulder end result assessment was 24.8, the mean SST score was 7.4 and the mean ASES shoulder index was 67.2. Mean active forward elevation was 85

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

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Shoulder hemiarthroplasty for the treatment of three and four part fractures of the proximal humerus using Comprehensive® Fracture stem

Shah

Iqbal

Brookes-Fazakerley

et al. 2010

International Orthopaedics (SICOT)

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“…Compito et al [2], however, only observed an excellent result rate in 48.5 % of their patients. In recent years, good pain relief has been consistently reported in the literature [10][11][12][13], but the post-operative shoulder range of motion and functional outcomes have been less satisfying [10][11][12]. In a multicentre, retrospective study of 167 patients by Kralinger et al [14], only 41.9 % of the patients demonstrated a postoperative forward elevation of over 90°.…”

Section: Discussionmentioning

confidence: 99%

“…In a study by Tanner and Cofield [22], post-operative displacement of the greater tuberosity was thought to be the most common complication after shoulder arthroplasty for the treatment of proximal humeral fractures. Additionally, the incidence of nonunion or malunion of the tuberosity has been reported to be between 12.5 and 50 % [4,12,13]. Boileau et al [4] demonstrated that migration and malunion of the greater tuberosity could lead to subacromial impingement, superior migration of the prosthesis, joint stiffness and consistent pain in the shoulder.…”

Section: Discussionmentioning

confidence: 99%

Trabecular metal™ shoulder prosthesis in the treatment of complex proximal humeral fractures

Jiang

2013

International Orthopaedics (SICOT)

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Purpose Shoulder arthroplasty is one of the options for the treatment of complex proximal humeral fractures. The purpose of this study was to assess the clinical and radiographic results of the trabecular metal shoulder prosthesis in the treatment of complex proximal humeral fractures. Methods Fifty-one consecutive patients with complex proximal humeral fractures who underwent primary shoulder arthroplasties with the trabecular metal™ prosthesis were enrolled in this study. At the final follow-up appointment, 42 of the patients (82.4 % of the total patients enrolled) were available for both clinical and radiographic evaluation. There were 28 women and 14 men with a mean age of 65.4±10.7 years. The dominant arm was involved in 30 of the cases. According to Neer's classification, there were seven three-part fractures, 27 four-part fractures and eight head-splitting fractures. Additionally, there were 37 hemiarthroplasties and five total shoulder arthroplasties.Results After a mean follow-up of 37.0±8.4 months (range 24-52 months), the average ranges of motion were: 38.6±15.0°f or external rotation, L3 level for internal rotation and 132.3±36.0°for forward elevation. The mean American Shoulder and Elbow Surgeons, visual analogue scale and University of California, Los Angeles scores were 82.1±14.1, 0.4±1.1 and 28.8±5.1, respectively. The post-operative radiographs exhibited an anatomically attached greater tuberosity in 39 of the 42 shoulders. Of the three patients with greater tuberosity complications, as displayed by their radiographs, two were observed with malpositioned tuberosities, while the other greater tuberosity was resorbed. Proximal migration of the prosthesis was observed in all three shoulders with greater tuberosity complications and in two shoulders with an anatomically attached greater tuberosity. No neurovascular injury, infection or prosthetic loosening was identified during the final follow-up appointments.Conclusions Satisfactory results can be expected with the trabecular metal shoulder prosthesis for the treatment of complex proximal humeral fractures. The post-operative radiographs demonstrated an anatomically healed greater tuberosity in 93 % of the patients at a minimum follow-up time of two years.

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Rehabilitation of Shoulder Arthroplasty

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Shoulder Arthroplasty

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Hemiarthroplasty for severe fractures of the proximal humerus

Cited by 88 publications

References 9 publications

Shoulder hemiarthroplasty for the treatment of three and four part fractures of the proximal humerus using Comprehensive® Fracture stem

Shoulder hemiarthroplasty for the treatment of three and four part fractures of the proximal humerus using Comprehensive® Fracture stem

Trabecular metal™ shoulder prosthesis in the treatment of complex proximal humeral fractures

Rehabilitation of Shoulder Arthroplasty

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