Periprosthetic humeral fractures associated with reverse total shoulder arthroplasty: incidence and management

García-Fernández, Carlos; Lópiz-Morales, Yaiza; Rodríguez, Alberto Domínguez; López-Durán, L.; Martínez, Fernando Marco

doi:10.1007/s00264-015-2972-7

Cited by 69 publications

(56 citation statements)

References 24 publications

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“…After screening, 277 documents were excluded, thus including 46 for full-text review. Of these 46 references, 25 were excluded and 21 studies were included in the final evidence tables [18][19][20][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47]. Table 1 shows the level of evidence of the selected studies.…”

Section: Resultsmentioning

confidence: 99%

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Torre

García

Smith

et al. 2019

JCM

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The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. A narrative synthesis was performed, and evidence tables were created in four dimensions: study design, arthroplasty characteristics, safety, and effectiveness. Orthopaedic Data Evaluation Panel (ODEP) scores were used to evaluate prosthesis types. Twenty-one studies were selected that included a total of 1293 arthroplasties. The most common indication was fractures, while the prosthesis most frequently used was the Delta Xtend (ODEP 10A). The most common complication was scapular notching. Prosthesis revision rate was approximately 6% for follow-ups between 12 and 79 months. In addition, significant improvements were observed in the Constant–Murley test score after the intervention. Currently in Spain, shoulder arthroplasty can be considered a safe and effective procedure with functional recovery and pain reduction for eligible patients with humeral fracture, rotator cuff arthropathy, fracture sequelae and malunion of the proximal humerus, and degenerative disease. Future longitudinal research and population-based studies could serve to confirm these results and identify points of improvement.

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Section: Resultsmentioning

confidence: 99%

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Torre

García

Smith

et al. 2019

JCM

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“…Most of studies approach complications of all shoulder arthroplasties, including partial and total prosthesis. In a series described by García-Fernandéz et al, ( 1 ) including 203 RSA, only 4 patients had periprothesis fractures in the post-operative period. Of these, 3 were treated surgically using plates and screws associated with cerclage, and 1 was treated conservatively.…”

Section: Discussionmentioning

confidence: 96%

“…The incidence of periprosthetic fractures after reverse shoulder arthroplasty (RSA) is around 2%. ( 1 ) This is a rare fracture and often occurs in osteoporotic patients, older persons, and among those who have a variety of comorbidities.…”

Section: Introductionmentioning

confidence: 99%

Periprosthetic humeral fractures after reverse shoulder arthroplasty. Case report

Wajnsztejn

Foni

Oizerovici

et al. 2017

Einstein (São Paulo)

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Periprosthetic fractures is a severe complication after joint replacement. The rapidly increase of reverse shoulder arthroplasty surgeries, periprosthetic humeral fractures, which are described as rare, may increase in the near future. We report the case of displaced humeral fracture bellow the stem of reverse shoulder prosthesis. The patient was an 85-year-old woman who had a total shoulder replacement 6 years previously. The surgical solution consisted of plate osteossynthesis and cerclage. This report describes an unprecedented case in Brazilian literature; and gives an overview of the existing literature including this injury classification.

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“…The frequency of these traumatic events on shoulder is 0.6-3% and 40% of these cases are represented by low-energy post-operative fractures [1] . Treatment varies from conservative to implant revision and depends on the type of fracture and the stability of prosthesis [2] , [3] . If not completely treated, peri-prosthetic fractures may lead to non-union.…”

Section: Introductionmentioning

confidence: 99%

Peri-prosthetic humeral non-union: Where biology meets bio-mechanic. A case report

Ciurlia

Puddu

Caggiari

et al. 2017

International Journal of Surgery Case Reports

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HighlightsPeriprosthetic fracture non-unions are a medical challenge that requires a multi-level treatment.Aggressive revision surgery and bone healing therapy are the best solutions for those cases.The association of mechanical stability and the support to osteogenic processes can lead to fracture healing in non-union cases. Our method follows the Giannoudis’ “Diamond concept” about fracture healing.

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Periprosthetic humeral fractures associated with reverse total shoulder arthroplasty: incidence and management

Cited by 69 publications

References 24 publications

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Periprosthetic humeral fractures after reverse shoulder arthroplasty. Case report

Peri-prosthetic humeral non-union: Where biology meets bio-mechanic. A case report

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