Tuberosity healing after reverse shoulder arthroplasty for acute proximal humerus fractures: the “black and tan” technique

Formaini, Nathan T.; Everding, Nathan G.; Levy, Jonathan C.; Rosas, Samuel

doi:10.1016/j.jse.2015.04.014

Cited by 70 publications

(33 citation statements)

References 34 publications

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“…The addition of a lateral autograft (from the humeral head) between the metaphysis of the implant and tuberosities results in an anatomic healing rate of 80% to 100%. 10,12,14 This study has the limitations related to a multicenter, retrospective study. One limitation is the high number of patients who died before 1 year or were too frail to be clinically reviewed with radiographs and therefore could not be included.…”

Section: Discussionmentioning

confidence: 97%

“…1,[4][5][6][7]11,13,15 Since RSA has been designed to overcome cuff-deficient shoulders, some surgeons have proposed excising the tuberosities, 5,6 whereas others have suggested that tuberosity reattachment is less important than in hemiarthroplasty. 10,11 The question that we attempted to answer in this study was as follows: Are clinical and subjective outcomes of RSA for PHFs comparable in the case of tuberosity excision, failed fixation, or anatomic healing? To try to answer this question, we performed a multicenter study and analyzed the clinical and subjective results based on the surgical tuberosity management (excision vs conservation) and the final aspect of the tuberosities on the last postoperative radiographs (GT healing in an anatomic position vs nonunion, malunion, or resorption).…”

Section: Discussionmentioning

confidence: 99%

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How the greater tuberosity affects clinical outcomes after reverse shoulder arthroplasty for proximal humeral fractures

Ohl

Bonnevialle

Gallinet³

et al. 2018

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

How the greater tuberosity affects clinical outcomes after reverse shoulder arthroplasty for proximal humeral fractures

Ohl

Bonnevialle

Gallinet³

et al. 2018

Journal of Shoulder and Elbow Surgery

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“…7h). Next, the vertical stitches are passed through the subscapularis and infraspinatus to combat superior migration similar to the technique described by Formaini et al [95]. The cerclage sutures are securely tied down to "bear hug" the tuberosities to the stem (Fig.…”

Section: Reverse Shoulder Arthroplasty Versus Open Reduction Internalmentioning

confidence: 99%

Reverse Shoulder Arthroplasty for Proximal Humerus Fracture

Kelly

Myeroff

2020

Curr Rev Musculoskelet Med

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Purpose of Review The purpose of this review is to examine trends, outcomes, and principles in treatment of proximal humerus fractures in the elderly with a critical focus on reverse shoulder arthroplasty as a developing treatment option. Recent Findings Recent literature shows an increase in reverse shoulder arthroplasty and a decrease in hemiarthroplasty performed for proximal humerus fractures. More predictable outcomes and lower revision rates are seen in older individuals treated primarily or secondarily with reverse shoulder arthroplasty compared to those treated with hemiarthroplasty. Summary We report current and historical treatments, outcomes, and principles in reverse shoulder arthroplasty for treatment of complex, displaced proximal humerus fractures in older individuals (≥ 65 years old).

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“…Die Einheilrate der Tuberkula wird höher als bei den Hemiprothesen angegeben (30,38). Vorteile bieten Prothesensysteme, die eine Konversion von einer Hemiprothese auf eine inverse Prothese ohne Schaftwechsel ermöglichen (39).…”

Section: Stellenwert Der Inversen Frakturprotheseunclassified

Endoprothetik bei akuten Frakturen des proximalen Humerus

Reuther¹,

Ganschow²,

Schmitz³

2016

Arthritis und Rheuma

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ZusammenfassungDie Behandlung der komplexen proximalen Humerusfraktur beim älteren Patienten wird weiterhin kontrovers diskutiert. Die Optionen reichen von konservativer Therapie über minimal osteosynthetische Techniken, winkelstabile Platten oder intramedulläre Fixationen bis zur prothetischen Versorgung. Bei Patienten mit nicht rekonstruierbarer Humeruskopffraktur, intakter Rotatorenmanschette und weitgehend erhaltenen Tuberkula kann die Fraktur- Hemiprothese zum Einsatz kommen. Inzwischen wird bei Patienten über 70 Jahren eher die Indikation zur primären inversen Frakturprothese gestellt, da die funktionellen Ergebnisse nach Fraktur-Hemiprothesen oft nicht vorhersagbar sind. Die im Design zur Frakturversorgung adaptierten inversen Frakturprothesen könnten Probleme wie Notching am Skapulahals und eingeschränkte Rotationsfähigkeit reduzieren. Welcher Prothesentyp eingesetzt wird, hängt von den vorliegenden allgemeinen und lokalen Voraussetzungen des Patienten und der Erfahrung des Operateurs ab.

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Tuberosity healing after reverse shoulder arthroplasty for acute proximal humerus fractures: the “black and tan” technique

Cited by 70 publications

References 34 publications

How the greater tuberosity affects clinical outcomes after reverse shoulder arthroplasty for proximal humeral fractures

How the greater tuberosity affects clinical outcomes after reverse shoulder arthroplasty for proximal humeral fractures

Reverse Shoulder Arthroplasty for Proximal Humerus Fracture

Endoprothetik bei akuten Frakturen des proximalen Humerus

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