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27 Hemiarthroplasty For 4-Part Fractures Of The Proximal Humerus: Is It A Good Treatment Option?

Year 2015, Volume: 1 Issue: 1, 27 - 50, 16.10.2015

Abstract

Objective: We examined the clinical, functional and radiological outcomes in patients 65 years and older who underwent primary shoulder hemiarthroplasty for a 4-part acute fracture of the proximal humerus, and evaluated efficacy of treatment, patient satisfaction and our procedural deficiencies.

Patients and Methods: Eighteen patients were treated with primary hemiarthroplasty for acute proximal humerus Neer type-IV fracture. During follow-up, active forward elevation, abduction, internal/external rotation of the shoulder were assessed.

References

  • [1] Boons HW, Goosen JH, van Grinsven S, van Susante JL, van Loon CJ. Hemiarthroplasty for humeral four-part fractures for patients 65 years and older: a randomized controlled trial. Clin Orthop Relat Res. 2012 Dec; 470 (12): 3483-91. [2] Palvanen M, Kannus P, Niemi S, Parkkari J. Update in the epidemiology of proximal humeral fractures. Clin Orthop Relat Res. 2006 Jan; 442: 87-92. [3] Nguyen TV, Center JR, Sambrook PN, Eisman JA. Risk factors for proximal humerus, fore arm and wrist fractures in theelderly men and women: the Dubbo Osteoporosis Epidemiology Study. Am J Epidemiol. 2001 Mar 15;153 (6): 587-95. [4] Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. Acta Orthop Scand. 2001 Aug; 72 (4): 365-71. [5] Rees J, Hicks J, Ribbans W. Assessment and management of three and four part proximal humeral fractures. Clin Orthop Relat Res. 1998 Aug; (353): 18-29 [6] Shah N, Iqbal HJ, Brookes-Fazakerley S, Sinopidis C. Shoulder hemiarthroplasty for the treatment of three and four part fractures of the proximal humerus using Comprehensive® Fracture stem. Int Orthop. 2011 Jun; 35(6): 861-7. [7] Mighell MA, Kolm GP, Collinge CA, et al. Outcomes of hemiarthroplasty for fractures of the proximal humerus. J Shoulder Elbow Surg. J Shoulder Elbow Surg. 2003 Nov-Dec;12(6):569-77. [8] Gregory TM, Vandenbussche E, Augereau B. Surgical treatment of three and four-part proximal humeral fractures. OrthopTraumatol Surg Res. 2013 Feb; 99 (1 Suppl): 197-207. [9] Hawkins RJ, Angelo RL. Displaced proximal humeral fractures. Selecting treatment, avoiding pitfalls. Orthop Clin North Am. 1987 Jul; 18 (3): 421–31. [10] Boileau P, Krishnan SG, Tinsi L, Walch G, Coste JS, Molé D. Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of theproximal humerus. J Shoulder Elbow Surg. 2002 Sep-Oct;11(5): 401-12. [11] Owsley KC, Gorczyca JT. Fracture displacement and screw cut out after open reduction and locked plate fixation of proximal humeral fractures [corrected]. J Bone Joint Surg Am. 2008 Feb; 90 (2): 233-40. [12] Lanting B, MacDermid J, Drosdowech D, Faber KJ. Proximal humeral fractures: a systematic review of treatment modalities. J Shoulder Elbow Surg. 2008 Jan-Feb; 17 (1): 42-54. [13] Iannotti JP, Ramsey ML, Williams GR Jr, Warner JJ. Nonprosthetic management of proximal humeral fractures. Instr Course Lect. 2004; 53: 403–16. [14] Neer CS 2nd et al: Displaced proximal humeral fractures I. Classification and evaluation. J Bone Joint Surg Am. 1970 Sep; 52 (6): 1077-89 [15] Spross C, Platz A, Erschbamer M, Lattmann T, Dietrich M. Surgical treatment of Neer Group VI proximal humeral fractures: retrospective comparison of PHILOS® and hemiarthroplasty. Clin Orthop Relat Res. 2012 Jul; 470 (7): 2035-42. [16] Edelson G, Safuri H, Salami J, Vigder F, Militianu D. Natural history of complex fractures of the proximal humerus using a threedimensional classification system. J Shoulder Elbow Surg. 2008 May-Jun; 17 (3): 399-409. [17] Ozyakın N, Aktuglu K. Treatment of the four-part proxsimal humerus fractures in elderly patients with hemiarthroplasty. Joint Dis Rel Surg. 2008; 19 (3): 101-105. [18] Leyshon R. Closed treatment of fractures of the proximal humerus. Acta Orthop Scand. 1984 Feb; 55 (1): 48-51. [19] Hartsock LA, Estes WJ, Murray CA, Friedman RJ. Shoulder hemiarthroplasty for proximal humeral fractures. Orthop Clin North Am. 1998 Jul; 29 (3): 467-75. [20] Robinson CM, Page RS, Hill RMF, Sanders DL, Court-Brown CM, Wakefield AE. Primary hemiarthroplasty for treatment of proximal humeral fractures. J Bone Joint Surg Am. 2003 Jul; 85-A(7): 1215-23. [21] Ko JY, Yamamoto R: Surgical treatment of complex fracture of the proximal humerus. Clin Orthop Relat Res. 1996 Jun; (327): 225-37. [22] DeFranco MJ, Brems JJ, Williams GR JR, et al: Evaluation and management of valgus impacted four-part proximal humerus fractures. Clin Orthop Relat Res. 1996 Jun; (327): 225-37. [23] Tingart MJ, Apreleva M, vonStechow D, Zurakowski D, Warner JJ. The cortical thickness of the proximal humeral diaphysis predicts bone mineral density of the proximal humerus. J Bone Joint Surg Br. 2003 May; 85 (4): 611-7. [24] Nho SJ, Brophy RH, Barker JU, et al: Innovations in the management of displaced proximal humerus fractures. J Am Acad Orthop Surg. 2007 Jan;15 (1): 12-26. [25] Demirhan M, Kilicoglu O, Altinel L, Eralp L, Akalin Y. Prognostic factors in prosthetic replacement for acute proximal humerus fractures. J Orthop Trauma. 2003 Mar; 17(3): 181-8; discussion 188-9. [26] Plausinis D, Kwon YW, Zuckerman JD. Complications of humeral head replacement for proximal humeral fractures. Instr Course Lect. 2005; 54: 371-80. [27] Sirveaux F, Roche O, Molé D. Shoulder arthroplasty for acute proximal humerus fracture. OrthopTraumatol Surg Res. 2010 Oct; 96 (6): 683-94. [28] Krishnan SG, Pennington S, Burkhead W. Shoulder arthroplasty for fracture: restoration of the ‘‘gothicarch’’. Techniques Shoulder Elbow Surg. 2005; 6: 57-66. [29] Gerber A, Warner JJ. Hemiarthroplasty for management of complex proximal humerus fractures: preoperative planning and surgical solution. In: Warner JJ, Iannotti JP, FlatowE, editors. Complex and revision problems in shoulder surgery. 2nd ed. Philadelphia: Lippincott Williams &Wilkins; 2005. p.311—29. [30] Murachovsky J, Ikemoto RY, Nascimento LG, Fujiki EN, MilaniC, Warner JJ. Pectoralis majör tendon reference (PMT): a new method for accurate restoration of humeral length with hemiarthroplasty for fracture. J Shoulder Elbow Surg. 2006 Nov- Dec; 15 (6): 675-8. [31] Greiner SH, Kaab MJ, Kroning I, Scheibel M, Perka C. Reconstruction of humeral length and centering of the prosthetic head in hemiarthroplasty for proximal humeral fractures. J Shoulder Elbow Surg. 2008 Sep-Oct; 17 (5): 709-14. [32] Cofield RH. Comminuted fractures of the proximal humerus. Clin Orthop Relat Res. 1988 May; (230): 49-57. [33] Bigliani LU, Flatow EL, Pollock RG. Fractures of the proximal humerus. In: Rockwood CA, Matsen FA 3rd, editors. The Shoulder. Vol 1, 2nd ed. Philadelphia: W.B.Saunders; 1998. p. 337-91. [34] Kralinger F, Schwaiger R, Wambacher M, Farrell E, Menth-Chiari W, Lajtai G, Hübner C, Resch H. Outcome after primary hemiarthroplasty for fracture of the head of the humerus. A retrospective multicentre study of 167 patients. J Bone Joint Surg Br. 2004 Mar; 86 (2): 217-9. [35] Frankle MA, Mighell MA. Techniques and principles of tuberosity fixation for proximal humeral fractures treated with hemiarthroplasty. J Shoulder Elbow Surg. 2004 Mar-Apr; 13 (2): 239-47. [36] Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S. The normal glenohumeral relationships. An anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am. 1992 Apr; 74 (4): 491-500.
Year 2015, Volume: 1 Issue: 1, 27 - 50, 16.10.2015

Abstract

References

  • [1] Boons HW, Goosen JH, van Grinsven S, van Susante JL, van Loon CJ. Hemiarthroplasty for humeral four-part fractures for patients 65 years and older: a randomized controlled trial. Clin Orthop Relat Res. 2012 Dec; 470 (12): 3483-91. [2] Palvanen M, Kannus P, Niemi S, Parkkari J. Update in the epidemiology of proximal humeral fractures. Clin Orthop Relat Res. 2006 Jan; 442: 87-92. [3] Nguyen TV, Center JR, Sambrook PN, Eisman JA. Risk factors for proximal humerus, fore arm and wrist fractures in theelderly men and women: the Dubbo Osteoporosis Epidemiology Study. Am J Epidemiol. 2001 Mar 15;153 (6): 587-95. [4] Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. Acta Orthop Scand. 2001 Aug; 72 (4): 365-71. [5] Rees J, Hicks J, Ribbans W. Assessment and management of three and four part proximal humeral fractures. Clin Orthop Relat Res. 1998 Aug; (353): 18-29 [6] Shah N, Iqbal HJ, Brookes-Fazakerley S, Sinopidis C. Shoulder hemiarthroplasty for the treatment of three and four part fractures of the proximal humerus using Comprehensive® Fracture stem. Int Orthop. 2011 Jun; 35(6): 861-7. [7] Mighell MA, Kolm GP, Collinge CA, et al. Outcomes of hemiarthroplasty for fractures of the proximal humerus. J Shoulder Elbow Surg. J Shoulder Elbow Surg. 2003 Nov-Dec;12(6):569-77. [8] Gregory TM, Vandenbussche E, Augereau B. Surgical treatment of three and four-part proximal humeral fractures. OrthopTraumatol Surg Res. 2013 Feb; 99 (1 Suppl): 197-207. [9] Hawkins RJ, Angelo RL. Displaced proximal humeral fractures. Selecting treatment, avoiding pitfalls. Orthop Clin North Am. 1987 Jul; 18 (3): 421–31. [10] Boileau P, Krishnan SG, Tinsi L, Walch G, Coste JS, Molé D. Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of theproximal humerus. J Shoulder Elbow Surg. 2002 Sep-Oct;11(5): 401-12. [11] Owsley KC, Gorczyca JT. Fracture displacement and screw cut out after open reduction and locked plate fixation of proximal humeral fractures [corrected]. J Bone Joint Surg Am. 2008 Feb; 90 (2): 233-40. [12] Lanting B, MacDermid J, Drosdowech D, Faber KJ. Proximal humeral fractures: a systematic review of treatment modalities. J Shoulder Elbow Surg. 2008 Jan-Feb; 17 (1): 42-54. [13] Iannotti JP, Ramsey ML, Williams GR Jr, Warner JJ. Nonprosthetic management of proximal humeral fractures. Instr Course Lect. 2004; 53: 403–16. [14] Neer CS 2nd et al: Displaced proximal humeral fractures I. Classification and evaluation. J Bone Joint Surg Am. 1970 Sep; 52 (6): 1077-89 [15] Spross C, Platz A, Erschbamer M, Lattmann T, Dietrich M. Surgical treatment of Neer Group VI proximal humeral fractures: retrospective comparison of PHILOS® and hemiarthroplasty. Clin Orthop Relat Res. 2012 Jul; 470 (7): 2035-42. [16] Edelson G, Safuri H, Salami J, Vigder F, Militianu D. Natural history of complex fractures of the proximal humerus using a threedimensional classification system. J Shoulder Elbow Surg. 2008 May-Jun; 17 (3): 399-409. [17] Ozyakın N, Aktuglu K. Treatment of the four-part proxsimal humerus fractures in elderly patients with hemiarthroplasty. Joint Dis Rel Surg. 2008; 19 (3): 101-105. [18] Leyshon R. Closed treatment of fractures of the proximal humerus. Acta Orthop Scand. 1984 Feb; 55 (1): 48-51. [19] Hartsock LA, Estes WJ, Murray CA, Friedman RJ. Shoulder hemiarthroplasty for proximal humeral fractures. Orthop Clin North Am. 1998 Jul; 29 (3): 467-75. [20] Robinson CM, Page RS, Hill RMF, Sanders DL, Court-Brown CM, Wakefield AE. Primary hemiarthroplasty for treatment of proximal humeral fractures. J Bone Joint Surg Am. 2003 Jul; 85-A(7): 1215-23. [21] Ko JY, Yamamoto R: Surgical treatment of complex fracture of the proximal humerus. Clin Orthop Relat Res. 1996 Jun; (327): 225-37. [22] DeFranco MJ, Brems JJ, Williams GR JR, et al: Evaluation and management of valgus impacted four-part proximal humerus fractures. Clin Orthop Relat Res. 1996 Jun; (327): 225-37. [23] Tingart MJ, Apreleva M, vonStechow D, Zurakowski D, Warner JJ. The cortical thickness of the proximal humeral diaphysis predicts bone mineral density of the proximal humerus. J Bone Joint Surg Br. 2003 May; 85 (4): 611-7. [24] Nho SJ, Brophy RH, Barker JU, et al: Innovations in the management of displaced proximal humerus fractures. J Am Acad Orthop Surg. 2007 Jan;15 (1): 12-26. [25] Demirhan M, Kilicoglu O, Altinel L, Eralp L, Akalin Y. Prognostic factors in prosthetic replacement for acute proximal humerus fractures. J Orthop Trauma. 2003 Mar; 17(3): 181-8; discussion 188-9. [26] Plausinis D, Kwon YW, Zuckerman JD. Complications of humeral head replacement for proximal humeral fractures. Instr Course Lect. 2005; 54: 371-80. [27] Sirveaux F, Roche O, Molé D. Shoulder arthroplasty for acute proximal humerus fracture. OrthopTraumatol Surg Res. 2010 Oct; 96 (6): 683-94. [28] Krishnan SG, Pennington S, Burkhead W. Shoulder arthroplasty for fracture: restoration of the ‘‘gothicarch’’. Techniques Shoulder Elbow Surg. 2005; 6: 57-66. [29] Gerber A, Warner JJ. Hemiarthroplasty for management of complex proximal humerus fractures: preoperative planning and surgical solution. In: Warner JJ, Iannotti JP, FlatowE, editors. Complex and revision problems in shoulder surgery. 2nd ed. Philadelphia: Lippincott Williams &Wilkins; 2005. p.311—29. [30] Murachovsky J, Ikemoto RY, Nascimento LG, Fujiki EN, MilaniC, Warner JJ. Pectoralis majör tendon reference (PMT): a new method for accurate restoration of humeral length with hemiarthroplasty for fracture. J Shoulder Elbow Surg. 2006 Nov- Dec; 15 (6): 675-8. [31] Greiner SH, Kaab MJ, Kroning I, Scheibel M, Perka C. Reconstruction of humeral length and centering of the prosthetic head in hemiarthroplasty for proximal humeral fractures. J Shoulder Elbow Surg. 2008 Sep-Oct; 17 (5): 709-14. [32] Cofield RH. Comminuted fractures of the proximal humerus. Clin Orthop Relat Res. 1988 May; (230): 49-57. [33] Bigliani LU, Flatow EL, Pollock RG. Fractures of the proximal humerus. In: Rockwood CA, Matsen FA 3rd, editors. The Shoulder. Vol 1, 2nd ed. Philadelphia: W.B.Saunders; 1998. p. 337-91. [34] Kralinger F, Schwaiger R, Wambacher M, Farrell E, Menth-Chiari W, Lajtai G, Hübner C, Resch H. Outcome after primary hemiarthroplasty for fracture of the head of the humerus. A retrospective multicentre study of 167 patients. J Bone Joint Surg Br. 2004 Mar; 86 (2): 217-9. [35] Frankle MA, Mighell MA. Techniques and principles of tuberosity fixation for proximal humeral fractures treated with hemiarthroplasty. J Shoulder Elbow Surg. 2004 Mar-Apr; 13 (2): 239-47. [36] Iannotti JP, Gabriel JP, Schneck SL, Evans BG, Misra S. The normal glenohumeral relationships. An anatomical study of one hundred and forty shoulders. J Bone Joint Surg Am. 1992 Apr; 74 (4): 491-500.
There are 1 citations in total.

Details

Primary Language English
Journal Section Articles
Authors

Müjdat Adaş This is me

İsmail Kalkar This is me

Cem Zeki Esenyel This is me

Semih Dedeoğlu This is me

Yusuf Özcan This is me

Kürşat Bayraktar This is me

Murat Çakar This is me

Ayşin Ersoy This is me

Publication Date October 16, 2015
Submission Date June 4, 2015
Acceptance Date August 12, 2015
Published in Issue Year 2015 Volume: 1 Issue: 1

Cite

APA Adaş, M., Kalkar, İ., Esenyel, C. Z., Dedeoğlu, S., et al. (2015). 27 Hemiarthroplasty For 4-Part Fractures Of The Proximal Humerus: Is It A Good Treatment Option?. Aydın Sağlık Dergisi, 1(1), 27-50.

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