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

Yıl 2015, Cilt: 1 Sayı: 1, 27 - 50, 16.10.2015

Müjdat Adaş İsmail Kalkar Cem Zeki Esenyel Semih Dedeoğlu Yusuf Özcan Kürşat Bayraktar Murat Çakar Ayşin Ersoy

Öz

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.

Anahtar Kelimeler

treated with primary hemiarthroplasty for acute proximal

Kaynakça

• [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.