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Hemiarthroplasty for the Treatment of Proximal Humerus Fractures

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Proximal Humerus Fractures

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Abstract

Over the past decade, the indications for treating proximal humerus fractures with hemiarthroplasty have become more narrowed. Locking plates, reverse shoulder arthroplasty, and a better understanding of osteonecrosis have created a limited need for this procedure. Fractures which cannot be adequately reduced or in which adequate fixation cannot be achieved are candidates for joint replacement. Precise technique is required to produce good functional results. In inexperienced hand, outcomes are very inconsistent. This chapter reviews a method to achieve reliable results.

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References

  1. Neer II CS. The classic: articular replacement for the humeral head. 1955. Clin Orthop Relat Res. 2011;469(9):2409–21.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Neer II CS. Displaced proximal humeral fractures. II. Treatment of three-part and four-part displacement. J Bone Joint Surg Am. 1970;52(6):1090–103.

    PubMed  Google Scholar 

  3. Neviaser AS, Hettrich CM, Beamer BS, Dines JS, Lorich DG. Endosteal strut augment reduces complications associated with proximal humeral locking plates. Clin Orthop Relat Res. 2011;469(12):3300–6.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Olerud P, Ahrengart L, Ponzer S, Saving J, Tidermark J. Hemiarthroplasty versus nonoperative treatment of displaced 4-part proximal humeral fractures in elderly patients: a randomized controlled trial. J Shoulder Elbow Surg. 2011;20(7):1025–33.

    Article  PubMed  Google Scholar 

  5. Kontakis G, Tosounidis T, Galanakis I, Megas P. Prosthetic replacement for proximal humeral fractures. Injury. 2008;39(12):1345–58.

    Article  PubMed  Google Scholar 

  6. Neviaser AS, Hettrich CM, Dines JS, Lorich DG. Rate of avascular necrosis following proximal humerus fractures treated with a lateral locking plate and endosteal implant. Arch Orthop Trauma Surg. 2011;131(12):1617–22.

    Article  PubMed  Google Scholar 

  7. Gerber C, Hersche O, Berberat C. The clinical relevance of posttraumatic avascular necrosis of the humeral head. J Shoulder Elbow Surg. 1998;7(6):586–90.

    Article  PubMed  CAS  Google Scholar 

  8. Garrigues GE, Johnston PS, Pepe MD, Tucker BS, Ramsey ML, Austin LS. Hemiarthroplasty versus reverse total shoulder arthroplasty for acute proximal humerus fractures in elderly patients. Orthopedics. 2012;35(5):e703–8.

    Article  PubMed  Google Scholar 

  9. Antuna SA, Sperling JW, Cofield RH. Shoulder hemiarthroplasty for acute fractures of the proximal humerus: a minimum five-year follow-up. J Shoulder Elbow Surg. 2008;17(2):202–9.

    Article  PubMed  Google Scholar 

  10. Levine WN, Connor PM, Yamaguchi K, Self EB, Arroyo JS, Pollock RG, et al. Humeral head replacement for proximal humeral fractures. Orthopedics. 1998;21(1):68–73. quiz 74–5.

    PubMed  CAS  Google Scholar 

  11. Murachovsky J, Ikemoto RY, Nascimento LG, Fujiki EN, Milani C, Warner JJ. Pectoralis major tendon reference (PMT): a new method for accurate restoration of humeral length with hemiarthroplasty for fracture. J Shoulder Elbow Surg. 2006;15(6):675–8.

    Article  PubMed  Google Scholar 

  12. Boileau P, Walch G. The three-dimensional geometry of the proximal humerus. Implications for surgical technique and prosthetic design. J Bone Joint Surg Br. 1997;79(5):857–65.

    Article  PubMed  CAS  Google Scholar 

  13. Krause FG, Huebschle L, Hertel R. Reattachment of the tuberosities with cable wires and bone graft in hemiarthroplasties done for proximal humeral fractures with cable wire and bone graft: 58 patients with a 22-month minimum follow-up. J Orthop Trauma. 2007;21(10):682–6.

    Article  PubMed  Google Scholar 

  14. Frankle MA, Ondrovic LE, Markee BA, Harris ML, Lee III WE. Stability of tuberosity reattachment in proximal humeral hemiarthroplasty. J Shoulder Elbow Surg. 2002;11(5):413–20.

    Article  PubMed  Google Scholar 

  15. Bastian JD, Hertel R. Osteosynthesis and hemiarthroplasty of fractures of the proximal humerus: outcomes in a consecutive case series. J Shoulder Elbow Surg. 2009;18(2):216–9.

    Article  PubMed  Google Scholar 

  16. Boileau P, Winter M, Cikes A, Han Y, Carles M, Walch G, et al. Can surgeons predict what makes a good hemiarthroplasty for fracture? J Shoulder Elbow Surg. 2013;22(11):1495–506.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, George Washington University, 2150 Pennsylvania Ave NW, Washington, DC, 20037, USA

    Andrew S. Neviaser

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  1. Andrew S. Neviaser
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Correspondence to Andrew S. Neviaser .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Georgia Regent's University, Augusta, Georgia, USA

    Lynn A. Crosby

  2. Department of Orthopedic Surgery, George Washington University, Washington, District of Columbia, USA

    Robert J. Neviaser

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Neviaser, A.S. (2015). Hemiarthroplasty for the Treatment of Proximal Humerus Fractures. In: Crosby, L., Neviaser, R. (eds) Proximal Humerus Fractures. Springer, Cham. https://doi.org/10.1007/978-3-319-08951-5_7

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  • DOI: https://doi.org/10.1007/978-3-319-08951-5_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-08950-8

  • Online ISBN: 978-3-319-08951-5

  • eBook Packages: MedicineMedicine (R0)

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