Advertisement

Il trattamento protesico delle fratture omerali prossimali

  • Carlo StoppaniEmail author
  • Chiara Fossati
  • Pietro Simone Randelli
Aggiornamenti
  • 5 Downloads

Shoulder arthroplasty in the treatment of proximal humeral fractures

Abstract

Shoulder arthroplasty is currently the gold standard in the treatment of complex displaced proximal humeral fractures with high risk of avascular necrosis. Hemiarthroplasty was extensively used in the past; however, it presents a wide variability of clinical outcomes. Recently, reverse total shoulder arthroplasty showed good results in elderly patients with severe osteoporosis and rotator cuff tears.

Notes

Conflitto di interesse

Gli autori Carlo Stoppani e Chiara Fossati dichiarano di non aver alcun conflitto di interesse. L’autore Pietro Simone Randelli dichiara di aver eseguito consulenze per le aziende: Johnson & Johnson, Medacta, Microport, Smith and Nephew, Zimmer-Biomet nel corso dell’anno 2018.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

Bibliografia

  1. 1.
    Palvanen M, Kannus P, Niemi S, Parkkari J (2006) Update in the epidemiology of proximal humeral fractures. Clin Orthop Relat Res 442:87–92 CrossRefGoogle Scholar
  2. 2.
    LaMartina J, Christmas KN, Simon P et al. (2018) Difficulty in decision making in the treatment of displaced proximal humerus fractures: the effect of uncertainty on surgical outcomes. J Shoulder Elb Surg 27:470–477 CrossRefGoogle Scholar
  3. 3.
    Boileau P, Krishnan SG, Tinsi L et al. (2002) Tuberosity malposition and migration: reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. J Shoulder Elb Surg 11:401–412 CrossRefGoogle Scholar
  4. 4.
    Bahrs C, Rolauffs B, Stuby F et al. (2010) Effect of proximal humeral fractures on the age-specific prevalence of rotator cuff tears. J Trauma 69:901–906 Google Scholar
  5. 5.
    Sirveaux F, Roche O, Molé D (2010) Shoulder arthroplasty for acute proximal humerus fracture. Orthop Traumatol, Surg Res 96:683–694 CrossRefGoogle Scholar
  6. 6.
    Maier D, Jaeger M, Izadpanah K et al. (2014) Proximal humeral fracture treatment in adults. J Bone Jt Surg, Am 96:251–261 CrossRefGoogle Scholar
  7. 7.
    Robinson CM, Page RS, Hill RM et al. (2003) Primary hemiarthroplasty for treatment of proximal humeral fractures. J Bone Jt Surg, Am 85-A:1215–1223 CrossRefGoogle Scholar
  8. 8.
    Sebastiá-Forcada E, Cebrián-Gómez R, Lizaur-Utrilla A, Gil-Guillén V (2014) Reverse shoulder arthroplasty versus hemiarthroplasty for acute proximal humeral fractures. A blinded, randomized, controlled, prospective study. J Shoulder Elb Surg 23:1419–1426 CrossRefGoogle Scholar
  9. 9.
    Mata-Fink A, Meinke M, Jones C et al. (2013) Reverse shoulder arthroplasty for treatment of proximal humeral fractures in older adults: a systematic review. J Shoulder Elb Surg 22:1737–1748 CrossRefGoogle Scholar
  10. 10.
    Wang J, Zhu Y, Zhang F et al. (2016) Meta-analysis suggests that reverse shoulder arthroplasty in proximal humerus fractures is a better option than hemiarthroplasty in the elderly. Int Orthop 40:531–539 CrossRefGoogle Scholar
  11. 11.
    Kancherla VK, Singh A, Anakwenze OA (2017) Management of acute proximal humeral fractures. J Am Acad Orthop Surg 25:42–52 CrossRefGoogle Scholar

Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2019

Authors and Affiliations

  • Carlo Stoppani
    • 1
    • 2
    Email author
  • Chiara Fossati
    • 1
    • 2
  • Pietro Simone Randelli
    • 1
    • 2
  1. 1.Laboratorio di Biomeccanica Applicata, Dipartimento Scienze Biomediche per la SaluteUniversità degli Studi di MilanoMilanoItalia
  2. 2.I Clinica OrtopedicaASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTOMilanoItalia

Personalised recommendations