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Shoulder Arthroplasty in the Treatment of Proximal Humeral Fractures

  • Noam Kupfer
  • Nickolas Garbis
Chapter

Abstract

Proximal humeral fractures are the third most common fracture in the elderly population (second to hip fractures and fractures of the distal radius), occurring at a frequency of approximately 105 per 100,000 individuals per year [1, 2]. As the general population ages and predicted life spans increase, the desire for procedures that restore joint function and maintain quality of life will become progressively relevant. Following this trend, it is likely the rate of arthroplasty for treatment of proximal humerus fractures—particularly in the elderly population—will likely rise in the decades to come [2]. For complicated fractures of the proximal humerus, both hemiarthroplasty (HA) and the reverse prosthesis have demonstrated promising short- and long-term results [3–10]. In the elderly population and situations involving complex fractures, each approach has exhibited superior outcomes in comparison to open reduction internal fixation (ORIF) and nonsurgical conservative management [11–16]. The reverse prosthesis in particular is selected as a revision procedure for failed HA, ORIF, and nonsurgical conservative management [17, 18].

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Noam Kupfer
    • 1
  • Nickolas Garbis
    • 1
  1. 1.Department of Orthopaedic SurgeryLoyola University Medical CenterMaywoodUSA

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