Late prosthetic shoulder arthroplasty for displaced proximal humerus fractures

Norris, Tom R.; Green, Andrew; McGuigan, Francis X.

doi:10.1016/s1058-2746(05)80020-5

Cited by 129 publications

(37 citation statements)

References 17 publications

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“…Patient satisfaction was good, but mean active shoulder abduction was only 88°in their series of 27 subjects. This is consistent with Norris et al's 85 results of active mean shoulder flexion of only 92°following TSA for proximal humeral fractures in their series of 23 subjects. In another series Antuna et al 2 found that 50 subjects who underwent a TSA due to a malunion of a humeral fracture had a mean active elevation of 102°postoperatively.…”

Section: Osteonecrosissupporting

confidence: 91%

“…These pathologies include osteoarthritis (OA), 7,13,30,32,39,41,43,44,64,71,74,82,86,88,89,100,101 rheumatoid arthritis (RA), 6,34,35,38,52,61,64,76,91,102,106 cuff tear arthropathy, 5,33,64,94,95,107,111 osteonecrosis, 26,48,49,64,70,79 and fractures of the humeral head. 2,3,6,21,42,62,69,85,90,93 Over the last 25 years, surgical techniques and prostheses have advanced greatly. Howev...…”

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confidence: 99%

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Rehabilitation Following Total Shoulder Arthroplasty

Wilcox

Arslanian²,

Millett³

2005

J Orthop Sports Phys Ther

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Total shoulder arthroplasty (TSA) is a standard operative treatment for a variety of disorders of the glenohumeral joint. Patients, who have continued shoulder pain and loss of function in the presence of advanced joint pathology, despite conservative management, are often managed by undergoing a TSA. The overall outcomes that are reported after surgical intervention are quite good and appear to be primarily determined by the underlying pathology and the tissue quality of the rotator cuff. The current Neer protocol for postoperative TSA rehabilitation is widely used and based on tradition and the basic science of soft tissue and bone healing. The purpose of this paper is to review the indications for TSA, focusing on the underlying pathologies, and to describe the variables that impact the rehabilitation program of individuals who have had a TSA. A postoperative TSA rehabilitation protocol and algorithm, founded on basic science principles and tailored toward the specific clinical condition, are presented. J Orthop Sports Phys Ther 2005;35:821-836. Key Words: physical therapy, protocols, shoulder rehabilitation T he first total shoulder arthroplasty (TSA) was performed by Jules Emile Pean in 1893 for the purpose of treating tuberculous arthritis of the shoulder. 68 Neer 81 developed a humeral prosthesis for the treatment of 4-part fractures in 1955, and in the mid-1970s he refined his prosthesis for the treatment of the degenerative humeral head. 82 TSA is a standard treatment intervention for patients with underlying advanced joint pathology who have persistent pain and loss of function despite conservative management. These pathologies include osteoarthritis (OA), 7,13,30,32,39,41,43,44,64,71,74,82,86,88,89,100,101 rheumatoid arthritis (RA), 6,34,35,38,52,61,64,76,91,102,106 cuff tear arthropathy, 5,33,64,94,95,107,111 osteonecrosis, 26,48,49,64,70,79 and fractures of the humeral head. 2,3,6,21,42,62,69,85,90,93 Over the last 25 years, surgical techniques and prostheses have advanced greatly. However, there is still considerable variability in surgical techniques, particularly the use of cement for fixation and the type of prosthesis. Despite these significant variations, the overall reported outcomes for patients that have undergone TSA are good. 31,49,64,99,104 Self-assessed health status reports of individuals who have undergone TSA are comparable to those of individuals who have undergone a total hip arthroplasty or coronary artery bypass graft.

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Section: Osteonecrosissupporting

confidence: 91%

mentioning

confidence: 99%

Rehabilitation Following Total Shoulder Arthroplasty

Wilcox

Arslanian²,

Millett³

2005

J Orthop Sports Phys Ther

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“…[14][15][16][17][18][19] The average clinical result obtained in our study, with a mean Constant-Murley score of 76 points is satisfactory. Correct anatomical reduction with proper plate positioning led to a significantly better result with Constant-Murley score of 81.…”

Section: Discussionmentioning

confidence: 81%

Surgical Management of Proximal Humerus Fractures by Philos Locking Plate

Rao¹,

Swamy²,

Kumar³

et al. 2017

jemds

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BACKGROUNDProximal humerus fractures remain challenging to the treating orthopaedist in both their initial diagnosis and classification and in their corresponding management. They account for approximately 5% of all fractures, 1,2 and their incidence is expected to increase secondary to an ageing population and the associated osteoporosis. 3,4,5,6 These fractures are the third most common type of fragility fractures after distal radius and hip fractures in patients aged 65 years and above.

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“…Free head fragments, hematoma and any loose cancellous bone can be evacuated ( Figure 2). In most proximal humeral fractures rotator cuff is undamaged [31]. Habermeyer et al [14] recommended an obligatory biceps tenotomy and tenodesis because of an inhibited sliding movement or a potential damaging of the head component by the bicipital tendon.…”

Section: Surgical Techniquementioning

confidence: 99%

Primary Joint Replacement in Proximal Humeral Fractures

Voigt¹,

Lill²

2007

Eur J Trauma Emerg Surg

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The surgical treatment of proximal humeral fractures constitutes a great challenge. Not all fracture types can be successfully reconstructed. Indications for a primary joint replacement arise from critical fracture patterns and defined ischemia-predicting criteria in the elderly. Good functional results are received by a soft-tissue preserving surgical technique, a secure tuberosity attachment and accurate soft tissue balancing of the rotator cuff, a correct restoration of height, retrotorsion and offset, and an appropriate aftertreatment. Multicenter studies observed an averaged Constant Murlay Score of 56 to 73.5 points. 79% of the patients had no or only mild pain in the follow up, ROM was acceptable (41.9% Anteversion >90°, 34.7% Abduction >90°). Generally, subjective evaluations are much better than objective results. The incidence of complications after primary humeral head replacement is still relatively high, whereas the 10-year-survival-rate of shoulder hemiarthroplasties was found to be 100%, currently.

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Late prosthetic shoulder arthroplasty for displaced proximal humerus fractures

Cited by 129 publications

References 17 publications

Rehabilitation Following Total Shoulder Arthroplasty

Rehabilitation Following Total Shoulder Arthroplasty

Surgical Management of Proximal Humerus Fractures by Philos Locking Plate

Primary Joint Replacement in Proximal Humeral Fractures

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