Outcome after hemiarthroplasty for three- and four-part fractures of the proximal humerus

Zyto, Karol; Wallace, WA; Frostick, Simon P.; Preston, B. J.

doi:10.1016/s1058-2746(98)90215-4

Cited by 202 publications

(129 citation statements)

References 19 publications

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“…Furthermore, no correlation between fracture classification and outcome regarding function or pain was observed in our series. This is in accordance with findings of other investigations [6,27] (Table 4). Functional results after shoulder hemiarthroplasty for fractures of the proximal humerus have generally been disappointing with a marked impairment of the active range of motion in most investigations found in the literature (Table 3).…”

Section: Discussionsupporting

confidence: 94%

Primary Hemiarthroplasty for Proximal Humeral Fractures in the Elderly: Long-Term Functional Outcome and Social Implications

Dietrich

Meier

Zeller

et al. 2007

Eur J Trauma Emerg Surg

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Background: Primary shoulder hemiarthroplasty is an established treatment modality for complex fractures of the proximal humerus. Long-term functional outcome is often disappointing. However, little is known about social implications particularly in the elderly. Methods: A single-institution case series of consecutive geriatric patients (age > 70 years) treated with shoulder hemiarthroplasty for complex fractures of the proximal humerus between 1994 and 1997 was analysed. Postoperative morbidity, long-term function, radiological outcome and social implications were evaluated. Results: Seventy-seven patients fulfilled the study criteria. Median age at the time of operation was 80 years (range 70-93 years). Systemic and local postoperative complications were observed in 8% including 2 patients (3%) with revision surgery. Postoperative mortality was 1%. Forty-eight patients (62%) were available for follow-up (median 49 months, range 25-80 months), 22 (29%) died from causes unrelated to hemiarthroplasty before follow-up and 7 patients (9%) did not attend follow-up examination. Median Constant-Murley score was 41 points (range 17-77 points). Long-term results concerning pain were satisfying. The Oxford shoulder score ranged from 14 to 40 (median 30). Forty-one patients (85%) still lived in their original environment and managed their daily life independently despite poor shoulder function. Four patients (8%) lived in a retirement home and 3 (6%) in a nursery home. Eighty percent of our patients were still able to use public transportation, do the daily shopping and wash their whole body by themselves. Conclusion: Most patients managed their daily life independently despite poor shoulder function.

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Section: Discussionsupporting

confidence: 94%

Primary Hemiarthroplasty for Proximal Humeral Fractures in the Elderly: Long-Term Functional Outcome and Social Implications

Dietrich

Meier

Zeller

et al. 2007

Eur J Trauma Emerg Surg

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“…Zyto et al (1997) recently presented a prospective randomized study with a 4 years' followup by an independent observer regarding closed versus semi-rigid fixation with tension-band wiring of displaced multi-fragmented fractures of the proximal humerus and reported the mean Constant score to be 65 in the closed group and 60 in the surgery group. Most recently, Zyto et al (1998) reviewed 27 patients, after a mean of 3 years, who had sustained displaced 3-and 4-part fractures of the proximal humerus treated with humeral hemiarthroplasty; the median Constant score at follow-up was 46 (I 1-78) and 9 patients had moderate or severe pain.…”

Section: Discussionmentioning

confidence: 99%

Poor function after shoulder replacement in fracture patients: A retrospective evaluation of 29 patients followed for 2–12 years

Movin

Sjödén

Ahrengart

1998

Acta Orthopaedica Scandinavica

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“…The proximal positioning of the plate may lead impingement of plate to acromion leading to limitation of abduction beyond 90°. 15 2 Cases developed varus malunion. In Koval et al, neck shaft angle decreased to <120°.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of proximal humerus fracture treated with locking compression plate

Arumugam

Raviraman

2017

Int J Res Orthop

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Background: Proximal humerus fractures accounts for about 4 to 5% of all fractures. Treatment of unstable, displaced, and comminuted fractures of the proximal humerus remain challenging. Significant controversy continues regarding the best methods of treating displaced proximal humerus fractures. Various operative procedures are carried out, the recent trend in internal fixation has moved on to locking plates. The present study is undertaken to evaluate the functional outcome and complication of proximal humerus fractures treated by locking compression plate.Methods: This is a prospective study comprising of 30 patients with fractures of proximal humerus were treated by open reduction and internal fixation with locking compression plate were evaluated at Velammal Institute Of Medical Sciences, Madurai from the period of April 2015 to December 2016. Clinical and radiological evaluation was done. Patients will undergo open reduction internal fixation with locking compression plate for the sustained fracture under general anesthesia.Results: In our series, the majority of the patients were males, elderly aged, with RTA being the commonest mode of injury, involving 2 part, 3 part and 4 part fractures of the proximal humerus. Excellent and satisfactory results were found in 76.7% of patients with unsatisfactory results in 23.3 % according to Neer’s criteria. There were 100 % union rates and no failures.Conclusions: In conclusion locking Compression, the plate is an advantageous implant in proximal humeral fractures due to angular stability, particularly in comminuted fractures and in Osteoporotic bones in elderly patients, thus allowing early mobilization.

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Outcome after hemiarthroplasty for three- and four-part fractures of the proximal humerus

Cited by 202 publications

References 19 publications

Primary Hemiarthroplasty for Proximal Humeral Fractures in the Elderly: Long-Term Functional Outcome and Social Implications

Primary Hemiarthroplasty for Proximal Humeral Fractures in the Elderly: Long-Term Functional Outcome and Social Implications

Poor function after shoulder replacement in fracture patients: A retrospective evaluation of 29 patients followed for 2–12 years

Surgical management of proximal humerus fracture treated with locking compression plate

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