PMID: 11317686Apr 25, 2001Paper

An individualized approach for the implantation of a humeral prosthesis with the proper retroversion in fractures

Archives of Orthopaedic and Trauma Surgery
Joseph J ChristoforakisA G Hadjipavlou

Abstract

We applied a new methodology in 7 patients with a fracture of the upper humeral head that required hemiarthroplasty, to implant a humeral prosthesis with an individualized posterior version. Our goal was to determine preoperatively the distance from the posterior edge of the bicipital groove where the lateral fin of the humeral prosthesis should sit, in order to reproduce the individual retroversion during surgery. Using three computed tomography scan sections of the upper humerus and image processing software, we estimated the above-mentioned distance in the sound humerus and implanted the prosthesis in each patient accordingly. The differences in retroversion between the left and right humeral heads permit a better approximation to normal applying this methodology than inserting the prosthesis in a standard retroversion.

Citations

Jul 21, 2014·International Orthopaedics·Pedro José LabroniciJosé Sérgio Franco
Aug 14, 2010·Journal of Shoulder and Elbow Surgery·George S AthwalDanny P Goel
Mar 17, 2007·Journal of Shoulder and Elbow Surgery·Jennifer A DeLudeDarren S Drosdowech
Nov 28, 2008·Injury·George KontakisPanagiotis Megas
Jul 4, 2009·Journal of Shoulder and Elbow Surgery·Nader WafaeGabriela Cavallini Wafae
Feb 12, 2008·Clinical Orthopaedics and Related Research·P BoileauJ P Urien

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