Evaluation of shoulder arthroplasty in treatment of four-fragment fractures of the proximal humerus

Der Unfallchirurg
H SchmalN P Südkamp

Abstract

The dislocated four-fragment fracture of the proximal humerus is a problematic fracture. In this study we evaluated shoulder function after implantation of a shoulder hemiprosthesis of the anatomical generation. The evaluation was based on a case-control study in which the following information was gathered: epidemiology, Constant-Murley score, compliance score, radiological results, and a summary of complications. Twenty shoulder prostheses were implanted between September 2000 and August 2002. After an average follow-up time of 14 months, the average Constant score was 52. The score for the opposite shoulder was 91 points. The function found to be most limited was shoulder movement. The subjective estimation of shoulder function had a mean value of 49% and correlated with the Constant score. Fourteen of the patients exhibited a postoperative defect in the tuberculum majus. Implantation of shoulder hemiprostheses allows treatment of four-fragment fractures of the humerus head in older patients, whereby limitations of mobility and function are to be expected.

Citations

Oct 12, 2005·Archives of Orthopaedic and Trauma Surgery·Ottmar GorschewskyWolfram Neumann
Jul 3, 2013·Der Unfallchirurg·M TauberP Habermeyer
Jun 7, 2013·Der Orthopäde·P Habermeyer, P Magosch
Oct 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Michael DietrichAndreas Platz
Nov 28, 2007·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M DietrichA Platz
Jun 16, 2009·Journal of Shoulder and Elbow Surgery·Rastislav HromádkaAntonín Sosna
Nov 7, 2012·Orthopedics·Frank MartetschlägerThomas Freude
Sep 1, 2011·Clinical Orthopaedics and Related Research·Gerhard KonradNorbert P Südkamp
Feb 8, 2008·The Journal of Bone and Joint Surgery. British Volume·A SosnaV Pinskerová

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