Primary Joint Replacement in Proximal Humeral Fractures View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-08

AUTHORS

Christine Voigt, Helmut Lill

ABSTRACT

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. More... »

PAGES

375-382

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00068-007-7090-9

DOI

http://dx.doi.org/10.1007/s00068-007-7090-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1051341899

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26814730


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