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- Title
Periprosthetic humeral fractures associated with reverse total shoulder arthroplasty: incidence and management.
- Authors
García-Fernández, Carlos; Lópiz-Morales, Yaiza; Rodríguez, Alberto; López-Durán, Luis; Martínez, Fernando; García-Fernández, Carlos; Lópiz-Morales, Yaiza; Rodríguez, Alberto; López-Durán, Luis; Martínez, Fernando Marco
- Abstract
<bold>Purpose: </bold>The purpose of this study was to record the incidence and management of periprosthetic humeral fractures (PHF) using reverse total shoulder arthroplasty (RTSA) in our institution.<bold>Methods: </bold>We performed a retrospective study of 203 RTSA implanted in 200 patients between 2003 and 2014. The mean follow-up was 78.82 months (range, 12-141). Mean age of the study cohort was 75.87 years (range, 44-88). There were only 25 male patients (12.5 %). We assessed the presence of periprosthetic humeral fractures studying the medical files and X-rays of all patients.<bold>Results: </bold>We identified seven periprosthetic humeral fractures in 203 RTSA (3.4 %): three intra-operative (1.47 %) and four post-operative (1.97 %). The average age at the time of the fracture was 75.14 years (59-83). All patients were women (100 %). Three patients with post-operative fractures type B were treated by osteosynthesis, and one patient with post-operative fracture type A was treated conservatively. All intra-operative fractures needed cerclage wire and in one case long cemented stem. All our periprosthetic fractures healed.<bold>Conclusions: </bold>Surgical treatment with osteosynthesis in type B post-operative fractures with a stable stem is recommended. Conservative treatment is sufficient in non-displaced type A post-operative fracture. Special attention should be paid to bone quality patients using non-cemented stems in primary surgery but especially in revision shoulder surgery.
- Subjects
SHOULDER joint surgery; SHOULDER joint injuries; ARTIFICIAL joints; FRACTURE fixation; BONE fractures; JOINT diseases; LONGITUDINAL method; REOPERATION; HUMERUS injuries; DISEASE incidence; RETROSPECTIVE studies
- Publication
International Orthopaedics, 2015, Vol 39, Issue 10, p1965
- ISSN
0341-2695
- Publication type
journal article
- DOI
10.1007/s00264-015-2972-7