title: [Primary humerus head replacement in dislocated proximal humeral fracture. Indications, technique, results].
abstract: Displaced three- and four-part fractures of the humeral head detached from their blood supply are at high risk for a poor functional outcome after internal fixation. Primary prosthetic replacement can restore the pretraumatic anatomy, and early function is possible. Head replacement within 2 weeks after trauma, reapproximation of the tuberosities, and reconstruction of the rotator cuff tear establishes early stability and good functional results in up to 80%.
authors.affiliation: Chirurgische Klinik und Poliklinik, Berufsgenossenschaftliche Krankenanstalten Bergmannsheil, Universitätsklinik, Bochum.
authors.forename: K
authors.initials: K
authors.lastname: Neumann
authors.forename: G
authors.initials: G
authors.lastname: Muhr
authors.forename: H
authors.initials: H
authors.lastname: Breitfuss
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery*
vernacular_title: Primärer Kopfersatz der dislozierten Oberarmkopffraktur. Indikation, Technik, Ergebnisse.