title: [Shoulder joint endoprosthesis in the treatment of multiple fractures of the humeral head. Development and value].
abstract: Fractures of the humeral head are still challenging to decisions of indications, surgical skills and physiotherapy. 3- and 4-part-fractures of the humeral head in younger adults are still dominated by reconstructive osteosynthesis. New developments in osteosynthesis materials allow the surgeon to make use of minimal invasive techniques more often. Treatment of elderly patients with these injuries has changed within the last years. When it is obvious that the goal of a stable osteosynthesis can not be reached, shoulder prosthesis has become a primary treatment in elderly patients. New designs in shoulder prosthesis seem to lead to better functional results.
authors.affiliation: Klinik für Unfall- und Wiederherstellungschirurgie, Unfallkrankenhaus Berlin.
authors.forename: M
authors.initials: M
authors.lastname: Tamborini
authors.forename: M
authors.initials: M
authors.lastname: Wich
authors.forename: A
authors.initials: A
authors.lastname: Ekkernkamp
mesh_terms: D000368:Aged; D019643:Arthroplasty, Replacement / Q000379:methods / Q000534:rehabilitation / Q000592:standards*; D006801:Humans; D007595:Joint Prosthesis; D026741:Physical Therapy Modalities; D011474:Prosthesis Design; D011785:Quality Assurance, Health Care; D012784:Shoulder Fractures / Q000534:rehabilitation / Q000601:surgery*