Indications for prosthetic replacement in proximal humeral fractures.
Prosthetic replacement is a good treatment option in osteoporotic patients with four-part fractures, fracture-dislocations, head-split fractures with more than 40% articular surface involvement, anatomic neck fractures, dislocations present for longer than 6 months, and selected three-part fractures. Early prosthetic replacement of proximal humeral fractures has a better outcome than late reconstructive prosthetic management. Prosthetic design features specific forfracture care have led to a reduction in complications. Techniques will continue to improve as prosthetic design features specific for fractures evolve.
Phipatanakul
Wesley P
WP
Department of Orthopedics, California-Pacific Medical Center, San Francisco, USA.
Norris
Tom R
TR
D000328:Adult; D000367:Age Factors; D000368:Aged; D019643:Arthroplasty, Replacement / Q000295:instrumentation / Q000379:methods; D002908:Chronic Disease; D005593:Fracture Fixation, Internal; D006801:Humans; D008875:Middle Aged; D010024:Osteoporosis / Q000150:complications; D018579:Patient Selection; D011183:Postoperative Complications; D012783:Shoulder Dislocation / Q000150:complications; D012784:Shoulder Fractures / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*