title: Hemiarthroplasty for proximal humeral fracture: restoration of the Gothic arch.
abstract: Proximal humerus fractures are the most common fractures of the shoulder girdle, and initial management of these injuries often determines final outcome. When arthroplasty is used to manage proximal humeral fractures, surgery remains technically demanding, and outcomes have been unpredictable. Recent advances in both technique and prosthetic implants have led to more successful and reproducible results. Key technical points include restoration of the Gothic arch, anatomic tuberosity reconstruction, and minimal soft tissue dissection.
authors.affiliation: Shoulder and Elbow Service, The Carrell Clinic, 9301 North Central Expressway, Suite 400, Dallas, TX 75231, USA. skrishnan@wbcarrellclinic.com
authors.forename: Sumant G
authors.initials: SG
authors.lastname: Krishnan
authors.forename: Phillip W
authors.initials: PW
authors.lastname: Bennion
authors.forename: John R
authors.initials: JR
authors.lastname: Reineck
authors.forename: Wayne Z
authors.initials: WZ
authors.lastname: Burkhead
mesh_terms: D000465:Algorithms; D019643:Arthroplasty, Replacement / Q000379:methods*; D006801:Humans; D019736:Prostheses and Implants; D011859:Radiography; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D012784:Shoulder Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D012785:Shoulder Joint / Q000033:anatomy & histology; D013536:Suture Techniques; D016896:Treatment Outcome