title: Comminuted periprosthetic humeral fracture after reverse shoulder prosthesis.
abstract: Periprosthetic fractures represent a severe complication after joint replacement. A case of comminuted displaced humeral fracture around the stem of a SMR reverse shoulder prosthesis is reported. The patient was a 81-year-old lady who had had a total shoulder replacement 28 months previously. The surgical solution consisted of a partial revision of the modular implant with conservation not only of the glenoid component but also of the prosthetic humeral body, which was well fixed in the humeral metaphysis. The humeral stem was removed and a long uncemented revision stem was implanted providing fracture stabilisation and allowing early mobilisation.
authors.affiliation: Reparto di Ortopedia, Regionalspital, 8780, Einsiedeln, Switzerland. renato.sommacal@hin.ch
authors.forename: Renato
authors.initials: R
authors.lastname: Sommacal
authors.forename: Hans Rudolph
authors.initials: HR
authors.lastname: Bloch
authors.forename: Adriana
authors.initials: A
authors.lastname: Ghidelli
authors.forename: Graziano
authors.initials: G
authors.lastname: Bettelli
authors.forename: Paolo
authors.initials: P
authors.lastname: Dalla Pria
mesh_terms: D000058:Accidental Falls; D000305:Adrenal Cortex Hormones / Q000009:adverse effects / Q000627:therapeutic use; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement; D005260:Female; D005593:Fracture Fixation, Internal; D017102:Fracture Healing; D018460:Fractures, Comminuted / Q000209:etiology* / Q000534:rehabilitation / Q000601:surgery; D006801:Humans; D006810:Humeral Fractures / Q000209:etiology* / Q000534:rehabilitation / Q000601:surgery; D007103:Immobilization; D015915:Motion Therapy, Continuous Passive; D010024:Osteoporosis / Q000139:chemically induced / Q000150:complications; D011111:Polymyalgia Rheumatica / Q000150:complications / Q000188:drug therapy; D011183:Postoperative Complications / Q000209:etiology*; D017006:Rotator Cuff / Q000601:surgery; D000070636:Rotator Cuff Injuries; D020069:Shoulder Pain / Q000209:etiology
chemical_list: D000305:Adrenal Cortex Hormones