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Hemiarthroplasty for proximal humerus fractures.
MedLine Citation:
PMID:  23355218     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Proximal humerus fractures are common injuries that are increasing in incidence with the aging of the population. While nonoperative treatment of some fracture patterns results in clinical success, other, more displaced and comminuted fractures may require surgery to ensure a successful outcome. It is important to evaluate both patient and fracture characteristics in deciding upon the appropriate type of treatment. Every effort should be made to perform a humeral sparing procedure in younger patients. In the elderly, especially with more complex four-part fractures and fracture dislocations, hemiarthroplasty and reverse total shoulder arthroplasty are indicated to decrease complication rates and improve functional outcomes. In hemiarthroplasties, it is critical to achieve proper implant height and positioning of the tuberosities. For those patients or fractures in which the tuberosities are unlikely to heal or cannot be adequately reconstructed, reverse total shoulder arthroplasty should be considered.
Authors:
Lauchlan Chambers; Joshua S Dines; Dean G Lorich; David M Dines
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current reviews in musculoskeletal medicine     Volume:  6     ISSN:  1935-973X     ISO Abbreviation:  Curr Rev Musculoskelet Med     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-14     Completed Date:  2013-02-15     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  101317803     Medline TA:  Curr Rev Musculoskelet Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  57-62     Citation Subset:  -    
Affiliation:
Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA, chambersk@hss.edu.
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