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Updated: Feb 20, 2026
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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[Prosthesis replacement in periprosthetic humeral fractures]
M Jaeger1, D Maier2, K Izadpanah2
1Klinik für Orthopädie und Unfallchirurgie, Department Chirurgie, Universitätsklinikum Freiburg, Hugstetter Straße 55, 79106, Freiburg, Deutschland. martin.jaeger@uniklinik-freiburg.de.
Operative Orthopadie Und Traumatologie
|October 25, 2017
Summary
Revision arthroplasty effectively treats periprosthetic humerus fractures in patients with loose prostheses, restoring shoulder function with good healing rates.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Arthroplasty
Background:
- Periprosthetic fractures of the humerus often present challenges, especially with compromised bone stock.
- Loose prostheses necessitate surgical intervention for stabilization and functional restoration.
Purpose of the Study:
- To describe the surgical technique and outcomes of revision arthroplasty for humerus fractures with loose prostheses.
- To evaluate the efficacy of this approach in preserving or restoring shoulder function.
Main Methods:
- Revision arthroplasty involving removal of the loose implant via an extended deltopectoral approach.
- Implantation of glenoidal and long-stemmed humeral components, with careful attention to the axillary nerve.
- Postoperative immobilization followed by progressive rehabilitation.
Main Results:
- In 17 patients, 4 underwent revision arthroplasty for loose prostheses.
- No intraoperative or postoperative complications were reported.
- Fracture healing occurred in all but one patient.
Conclusions:
- Revision arthroplasty is a viable option for managing periprosthetic humerus fractures with loose implants.
- The technique allows for stabilization and functional recovery of the shoulder.
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