Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

[Open repair of proximal hamstring tears].

Operative Orthopadie und Traumatologie·2019

Same author

The stabilization effect of the conjoint tendon in reverse total shoulder arthroplasty.

Clinical biomechanics (Bristol, Avon)·2019

Same author

Management of acute knee dislocations: anatomic repair and ligament bracing as a new treatment option-results of a multicentre study.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2019

Same author

Cement augmentation of humeral head screws reduces early implant-related complications after locked plating of proximal humeral fractures.

Obere extremitat·2018

Same author

Neurocognitive deficits in schizophrenia. Are we making mountains out of molehills?

Psychological medicine·2017

Same author

[Plate osteosynthesis after patellar fracture - the technique and initial results of a prospective study].

Der Unfallchirurg·2016

Search research articles

Related Experiment Video

Updated: Sep 4, 2025

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

[Current trends in reverse fracture arthroplasty].

M Warnhoff¹, G Jensen², H Lill²

¹Klinik für Orthopädie und Unfallchirurgie, DIAKOVERE Friederikenstift, Humboldtstr. 5, 30169, Hannover, Deutschland. mara.warnhoff@diakovere.de.

Unfallchirurgie (Heidelberg, Germany)

|July 21, 2022

Summary

This summary is machine-generated.

Reverse arthroplasty is the preferred treatment for complex proximal humeral fractures. Optimal outcomes depend on patient factors and preserving tuberosities for better shoulder function and implant survival.

Keywords:

Biomechanics Proximal humeral fracture Surgical procedures, operative Treatment outcome Tuberosities

More Related Videos

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Related Experiment Videos

Last Updated: Sep 4, 2025

Reverse Total Shoulder Arthroplasty

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Area of Science:

Orthopedic Surgery
Traumatology
Biomedical Engineering

Background:

Reverse arthroplasty is a leading treatment for non-reconstructable proximal humeral fractures.
Patient-specific evaluation and fracture morphology are critical for successful outcomes.
Computed tomography (CT) imaging aids in assessing humeral head perfusion, crucial for prognosis.

Purpose of the Study:

To review the indications, techniques, and outcomes of reverse arthroplasty for proximal humeral fractures.
To highlight the importance of tuberosity healing for functional recovery and implant longevity.
To compare reverse arthroplasty results with other treatment modalities.

Main Methods:

Review of current literature and clinical evidence on reverse arthroplasty for proximal humeral fractures.
Analysis of factors influencing surgical decisions, including imaging findings (CT) and fracture patterns.
Evaluation of outcomes based on tuberosity integrity, prosthesis design, and complication rates.

Main Results:

Preservation and reduction of tuberosities significantly improve range of motion, strength, and implant survival.
Anatomical prosthesis designs with 135° humeral inclination are trending.
Revision rates are low, with instability being the primary cause, followed by periprosthetic fractures and infections.

Conclusions:

Reverse arthroplasty offers comparable or superior clinical results to conservative treatment, osteosynthesis, and hemiarthroplasty for geriatric fractures.
Even when implanted for fracture sequelae, reverse arthroplasty can significantly improve shoulder function at mid-term follow-up.