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Temporary Cement Prosthesis as a Bridge After Control of Axillary Artery Hemorrhage in Proximal Humeral
Li Du1, Weifeng Ni1, Weitao Jia2
1Department of Orthopaedics, Feng Xian District Central Hospital, Branch of The Sixth People's Hospital Affiliated to ShanghaiJiao Tong University, Shanghai, China.
Case:
A 64-year-old woman underwent open reduction and internal fixation for four-part proximal humeral fracture-dislocation with palpable distal pulses. Upon dislocated head removal, life-threatening hemorrhage occurred from posterior circumflex humeral artery tear. Bleeding was controlled through packing, resuscitation, and open vascular repair. Owing to unavailable shoulder prosthesis and prolonged operative time, a temporary cement prosthesis with Steinmann pins was used. At the 3-year follow-up, partial function was restored with no loosening.
Conclusion:
This case highlights axillary branch injury masked by tamponade effect. When arthroplasty unavailable, temporary cement prosthesis serves as a creative salvage option-a novel emergency application.
