Periprosthetic Postoperative Humeral Fractures After Shoulder Arthroplasty.

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Joaquin Sanchez-Sotelo, George S Athwal

Author Information

Joaquin Sanchez-Sotelo: From the Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, (Sanchez-Sotelo), and the Roth/McFarlane Hand and Upper Limb Centre, London, Ontario, Canada (Athwal). ORCID

PMID: 36026696 DOI: 10.5435/JAAOS-D-21-01001

The increased utilization of shoulder arthroplasty, including revision procedures, combined with rises in life expectancy, is expected to translate into a substantial increase in periprosthetic humeral fractures. The evaluation and management of these fractures needs to be updated to consider fractures that complicate anatomic and reverse arthroplasties and contemporary short-stem and stemless implants. Although conservative treatment is successful in a large proportion of these fractures, several surgical reconstructive techniques are required for the management of all fracture types. Surgical options include internal fixation, graft augmentation, standard revision procedures, and occasionally complex reconstructions including modular segmental prosthesis and allograft prosthetic composites. Most studies on the outcomes of periprosthetic humeral fractures have analyzed small samples and have typically reported on anatomic total shoulders with a standard-length humeral implant. Additional research is required to optimize the management of periprosthetic postoperative humeral fractures in the era of reverse arthroplasty, short stems, and stemless arthroplasty.

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Arthroplasty, Replacement, Shoulder

Humans

Humeral Fractures

Humerus

Periprosthetic Fractures

Reoperation

Shoulder Fractures

Shoulder Joint

Treatment Outcome

Journal Article

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