Shoulder hemiarthroplasty for acute fractures of the proximal humerus: A minimum five-year follow-up

Significant discrepancy in the functional outcome of hemiarthroplasty for proximal humerus fractures has been reported with short or mid-term follow-up. This study reports the long-term results and rate of complications of shoulder arthroplasty in the treatment of proximal humerus fractures. The rev...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2008-03, Vol.17 (2), p.202-209
Main Authors: Antuña, Samuel A., MD, Sperling, John W., MD, MBA, Cofield, Robert H., MD
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement - adverse effects
Biological and medical sciences
Diseases of the osteoarticular system
Female
Follow-Up Studies
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Middle Aged
Orthopedics
Range of Motion, Articular
Recovery of Function
Reoperation
Shoulder Fractures - surgery
Traumas. Diseases due to physical agents
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Summary:Significant discrepancy in the functional outcome of hemiarthroplasty for proximal humerus fractures has been reported with short or mid-term follow-up. This study reports the long-term results and rate of complications of shoulder arthroplasty in the treatment of proximal humerus fractures. The review comprised 57 patients (44 women, 13 men) who underwent hemiarthroplasty between 1976 and 1996 as treatment of a proximal humerus fracture and who had a minimum 5-year follow-up (mean, 10.3 years). The mean patient age was 66 years at the time of surgery (range, 23-89 years). According to a modified Neer result rating system, results were satisfactory in 27 patients and unsatisfactory in 30. The mean active elevation was 100° (range, 20°-180°) and external rotation was 30° (range, 0°-90°). At the most recent follow-up, 9 patients (16%) had moderate or severe pain and 2 required implant revision or removal. The study data suggest that patients undergoing arthroplasty as treatment of an acute fracture of the proximal humerus may achieve satisfactory long-term pain relief; however, the result for overall shoulder motion is less predictable. In view of these results, current indications, surgical technique, and postoperative treatment may need to be revisited.
ISSN:1058-2746
1532-6500
DOI:10.1016/j.jse.2007.06.025