Loading…
Shoulder arthroplasty for late sequelae of proximal humeral fractures
Twenty-eight patients with sequelae of proximal humeral fractures were treated with shoulder arthroplasty and were reviewed with a mean follow-up of 47 months. There were 8 malunions, 7 osteonecrosis, and 2 nonunions of the proximal humerus. Degenerative joint disease without any distortion of the t...
Saved in:
Published in: | Journal of shoulder and elbow surgery 2004-05, Vol.13 (3), p.305-312 |
---|---|
Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c379t-5667b050fef502eb0b71774a1ac837a2bb71c05b5ef12e863e3aee4f802870733 |
---|---|
cites | cdi_FETCH-LOGICAL-c379t-5667b050fef502eb0b71774a1ac837a2bb71c05b5ef12e863e3aee4f802870733 |
container_end_page | 312 |
container_issue | 3 |
container_start_page | 305 |
container_title | Journal of shoulder and elbow surgery |
container_volume | 13 |
creator | Mansat, Pierre Guity, Mohamad R Bellumore, Yves Mansat, Michel |
description | Twenty-eight patients with sequelae of proximal humeral fractures were treated with shoulder arthroplasty and were reviewed with a mean follow-up of 47 months. There were 8 malunions, 7 osteonecrosis, and 2 nonunions of the proximal humerus. Degenerative joint disease without any distortion of the tuberosities had developed in 11. We performed 8 total shoulder arthroplasties and 20 hemiarthroplasties. On the basis of the Neer criteria, the results were satisfactory in only 64%. Fifteen patients had superior migration of the implant. One patient had to be reoperated on because of deep infection. The prognosis was influenced positively by the integrity of the rotator cuff at surgery, whereas the need for greater tuberosity osteotomy worsened the final result. The data suggest that malunion of the greater tuberosity can be tolerated if it does not compromise acceptable positioning of the humeral component. However, if there is a malunion of the greater tuberosity with major displacement, an osteotomy must be performed, with unpredictable results. |
doi_str_mv | 10.1016/j.jse.2004.01.020 |
format | article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71878672</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1058274604000370</els_id><sourcerecordid>71878672</sourcerecordid><originalsourceid>FETCH-LOGICAL-c379t-5667b050fef502eb0b71774a1ac837a2bb71c05b5ef12e863e3aee4f802870733</originalsourceid><addsrcrecordid>eNp9kE1PwzAMhiMEYjD4AVxQL3BrsdOm6cQJTeNDmsQBOEdp6midsnUkLWL_nkybBCdOtqXH1uuHsSuEDAHLu2W2DJRxgCIDzIDDETtDkfO0FADHsQdRpVwW5Yidh7AEgEkB_JSNUCDiBPCMzd4W3eAa8on2_cJ3G6dDv01s5xOne0oCfQ7kNCWdTTa--25X2iWLYUU-Vuu16QdP4YKdWO0CXR7qmH08zt6nz-n89ell-jBPTS4nfSrKUtYgwJIVwKmGWqKUhUZtqlxqXsfZgKgFWeRUlTnlmqiwFfBKgszzMbvd341RYq7Qq1UbDDmn19QNQUmsZFVKHkHcg8Z3IXiyauNjdL9VCGrnTi1VdKd27hSgiu7izvXh-FCvqPndOMiKwM0B0MFoF79fmzb84aTAsppE7n7PUVTx1ZJXwbS0NtS0nkyvmq79J8YPxYmL_w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71878672</pqid></control><display><type>article</type><title>Shoulder arthroplasty for late sequelae of proximal humeral fractures</title><source>ScienceDirect Journals</source><creator>Mansat, Pierre ; Guity, Mohamad R ; Bellumore, Yves ; Mansat, Michel</creator><creatorcontrib>Mansat, Pierre ; Guity, Mohamad R ; Bellumore, Yves ; Mansat, Michel</creatorcontrib><description>Twenty-eight patients with sequelae of proximal humeral fractures were treated with shoulder arthroplasty and were reviewed with a mean follow-up of 47 months. There were 8 malunions, 7 osteonecrosis, and 2 nonunions of the proximal humerus. Degenerative joint disease without any distortion of the tuberosities had developed in 11. We performed 8 total shoulder arthroplasties and 20 hemiarthroplasties. On the basis of the Neer criteria, the results were satisfactory in only 64%. Fifteen patients had superior migration of the implant. One patient had to be reoperated on because of deep infection. The prognosis was influenced positively by the integrity of the rotator cuff at surgery, whereas the need for greater tuberosity osteotomy worsened the final result. The data suggest that malunion of the greater tuberosity can be tolerated if it does not compromise acceptable positioning of the humeral component. However, if there is a malunion of the greater tuberosity with major displacement, an osteotomy must be performed, with unpredictable results.</description><identifier>ISSN: 1058-2746</identifier><identifier>EISSN: 1532-6500</identifier><identifier>DOI: 10.1016/j.jse.2004.01.020</identifier><identifier>PMID: 15111901</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Aged ; Arthritis - etiology ; Arthritis - surgery ; Arthroplasty, Replacement - methods ; Biological and medical sciences ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Shoulder - surgery ; Shoulder Fractures - complications ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome</subject><ispartof>Journal of shoulder and elbow surgery, 2004-05, Vol.13 (3), p.305-312</ispartof><rights>2004 Journal of Shoulder and Elbow Surgery Board of Trustees</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-5667b050fef502eb0b71774a1ac837a2bb71c05b5ef12e863e3aee4f802870733</citedby><cites>FETCH-LOGICAL-c379t-5667b050fef502eb0b71774a1ac837a2bb71c05b5ef12e863e3aee4f802870733</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15751689$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15111901$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mansat, Pierre</creatorcontrib><creatorcontrib>Guity, Mohamad R</creatorcontrib><creatorcontrib>Bellumore, Yves</creatorcontrib><creatorcontrib>Mansat, Michel</creatorcontrib><title>Shoulder arthroplasty for late sequelae of proximal humeral fractures</title><title>Journal of shoulder and elbow surgery</title><addtitle>J Shoulder Elbow Surg</addtitle><description>Twenty-eight patients with sequelae of proximal humeral fractures were treated with shoulder arthroplasty and were reviewed with a mean follow-up of 47 months. There were 8 malunions, 7 osteonecrosis, and 2 nonunions of the proximal humerus. Degenerative joint disease without any distortion of the tuberosities had developed in 11. We performed 8 total shoulder arthroplasties and 20 hemiarthroplasties. On the basis of the Neer criteria, the results were satisfactory in only 64%. Fifteen patients had superior migration of the implant. One patient had to be reoperated on because of deep infection. The prognosis was influenced positively by the integrity of the rotator cuff at surgery, whereas the need for greater tuberosity osteotomy worsened the final result. The data suggest that malunion of the greater tuberosity can be tolerated if it does not compromise acceptable positioning of the humeral component. However, if there is a malunion of the greater tuberosity with major displacement, an osteotomy must be performed, with unpredictable results.</description><subject>Adult</subject><subject>Aged</subject><subject>Arthritis - etiology</subject><subject>Arthritis - surgery</subject><subject>Arthroplasty, Replacement - methods</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Shoulder - surgery</subject><subject>Shoulder Fractures - complications</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>1058-2746</issn><issn>1532-6500</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><recordid>eNp9kE1PwzAMhiMEYjD4AVxQL3BrsdOm6cQJTeNDmsQBOEdp6midsnUkLWL_nkybBCdOtqXH1uuHsSuEDAHLu2W2DJRxgCIDzIDDETtDkfO0FADHsQdRpVwW5Yidh7AEgEkB_JSNUCDiBPCMzd4W3eAa8on2_cJ3G6dDv01s5xOne0oCfQ7kNCWdTTa--25X2iWLYUU-Vuu16QdP4YKdWO0CXR7qmH08zt6nz-n89ell-jBPTS4nfSrKUtYgwJIVwKmGWqKUhUZtqlxqXsfZgKgFWeRUlTnlmqiwFfBKgszzMbvd341RYq7Qq1UbDDmn19QNQUmsZFVKHkHcg8Z3IXiyauNjdL9VCGrnTi1VdKd27hSgiu7izvXh-FCvqPndOMiKwM0B0MFoF79fmzb84aTAsppE7n7PUVTx1ZJXwbS0NtS0nkyvmq79J8YPxYmL_w</recordid><startdate>20040501</startdate><enddate>20040501</enddate><creator>Mansat, Pierre</creator><creator>Guity, Mohamad R</creator><creator>Bellumore, Yves</creator><creator>Mansat, Michel</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040501</creationdate><title>Shoulder arthroplasty for late sequelae of proximal humeral fractures</title><author>Mansat, Pierre ; Guity, Mohamad R ; Bellumore, Yves ; Mansat, Michel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-5667b050fef502eb0b71774a1ac837a2bb71c05b5ef12e863e3aee4f802870733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arthritis - etiology</topic><topic>Arthritis - surgery</topic><topic>Arthroplasty, Replacement - methods</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Shoulder - surgery</topic><topic>Shoulder Fractures - complications</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mansat, Pierre</creatorcontrib><creatorcontrib>Guity, Mohamad R</creatorcontrib><creatorcontrib>Bellumore, Yves</creatorcontrib><creatorcontrib>Mansat, Michel</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of shoulder and elbow surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mansat, Pierre</au><au>Guity, Mohamad R</au><au>Bellumore, Yves</au><au>Mansat, Michel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Shoulder arthroplasty for late sequelae of proximal humeral fractures</atitle><jtitle>Journal of shoulder and elbow surgery</jtitle><addtitle>J Shoulder Elbow Surg</addtitle><date>2004-05-01</date><risdate>2004</risdate><volume>13</volume><issue>3</issue><spage>305</spage><epage>312</epage><pages>305-312</pages><issn>1058-2746</issn><eissn>1532-6500</eissn><abstract>Twenty-eight patients with sequelae of proximal humeral fractures were treated with shoulder arthroplasty and were reviewed with a mean follow-up of 47 months. There were 8 malunions, 7 osteonecrosis, and 2 nonunions of the proximal humerus. Degenerative joint disease without any distortion of the tuberosities had developed in 11. We performed 8 total shoulder arthroplasties and 20 hemiarthroplasties. On the basis of the Neer criteria, the results were satisfactory in only 64%. Fifteen patients had superior migration of the implant. One patient had to be reoperated on because of deep infection. The prognosis was influenced positively by the integrity of the rotator cuff at surgery, whereas the need for greater tuberosity osteotomy worsened the final result. The data suggest that malunion of the greater tuberosity can be tolerated if it does not compromise acceptable positioning of the humeral component. However, if there is a malunion of the greater tuberosity with major displacement, an osteotomy must be performed, with unpredictable results.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>15111901</pmid><doi>10.1016/j.jse.2004.01.020</doi><tpages>8</tpages></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1058-2746 |
ispartof | Journal of shoulder and elbow surgery, 2004-05, Vol.13 (3), p.305-312 |
issn | 1058-2746 1532-6500 |
language | eng |
recordid | cdi_proquest_miscellaneous_71878672 |
source | ScienceDirect Journals |
subjects | Adult Aged Arthritis - etiology Arthritis - surgery Arthroplasty, Replacement - methods Biological and medical sciences Female Humans Male Medical sciences Middle Aged Orthopedic surgery Shoulder - surgery Shoulder Fractures - complications Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
title | Shoulder arthroplasty for late sequelae of proximal humeral fractures |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T04%3A40%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Shoulder%20arthroplasty%20for%20late%20sequelae%20of%20proximal%20humeral%20fractures&rft.jtitle=Journal%20of%20shoulder%20and%20elbow%20surgery&rft.au=Mansat,%20Pierre&rft.date=2004-05-01&rft.volume=13&rft.issue=3&rft.spage=305&rft.epage=312&rft.pages=305-312&rft.issn=1058-2746&rft.eissn=1532-6500&rft_id=info:doi/10.1016/j.jse.2004.01.020&rft_dat=%3Cproquest_cross%3E71878672%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c379t-5667b050fef502eb0b71774a1ac837a2bb71c05b5ef12e863e3aee4f802870733%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=71878672&rft_id=info:pmid/15111901&rfr_iscdi=true |