Treatment of fractures adjacent to humeral prostheses

Gordon I. Groh, Michael M. Heckman, Michael A. Wirth, Ralph J. Curtis, Charles A. Rockwood

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Fifteen patients with fractures adjacent to a humeral prosthesis were treated between 1986 and 2002. There were 10 females and 5 males. The average age was 58 years. The fractures were classified as to location relative to the prosthesis. Type I fractures (N = 3) occurred proximal to the tip of the prosthesis. Type II fractures (N = 7) occurred in which the fracture line extended from the proximal portion of the humeral shaft to beyond the distal tip of the prosthesis. Type III (N = 5) fractures occurred entirely distal to the tip of the prosthesis. Two type I and 3 type II fractures were managed with a fracture orthosis. The remainder of the fractures were treated surgically with a combination of cerclage wires and long stem prosthesis. All fractures progressed to union at an average of 11 weeks. Average forward elevation for the group was 124°. No patient required a shoulder spica or bone grafting to obtain union. Treatment resulted in fracture union, prosthesis stability, and a paucity of complications.

Original languageEnglish (US)
Pages (from-to)85-89
Number of pages5
JournalJournal of Shoulder and Elbow Surgery
Volume17
Issue number1
DOIs
StatePublished - Jan 1 2008

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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