A technique for humeral prosthesis placement in reverse total shoulder arthroplasty for fracture

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3 Scopus citations

Abstract

Recent trends have illustrated the benefits of treating displaced fractures of the proximal humerus with reverse total shoulder arthroplasty. Clinical results have demonstrated reliable restoration of function in situations where results following hemiarthroplasty have been variable and difficult to predict. Data have demonstrated landmarks to assist with humeral stem height in hemiarthroplasty. However, intraoperative landmarks to guide placement of the humeral component in reverse shoulder arthroplasty have not been described. In this technique, the superior border of the pectoralis tendon is utilized. A distance of 5.0 cm is used to assist in placement of the most superior aspect of the metallic humeral component and with humeral stem version. This technique can be used as a guide to assist a treating physician in situations where bony fracture and comminution make humeral stem height placement difficult to judge.

Original languageEnglish
Pages (from-to)459-464
Number of pages6
JournalShoulder and Elbow
Volume11
Issue number6
DOIs
StatePublished - 1 Dec 2019

Keywords

  • humeral height
  • proximal humerus fracture
  • reverse shoulder arthroplasty
  • shoulder arthroplasty

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