Advertisement

LO SCALPELLO-OTODI Educational

, Volume 32, Issue 1, pp 31–34 | Cite as

Fratture periprotesiche di spalla: sintesi vs riprotesizzazione

  • Michele Novi
  • Filippo Luiso
  • Paolo Paladini
  • Giovanni Merolla
  • Giuseppe Porcellini
Aggiornamenti
  • 25 Downloads

Periprosthetic shoulder fractures: ORIF vs revision arthroplasty

Abstract

Periprosthetic fractures in shoulder arthroplasty are a rare occurrence that has been rarely described in the literature. Most of them occur during the surgical procedure, either owing to the surgeon’s inexperience or to poor bone quality. Traumatic fractures affect patients with prostheses who suffer a direct trauma of the operated limb. It is important to assess the clinical presentation of the patient and the radiological findings for correct decision making. The factors that prompt the choice of treatment are primarily the type of fracture and stem stability. Once the decision has been made to proceed with either ORIF or revision of the implant, it is important to consider the quality of the rotator cuff in patients with hemiarthroplasty or total anatomic prosthesis, in order to consider an inverse implant. A long revision stem, accompanied by bone and cerclage, is always the most appropriate choice to restore function.

Notes

Conflitto di interesse

Gli autori Michele Novi, Filippo Luiso, Paolo Paladini, Giovanni Merolla e Giuseppe Porcellini dichiarano di non aver alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

Bibliografia

  1. 1.
    Williams GRJ, Iannotti JP (2002) Management of periprosthetic fractures: the shoulder. J Arthroplast 17(4 Suppl 1):14–16 CrossRefGoogle Scholar
  2. 2.
    Boyd AD, Thornhill TS, Barnes CL (1992) Fractures adjacent to humeral prostheses. J Bone Jt Surg 74-A:1498–1504 CrossRefGoogle Scholar
  3. 3.
    Singh JA, Sperling J, Schleck C et al. (2012) Periprosthetic fractures associated with primary total shoulder arthroplasty and primary humeral head replacement: a thirty-three-year study. J Bone Jt Surg Am 94(19):1777–1785 CrossRefGoogle Scholar
  4. 4.
    Wright TW, Cofield RH (1995) Humeral fractures after shoulder arthroplasty. J Bone Jt Surg Am 77(9):1340–1346 CrossRefGoogle Scholar
  5. 5.
    Campbell JT, Moore RS, Iannotti JP et al. (1998) Periprosthetic humeral fractures: mechanisms of fracture and treatment options. J Shoulder Elb Surg 7(4):406–413 CrossRefGoogle Scholar
  6. 6.
    Sperling JW, Cofield RH (2005) Humeral windows in revision shoulder arthroplasty. J Shoulder Elb Surg 14(3):258–263 CrossRefGoogle Scholar
  7. 7.
    Worland RL, Kim DY, Arredondo J (1999) Periprosthetic humeral fractures: management and classification. J Shoulder Elb Surg 8(6):590–594 CrossRefGoogle Scholar
  8. 8.
    Kumar S, Sperling JW, Haidukewych GH, Cofield RH (2004) Periprosthetic humeral fractures after shoulder arthroplasty. J Bone Jt Surg 86-A:680–689 CrossRefGoogle Scholar
  9. 9.
    Steinmann SP, Cheung EV (2008) Treatment of periprosthetic humerus fractures associated with shoulder arthroplasty. J Am Acad Orthop Surg 16:199–207 CrossRefPubMedGoogle Scholar
  10. 10.
    Van Thiel GS, Halloran JP, Twigg S et al. (2011) The vertical humeral osteotomy for stem removal in revision shoulder arthroplasty: results and technique. J Shoulder Elb Surg 20(8):1248–1254 CrossRefGoogle Scholar

Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2018

Authors and Affiliations

  • Michele Novi
    • 1
  • Filippo Luiso
    • 1
  • Paolo Paladini
    • 1
  • Giovanni Merolla
    • 1
  • Giuseppe Porcellini
    • 1
  1. 1.Unità di Chirurgia della Spalla e del GomitoOspedale D. CervesiCattolicaItalia

Personalised recommendations