Complication Management in Distal Humerus Hemiarthroplasty

  • Klaus J. Burkhart
  • Adam C. Watts
  • George S. Athwal
  • Boris Hollinger
  • Kilian Wegmann
  • Lars P. Müller


Distal humerus hemiarthroplasty (DHH) was designed to overcome the disadvantages of ORIF and TEA. ORIF may lead to early loss of reduction in severely comminuted and/or osteoporotic fractures. TEA may lead to early loosening necessitating revision, especially in the high-demand patient. The weight-bearing restriction of 3–5 kg may be suitable for some rheumatoid and lower demand patients but is too limiting for most patients with primary and posttraumatic arthritis, as these are younger and have greater physical demands. DHH is a complex operation, potentially much more difficult than TEA, and is prone to complications. This chapter analyses the reasons and disucusses diagnostics and management of the most common procedure-specific complications.


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Klaus J. Burkhart
    • 1
    • 2
  • Adam C. Watts
    • 3
  • George S. Athwal
    • 4
  • Boris Hollinger
    • 1
  • Kilian Wegmann
    • 5
    • 6
  • Lars P. Müller
    • 5
    • 6
  1. 1.Arcus SportklinikPforzheimGermany
  2. 2.Medical FacultyUniversity of CologneCologneGermany
  3. 3.Upper Limb UnitWrightington HospitalWigan, LancashireUK
  4. 4.Roth McFarlane Hand and Upper Limb Center, St Joseph’s Health CareUniversity of Western OntarioLondonCanada
  5. 5.Center for Orthopedic and Trauma SurgeryUniversity Medical CenterCologneGermany
  6. 6.Cologne Center for Musculoskeletal Biomechanics, Medical FacultyUniversity of CologneCologneGermany

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