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Tuberosity Osteosynthesis in Shoulder Arthroplasty

  • Conference paper
Shoulder Arthroplasty

Summary

Tuberosity osteosynthesis in shoulder arthroplasty remains a challenging problem: there is a high rate of nonunion or malunion and the number of failures is underdiagnosed. Proper synthesis of the tuberosities is closely linked to good positioning of the prosthesis with regard to length and retroversion. Nonunion of the tuberosities may be due to early or secondary bone migration because of malpositioning of the prosthesis and/or poor technique with tuberosity osteosynthesis. Migration of the tuberosities occurs either because there is excessive horizontal tension, if the prosthesis has been positioned in too much retroversion; excessive vertical tension, if the prosthesis has been cemented too high or by excessive oblique tension, if the stem has been cemented in valgus which shifts the upper part laterally, prevents intertuberosity contact, and causes over-tensioning.

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Authors
  1. J. C. Le Huec
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  2. P. Boileau
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  3. R. Sinnerton
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  4. I. Hovorka
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Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery Hôpital de L’Archet, University of Lyon, 116, Rue Antoine Charial, 69003, Lyon, France

    Gilles Walch M.D.

  2. Department of Orthopaedic Surgery Hôpital de L’Archet, University of Nice, 151, Route de Saint-Antoine de Ginestière, 06200, Nice, France

    Pascal Boileau M.D.

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© 1999 Springer-Verlag Berlin Heidelberg

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Le Huec, J.C., Boileau, P., Sinnerton, R., Hovorka, I. (1999). Tuberosity Osteosynthesis in Shoulder Arthroplasty. In: Walch, G., Boileau, P. (eds) Shoulder Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58365-0_35

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  • DOI: https://doi.org/10.1007/978-3-642-58365-0_35

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63554-0

  • Online ISBN: 978-3-642-58365-0

  • eBook Packages: Springer Book Archive

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