Hemiarthroplasty for a Comminuted Fracture of the Proximal Humerus

Consulta il libro - Hemiarthroplasty for a Comminuted Fracture of the Proximal Humerus

Titolo	Hemiarthroplasty for a Comminuted Fracture of the Proximal Humerus
Autori	Darren J. Friedman, Jon J. P. Warner, Laurence D. Higgins, Zachary R. Zimmer
argomento	Medicina Ortopedia Chirurgia ortopedica
Editore	American academy of orthopaedic surgeons
Formato	Libro
Pubblicazione	2009
ISBN	9780892036202
	Acquistabile con Carta del docente, Carta Cultura Giovani o Carta della Cultura

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This title focuses on such areas as: shoulder & upper extremity and trauma. Hemiarthroplasty is a common surgical treatment for certain proximal humerus fractures, including 4-part fracture in older individuals, 3-part fracture associated with osteopenia, head-split fracture, impaction fracture greater than 40 per cent of the articular surface, and anatomic neck fracture. Anatomic reconstruction of proximal humeral anatomy in these fractures is challenging. To enhance tuberosity healing and recreate normal joint mechanics, the surgeon must properly restore the humeral head height, size, offset, and version. In this video, we detail our technique of using hemiarthroplasty for the treatment of proximal humerus fractures. Height is determined by referencing off the pectoralis major insertion, and tuberosities are positioned at roughly 90 degrees to one another. Tuberosity reconstruction and healing is critical to successful functional outcome.