Prognostic Factors and Limitations of Anatomic Shoulder Arthroplasty for the Treatment of Posttraumatic Cephalic Collapse or Necrosis (Type-1 Proximal.

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Presentation transcript:

Prognostic Factors and Limitations of Anatomic Shoulder Arthroplasty for the Treatment of Posttraumatic Cephalic Collapse or Necrosis (Type-1 Proximal Humeral Fracture Sequelae)‏ by Grégory Moineau, Walter B. McClelland, Christophe Trojani, Adam Rumian, Gilles Walch, and Pascal Boileau J Bone Joint Surg Am Volume 94(23): December 5, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

Type-1 fracture sequelae were subclassified according to the absence (types 1A and 1B) or the presence (types 1C and 1D) of osseous deformation of the proximal aspect of the humerus. Grégory Moineau et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Posttraumatic fracture sequelae involving humeral head osteonecrosis and slight valgus malunion of the greater tuberosity (type 1C) treated with hemiarthroplasty with a standard humeral stem (follow-up, fifteen years). Grégory Moineau et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Fracture sequela involving slight malunion of the greater tuberosity treated with an undersized, low-profile cemented fracture-type humeral stem (follow-up, fifty-five months).The prosthetic head was placed slightly above the greater tuberosity. Grégory Moineau et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.

Active anterior shoulder elevation (AAE) and absolute Constant score according to the type of fracture sequelae. Grégory Moineau et al. J Bone Joint Surg Am 2012;94: ©2012 by The Journal of Bone and Joint Surgery, Inc.