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Published byYonca Alpay Modified over 6 years ago
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Does grafting of the tuberosities improve the functional outcomes of proximal humeral fractures treated with reverse shoulder arthroplasty? Gokcer Uzer, MD, Fatih Yildiz, MD, Suat Batar, MD, Ruwais Binlaksar, MD, Mehmet Elmadag, MD, Gamze Kus, Msc Pt, Kerem Bilsel, MD, FEBOT Journal of Shoulder and Elbow Surgery Volume 26, Issue 1, Pages (January 2017) DOI: /j.jse Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees Terms and Conditions
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Figure 1 Preparation of the autograft from the humeral head.
Journal of Shoulder and Elbow Surgery , 36-41DOI: ( /j.jse ) Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees Terms and Conditions
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Figure 2 Inner side of the graft was deepened for better fit to the stem and templating before implantation (A), the graft was attached after the humeral stem insertion (B), and the tuberosities were placed over the graft and fixed using horizontal and vertical cerclage suturing technique (C). Journal of Shoulder and Elbow Surgery , 36-41DOI: ( /j.jse ) Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees Terms and Conditions
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Figure 3 Preoperative anteroposterior radiograph of a comminuted proximal humeral fracture of an 82-year-old woman (A). Complete unions of the tuberosities are shown on the radiograph (B) and computed tomography scan (C) of the same patient 1 year postoperatively. Journal of Shoulder and Elbow Surgery , 36-41DOI: ( /j.jse ) Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees Terms and Conditions
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Figure 4 Clinical results of the patient in Fig. 3 1 year after the surgery. Journal of Shoulder and Elbow Surgery , 36-41DOI: ( /j.jse ) Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees Terms and Conditions
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