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Sequelae of Fractures of the Proximal Humerus: Results of Shoulder Arthroplasty without Greater Tuberosity Osteotomy

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Shoulder Arthroplasty

Summary

We isolated two types of fractures sequelae of the proximal humerus that can be treated with a shoulder arthroplasty without having to perform a greater tuberosity osteotomy: humeral head collapse or necrosis (40 cases) and chronic dislocation or fracture dislocation (9 cases). These old traumas feature tolerable displacement of the greater tuberosity, which makes an implantation of a humeral component possible while still maintaining continuity of the tuberosity and rotator cuff to the shaft. The Aequalis shoulder prosthesis was used in all cases and was particularly indicated in these challenging post traumatic conditions since it offers the possibility to be adapted to this distorted anatomy. Adjustment of inclination and/or translation of articular prosthetic surface allows some tuberosity osteotomies to be avoided. The risk of nonunion of the greater tuberosity after osteotomy should lead surgeons to abandon the idea to reconstruct a normal anatomy of the proximal humerus at any costs. In these two specific etiologies, the surgeon can accept some deformity of the proximal humerus but with good functional results.

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Authors
  1. P. Boileau
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  2. G. Walch
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  3. C. Trojani
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  4. B. Veneau
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  5. R. Sinnerton
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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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Boileau, P., Walch, G., Trojani, C., Veneau, B., Sinnerton, R. (1999). Sequelae of Fractures of the Proximal Humerus: Results of Shoulder Arthroplasty without Greater Tuberosity Osteotomy. In: Walch, G., Boileau, P. (eds) Shoulder Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58365-0_38

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  • DOI: https://doi.org/10.1007/978-3-642-58365-0_38

  • 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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