Hemiarthroplasty for proximal humerus fractures

Early and late

Paul D. Lane, Lynn A Crosby

Research output: Contribution to journalArticle

Abstract

Hemiarthroplasty has been the preferred surgical procedure for 3- and 4-part proximal humeral fractures. Our retrospective study examined function and radiographic outcomes at 2- and 5-year follow-up in patients who received a hemiarthroplasty for 3- and 4-part proximal humeral fractures. Forty-seven consecutive patients of a single surgeon treated with a shoulder hemiarthroplasty between 2000 and 2006 were examined. Postoperative radiographs were compared with radiographs at 2 and 5 years along with active range of motion and functional outcomes scores. The mean acromiohumeral distance decreased from 10.3 mm postoperatively to 8.5 mm at 2 years and 6.7 mm at 5 years (P ≤ 0.001). More patients had stem osteolysis and tuberosity reabsorption at 2 and 5 years compared with postoperatively (P = 0.16 and P ≤ 0.001, respectively). Multiple measures of functional outcome were obtained and all found to be worse at 5 years than at 2 years. Pain scores increased from 2 to 5-year follow-up (P = 0.018). Hemiarthropasty has a high rate of long-term complications, including decreased acromiohumeral distance, stem osteolysis, and tuberosity reabsorption. Pain scores and functional outcomes worsened. No improvement in range of motion was observed.

Original languageEnglish (US)
Pages (from-to)5-9
Number of pages5
JournalSeminars in Arthroplasty
Volume22
Issue number1
DOIs
StatePublished - Mar 1 2011

Fingerprint

Hemiarthroplasty
Humerus
Shoulder Fractures
Osteolysis
Articular Range of Motion
Pain
Retrospective Studies
Outcome Assessment (Health Care)

Keywords

  • Fracture
  • Hemiarthroplasty
  • Outcomes
  • Proximal humerus
  • Radiograph

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Hemiarthroplasty for proximal humerus fractures : Early and late. / Lane, Paul D.; Crosby, Lynn A.

In: Seminars in Arthroplasty, Vol. 22, No. 1, 01.03.2011, p. 5-9.

Research output: Contribution to journalArticle

Lane, Paul D. ; Crosby, Lynn A. / Hemiarthroplasty for proximal humerus fractures : Early and late. In: Seminars in Arthroplasty. 2011 ; Vol. 22, No. 1. pp. 5-9.
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