ArticleInternational orthopaedics2015
The outcome of hemiarthroplasty for proximal humeral fractures is dependent on the status of the rotator cuff.
Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 31 citations in OpenAlex.
- Offset reconstruction in stemless and stemmed shoulder hemiarthroplasty: influence on long-term outcomes.Archives of orthopaedic and trauma surgery · 2026Article
- Subscapularis CT-Scan Evaluation in Patients with Proximal Humerus Fracture: Reverse Total Shoulder Arthroplasty Versus Hemi-Arthroplasty.Journal of clinical medicine · 2025Article
- Proximal humerus fractures: Treatment controversies.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Rehabilitation progress following reverse total shoulder replacement and internal fixation for geriatric three and four-part proximal humerus fractures - a propensity score matched comparison.BMC musculoskeletal disorders · 2023Article
- Stemmed hemiarthroplasty with a suture collar and a common platform system for acute proximal humeral fractures.JSES international · 2023Article
- Long-term outcomes of shoulder hemiarthroplasty for acute proximal humeral fractures.International orthopaedics · 2023Article
- Complication and revision rates after reverse total shoulder revision from hemiarthroplasty: a systematic review.Shoulder & elbow · 2022Review
- [Anatomical fracture endoprosthesis-who and how?]Unfallchirurgie (Heidelberg, Germany) · 2022Review
- [Research progress of greater tubercle fixation and rotator cuff repair in humeral head replacement].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020Article
- Single-stage bilateral reverse total shoulder arthroplasty for bilateral posterior shoulder fracture-dislocation following seizure: A case report.International journal of surgery case reports · 2020Article
- Low revision rate despite poor functional outcome after stemmed hemiarthroplasty for acute proximal humeral fractures: 2,750 cases reported to the Danish Shoulder Arthroplasty Registry.Acta orthopaedica · 2019Article
- Hemiarthroplasty for proximal humerus fractures with conservation of the whole humeral head as autograft: does it improve greater tuberosity healing?International orthopaedics · 2019Article
- Early clinical and radiological outcomes of reverse shoulder arthroplasty with an eccentric all-polyethylene glenosphere to treat failed hemiarthroplasty and the sequelae of proximal humeral fractures.International orthopaedics · 2017Article
- Multifragmentary dislocated humeral head fracture-A case report of a successful head preserving treatment strategy despite delayed presentation.International journal of surgery case reports · 2016Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to evaluate clinical and radiological outcomes of hemiarthroplasty for proximal humerus fractures.
methodsThirty-five patients (33 women and two men), average age at the time of surgery of 75.1 (range, 64-92) years, who underwent hemiarthroplasty for proximal humerus fracture or fracture-dislocation of the shoulder were enrolled in this study. The Constant score was used for clinical evaluation of outcomes, and X-rays were performed after a minimum follow-up period of 12 months postoperatively. Parameters for radiological evaluation were as follows: value of acromiohumeral interval (AHI), humeral offset, medial and lateral projection, and the existence of subacromial spur, a radiolucent zone around humeral stem and an osteolytic change of the greater tuberosity.
resultsThe average follow-up after surgery was 45.8 (range, 13-114) months. The average postoperative Constant score was 76.2 (range, 53-96) points. The mean values of AHI and humeral offset were 8.4 and 28.3 mm, respectively. A subacromial spur was observed in ten patients, and an osteolytic change of the greater tuberosity in seven patients. There was a significant correlation between Constant score and values of AHI or humeral offset. The Constant score in patients with a subacromial spur or radiolucent zone around humeral stem was markedly lower than that in patients without them.
conclusionsThe clinical outcome of hemiarthroplasty was influenced by factors reflecting function and conditions of the rotator cuff. Anatomical reconstruction and bone union of the tuberosities need to ensure clinical success in hemiarthroplasty.
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