Seminars in Arthroplasty
Volume 19, Issue 1 , Pages 45-49 , March 2008

Four-Part Fractures of the Proximal Humerus: Open Reduction and Internal Fixation versus Hemiarthroplasty

  • Andrew D. Bries, MD

      Affiliations

    • Department of Orthopedics, Summa Health System, Akron, OH.
    • Corresponding Author InformationAddress reprint requests to Andrew Bries, MD, Summa Health System, Department of Orthopedics, 444 North Main Street, Akron, OH 44310.
    • ,
  • Robert H. Bell, MD

      Affiliations

    • Department of Orthopedics, Summa Health System, Akron, OH.
    • Crystal Clinic, Akron, OH.

References 

  1. Neer CS. Displaced proximal humeral fractures I (Classification and evaluation). J Bone Joint Surg Am. 1970;52:1077–1089
  2. Olsson CA, Nordquist , Petersson CJ. Long-term outcome of a proximal humerus fracture predicted after 1 year: A 13-year prospective population-based follow-up study of 47 patients. Acta Orthop. 2005;76:397–402
  3. Olsson C, Petersson CJ. Clinical importance of comorbidity in patients with a proximal humerus fracture. Clin Orthop Relat Res. 2006;442:93–99
  4. Atalar AC, Demirhan M, Uysal M, et al. Treatment of Neer type 4 impacted valgus fractures of the proximal humerus with open reduction, elevation, and grafting. Acta Orthop Traumatol Turc. 2007;41:113–119
  5. Court-Brown CM, Cattermole H, McQueen MM. Impacted valgus fractures (B1.1) of the proximal humerus: The results of nonoperative treatment. J Bone Joint Surg Br. 2002;84:504–508
  6. DeFranco MJ, Brems JJ, Williams GR, et al. Evaluation and management of valgus impacted four-part proximal humerus fractures. Clin Orthop Relat Res. 2006;442:109–114
  7. Hertel R, Hempfing A, Stiehler M, et al. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus. J Shoulder Elbow Surg. 2004;13:427–433
  8. Panagopoulos AM, Dimakopoulos P, Tyllianakis M, et al. Valgus impacted proximal humeral fractures and their blood supply after transosseous suturing. Int Orthop. 2004;28:333–337
  9. Resch H, Povacz P, Fröhlich R, et al. Percutaneous fixation of three- and four-part fractures of the proximal humerus. J Bone Joint Surg Br. 1997;79:295–300
  10. Robinson CM, Page RS. Severely impacted valgus proximal humeral fractures: Results of operative treatment. J Bone Joint Surg Am. 2003;85:1647–1655
  11. Robinson CM, Page RS. Severely impacted valgus proximal humeral fractures. J Bone Joint Surg Am. 2004;86(suppl):143–155
  12. Sanchez-Sotelo J. Proximal humerus fractures. Clin Anat. 2006;19:588–598
  13. Vandenbussche E, Peraldi P, Naouri JF, et al. Four part valgus impacted fractures of the upper extremity of humerus: Ilium graft reconstruction (Apropos of 8 cases). Rev Chir Orthop. 1996;82:658–662
  14. Norris TR, Green A, McGuigan FX. Late prosthetic shoulder arthroplasty for displaced proximal humerus fractures. J Shoulder Elbow Surg. 1995;4:271–280
  15. Jakob RP, Miniaci A, Anson PS, et al. Four-part valgus impacted fractures of the proximal humerus. J Bone Joint Surg Br. 1991;73:295–298
  16. Ko JY, Yamamoto R. Surgical treatment of complex fracture of the proximal humerus. Clin Orthop Relat Res. 1996;327:225–237
  17. Mighell MA, Kolm GP, Collinge CA, et al. Outcomes of hemiarthroplasty for fractures of the proximal humerus. J Shoulder Elbow Surg. 2003;12:569–577
  18. Bosch U, Skutek M, Fremerey RW, et al. Outcome after primary and secondary hemiarthroplasty in elderly patients with fractures of the proximal humerus. J Shoulder Elbow Surg. 1998;7:479–484
  19. Gobel F, Wuthe T, Reichel H. Results of shoulder hemiarthroplasty in patients with acute and old fractures of the proximal humerus. Z Orthop Ihre Grenzgeb. 1999;137:25–30
  20. Boileau P, Krishnan SG, Tinsi L, et al. Tuberosity malposition and migration: Reasons for poor outcomes after hemiarthroplasty for displaced fractures of the proximal humerus. J Shoulder Elbow Surg. 2002;11:401–412
  21. Frankle MA, Greenwald DP, Markee BA, et al. Biomechanical effects of malposition of tuberosity fragments on the humeral prosthetic reconstruction for four-part proximal humerus fractures. J Shoulder Elbow Surg. 2001;10:321–326
  22. Frankle MA, Mighell MA. Techniques and principles of tuberosity fixation for proximal humeral fractures treated with hemiarthroplasty. J Shoulder Elbow Surg. 2004;13:239–247
  23. Frankle MA, Ondrovic LE, Markee BA, et al. Stability of tuberosity reattachment in proximal humeral hemiarthroplasty. J Shoulder Elbow Surg. 2002;11:413–420
  24. Loebenberg MI, Jones DA, Zuckerman JD. The effect of greater tuberosity placement on active range of motion after hemiarthroplasty for acute fractures of the proximal humerus. Bull Hosp Joint Dis. 2005;62:90–93

PII: S1045-4527(07)00082-X

doi: 10.1053/j.sart.2007.12.029

Seminars in Arthroplasty
Volume 19, Issue 1 , Pages 45-49 , March 2008

Article Tools

* Image Usage & Resolution