How to improve the outcomes of surgically treated proximal humeral osteoporotic fractures? A narrative review
Proximal humeral fractures (PHF) are the third most common non-vertebral fragility fractures after hip and distal radius. It still controversial which treatment might be more appropriate, and surgically treated outcomes depends also on an appropriate technique. In order to clarify surgical indicatio...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Open Medical Publishing
2020-08-01
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| Series: | Orthopedic Reviews |
| Subjects: | |
| Online Access: | https://www.pagepress.org/journals/index.php/or/article/view/8529 |
| _version_ | 1818887628743770112 |
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| author | Antonio Benedetto Cecere Giuseppe Toro Annalisa De Cicco Adriano Braile Marco Paoletta Giovanni Iolascon Alfredo Schiavone Panni |
| author_facet | Antonio Benedetto Cecere Giuseppe Toro Annalisa De Cicco Adriano Braile Marco Paoletta Giovanni Iolascon Alfredo Schiavone Panni |
| author_sort | Antonio Benedetto Cecere |
| collection | DOAJ |
| description | Proximal humeral fractures (PHF) are the third most common non-vertebral fragility fractures after hip and distal radius. It still controversial which treatment might be more appropriate, and surgically treated outcomes depends also on an appropriate technique. In order to clarify surgical indications, tips and pitfall a narrative review was conducted. Pinning, external fixation, plating and internal fixators has each one its advantages and disadvantages. During the procedure an appropriate use of the fixation device and handling of the soft tissue might be associated with better outcomes. Calcar comminution, varus angulation, medial dislocation of the shaft, fracture-dislocation are factors that could lead to choose a replacement. Hemiarthroplasty and reverse total shoulder arthroplasty are the most common prosthesis used in PHF. The restoration of humeral length and tuberosities might lead to an improvement in clinical outcomes and prosthesis survivorship. |
| first_indexed | 2024-12-19T16:40:15Z |
| format | Article |
| id | doaj.art-6e274ee4bba646f0878e1e1bd8fdecbe |
| institution | Directory Open Access Journal |
| issn | 2035-8237 2035-8164 |
| language | English |
| last_indexed | 2024-12-19T16:40:15Z |
| publishDate | 2020-08-01 |
| publisher | Open Medical Publishing |
| record_format | Article |
| series | Orthopedic Reviews |
| spelling | doaj.art-6e274ee4bba646f0878e1e1bd8fdecbe2022-12-21T20:13:48ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642020-08-0112210.4081/or.2020.8529How to improve the outcomes of surgically treated proximal humeral osteoporotic fractures? A narrative reviewAntonio Benedetto Cecere0Giuseppe Toro1Annalisa De Cicco2Adriano Braile3Marco Paoletta4Giovanni Iolascon5Alfredo Schiavone Panni6Department of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, NaplesDepartment of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, Naples; Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, RomeDepartment of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, NaplesDepartment of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, NaplesDepartment of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, NaplesDepartment of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, NaplesDepartment of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, NaplesProximal humeral fractures (PHF) are the third most common non-vertebral fragility fractures after hip and distal radius. It still controversial which treatment might be more appropriate, and surgically treated outcomes depends also on an appropriate technique. In order to clarify surgical indications, tips and pitfall a narrative review was conducted. Pinning, external fixation, plating and internal fixators has each one its advantages and disadvantages. During the procedure an appropriate use of the fixation device and handling of the soft tissue might be associated with better outcomes. Calcar comminution, varus angulation, medial dislocation of the shaft, fracture-dislocation are factors that could lead to choose a replacement. Hemiarthroplasty and reverse total shoulder arthroplasty are the most common prosthesis used in PHF. The restoration of humeral length and tuberosities might lead to an improvement in clinical outcomes and prosthesis survivorship.https://www.pagepress.org/journals/index.php/or/article/view/8529Proximal humeral fractureFragility fractureLocking plateOsteoporosisShoulder arthroplasty |
| spellingShingle | Antonio Benedetto Cecere Giuseppe Toro Annalisa De Cicco Adriano Braile Marco Paoletta Giovanni Iolascon Alfredo Schiavone Panni How to improve the outcomes of surgically treated proximal humeral osteoporotic fractures? A narrative review Orthopedic Reviews Proximal humeral fracture Fragility fracture Locking plate Osteoporosis Shoulder arthroplasty |
| title | How to improve the outcomes of surgically treated proximal humeral osteoporotic fractures? A narrative review |
| title_full | How to improve the outcomes of surgically treated proximal humeral osteoporotic fractures? A narrative review |
| title_fullStr | How to improve the outcomes of surgically treated proximal humeral osteoporotic fractures? A narrative review |
| title_full_unstemmed | How to improve the outcomes of surgically treated proximal humeral osteoporotic fractures? A narrative review |
| title_short | How to improve the outcomes of surgically treated proximal humeral osteoporotic fractures? A narrative review |
| title_sort | how to improve the outcomes of surgically treated proximal humeral osteoporotic fractures a narrative review |
| topic | Proximal humeral fracture Fragility fracture Locking plate Osteoporosis Shoulder arthroplasty |
| url | https://www.pagepress.org/journals/index.php/or/article/view/8529 |
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