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2012, Number 4

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Ortho-tips 2012; 8 (4)

Fracturas intraoperatorias de la cabeza humeral durante la colocación de hemiartroplastia de recubrimiento

Tafoya AGA, Peidro GL, Sastre SS, Martínez RJJ
Full text How to cite this article

Language: Spanish
References: 9
Page: 237-241
PDF size: 91.44 Kb.


Key words:

Resurfacing, hemiarthroplasty, shoulder fractures, humeral head, reverse arthroplasty.

ABSTRACT

The humeral head resurfacing is indicated when there is a little deformity of the head and especially when the pacient is not will under went to a glenoid replacement. A research in literature no found intraoperative humeral head fractures. We have a tree cases: 1) Female patient, 79 years old with congestive cardiac failure, pain and functional limitation left shoulder. The patient under went to minima invasive surgery (resurfacing). During the procedure there was fracture of humeral head, 2) Female patient, 50 years old with reumatoid arthritis and pain and functional limitation of right shoulder. The patient with the Copeland criterial and was found eligible for a shoulder resurfacing. During the surgery the humeral head was fracture when test device was pull out, and 3) Female patient 70 years old with a diabetes mellitus type 2 and arthrosis and rotator cuff tear; during the surgery, we detect a same sing like the other case; with the past experiences we decided to change the implant device. The first two cases we decided to change the surgical plan to conventional anatomic stem prosthesis and the last one, we decided to place a reverse shoulder arthorplasty due to the massive rotator cuff tear.


REFERENCES

  1. Copeland S. The continuing development of shoulder replacement: “Reaching the Surface”. J Bone Joint Surg Am 2006; 88: 900-905.

  2. Levy O, Copeland SA. Cementless surface replacement arthroplasty of the shoulder. 5 to 10 years results with the Copeland Mark-2 prosthesis. J Bone Joint Surg Br 2001; 83(2): 213-221.

  3. Levy O, Copeland SA. Cementless surface replacement arthroplasty (Copeland CSRA) for osteoarthritis of the shoulder. J Shoulder Elbow Surg 2004 ; 13(3): 266-71.

  4. Levy O, Funk L, Sforza G, Copeland SA. Copeland surface replacement arthroplasty of the shoulder in rheumatoid arthritis. J Bone Joint Surg Am 2004; 86-A(3): 512-518.

  5. Jónsson E, Egund N, Kelly I, Rydholm U, Lidgren L.Cup arthroplasty of the reumatoid shoulder. Acta Orthop Scand 1986; 57: 542-546.

  6. Thomas SR, Wilson AJ, Chambler A, Harding I, Thomas M. Outcome of Copeland surface replacement shoulder arthroplasty. J Shoulder Elbow Surg 2005; 14(5): 485-491.

  7. Peidro L, Plaza R, Sastre S. Perioperative fracture-dislocation of the humeral head during a resurfacing hemiartroplasty. Int J Shoulder Surg 2008; 2: 41-42.

  8. Jonas SC, Walton MJ, Sarangi PP. Management of a periprosthetic fracture after humeral head resurfacing total shoulder replacement: a case report. J Shoulder Elbow Surg 2011; 20: e18-21.

  9. Williams GRJ, Iannotti JP. Unconstrained prosthetic arthroplasty for glenohumeral arthritis with an intact or repairable rotator cuff: indications, techniques and results. In: Iannotti JP, Williams GR (eds). Disorders of the shoulder: Diagnosis & management. Vol. 2. 2nd ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2007: 697-726.




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