Evaluation Of Short Term Results Of Shoulder Hemiarthroplasty In Treatment Of Complex Proximal Humerus Fractures And Fracture Dislocations | ||||
| Benha Medical Journal | ||||
| Article 21, Volume 40, Special issue (Surgery), January and February 2023, Page 267-285 PDF (845.54 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bmfj.2022.160871.1658 | ||||
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| Authors | ||||
Karim Sayed Khater  1; Mohamed Gamal Eldin Elashhab2; Mohamed Gouda Montaser3; Hossam El-Din Abd El-Naby El-Bigawy1; Abdelsamie Mohammed Halawa1
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| 1Orthopedic Department , Benha Faculty Of Medicine , Benha University , Benha , Egypt | ||||
| 2Orthopedic department, Faculty of medicine, Benha university Benha - Egypt | ||||
| 3Orthopedric Department-Faculty of Medicine-Benha University | ||||
| Abstract | ||||
| Abstract Background : Proximal humeral fractures account for about 10% of all fractures being the 3rd most common fracture in the elderly population. Shoulder hemiarthroplasty is performed mainly in patients with Neer four-parts fractures and fracture dislocations, anatomical neck fractures, head-splitting fractures that cannot be anatomically reduced and stabilized and head impression fractures involving greater than 40% of the articular surface. Aim : To evaluate the short term results in treatment of complex proximal humerus fractures and fracture dislocations by shoulder hemiarthroplasty . Materials and methods : A prospective study conducted on twenty consecutive patients with complex proximal humerus fractures and fracture dislocations who have been treated by shoulder hemiarthroplasty between January 2020 and October 2021 in Benha university hospitals. Results : The mean age of the studied patients was 61.1 years old. According to Neer classification most of studied patients found to have 4-part fracture (50%). According to modified constant score, five patients (25%) showed excellent results with mean value of 84.4. Eight patients (40%) showed good results with mean value of 65.3. Five patients (25%) showed fair results with mean value of 44.6. Two patients (10%) showed poor results with mean value of 24. The mean duration of postoperative follow up was 14.4 months. Conclusion : Shoulder hemiarthroplasty is a reliable method for treatment of acute complex proximal humerus fractures and fracture dislocations which are not amenable for fixation. Keywords : shoulder hemiarthroplasty ; proximal humerus fractures ; proximal humerus fracture dislocation | ||||
| Keywords | ||||
| shoulder hemiarthroplasty; proximal humerus fractures; proximal humerus fracture dislocation | ||||
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