G Gradl1, H-C Pape, M Tingart, D Arbab. 1. Klinik für Unfall- und Wiederherstellungschirurgie, Klinikum der RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland, ggradl@ukaachen.de.
Abstract
BACKGROUND: Expected changes in population demographics will have significant implications for society and health care provision for the treatment of proximal humeral fractures in the elderly. OBJECTIVES: This article presents the incidence and clinical characteristics of geriatric fractures of the proximal humerus, a description of therapeutic options and treatment recommendations. METHODS: The published scientific data were reviewed and current opinion available to guide patient care are presented. RESULTS: The majority of fractures of the proximal humerus that require operative treatment are amenable to reconstruction. Primary arthroplasty is usually reserved for comminuted fractures with delayed presentation, head-splitting fractures or those in which the humeral head is devoid of soft tissue attachments. Secondary replacement may be required in cases of fixation failure and symptomatic avascular necrosis. CONCLUSION: Decision-making is dependent on the fracture pattern as well as on patient and surgeon-related factors.
BACKGROUND: Expected changes in population demographics will have significant implications for society and health care provision for the treatment of proximal humeral fractures in the elderly. OBJECTIVES: This article presents the incidence and clinical characteristics of geriatric fractures of the proximal humerus, a description of therapeutic options and treatment recommendations. METHODS: The published scientific data were reviewed and current opinion available to guide patient care are presented. RESULTS: The majority of fractures of the proximal humerus that require operative treatment are amenable to reconstruction. Primary arthroplasty is usually reserved for comminuted fractures with delayed presentation, head-splitting fractures or those in which the humeral head is devoid of soft tissue attachments. Secondary replacement may be required in cases of fixation failure and symptomatic avascular necrosis. CONCLUSION: Decision-making is dependent on the fracture pattern as well as on patient and surgeon-related factors.
Authors: Gertraud Gradl; Hans-Werner Stedtfeld; Michael Morlock; Kay Sellenschloh; Klaus Püschel; Thomas Mittlmeier; Georg Gradl Journal: Injury Date: 2011-09-25 Impact factor: 2.586
Authors: M H Hessmann; S Nijs; T Mittlmeier; M Kloub; M J M Segers; V Winkelbach; M Blauth Journal: Oper Orthop Traumatol Date: 2012-09 Impact factor: 1.154
Authors: N Südkamp; J Bayer; P Hepp; C Voigt; H Oestern; M Kääb; C Luo; M Plecko; K Wendt; W Köstler; G Konrad Journal: J Bone Joint Surg Am Date: 2009-06 Impact factor: 5.284
Authors: Georg Gradl; Albrecht Dietze; Dagmar Arndt; Markus Beck; Philip Gierer; Tillmann Börsch; Thomas Mittlmeier Journal: Arch Orthop Trauma Surg Date: 2007-12 Impact factor: 3.067