Libo Yuan1, Tao Jin2, Yongqing Xu2. 1. Department of Orthopaedic Surgery, the 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China;Graduate School of Kunming Medical University, Kunming Yunnan, 650500, P.R.China. 2. Department of Orthopaedic Surgery, the 920th Hospital of Joint Logistics Support Force, Kunming Yunnan, 650032, P.R.China.
Abstract
OBJECTIVE: To summarize the research progress of the greater tubercle fixation and the rotator cuff repair in humeral head replacement. METHODS: The literature about proximal humerus fracture and humeral head replacement in recent years was extensively consulted and analyzed. RESULTS: The greater tubercle fixation and the attached rotator cuff repair have great influence on the function of shoulder joint after humeral head replacement. It is difficult to make an objective comparison because of lack of direct comparison between various methods, unified standards of grading, and limited number of cases. CONCLUSION: It is an important factor of reduction and fixation of greater tubercle to obtain better effectiveness in humeral head replacement. However, one-stage repair of rotator cuff is more important than greater tubercle fixation for functional recovery of shoulder joint.
OBJECTIVE: To summarize the research progress of the greater tubercle fixation and the rotator cuff repair in humeral head replacement. METHODS: The literature about proximal humerus fracture and humeral head replacement in recent years was extensively consulted and analyzed. RESULTS: The greater tubercle fixation and the attached rotator cuff repair have great influence on the function of shoulder joint after humeral head replacement. It is difficult to make an objective comparison because of lack of direct comparison between various methods, unified standards of grading, and limited number of cases. CONCLUSION: It is an important factor of reduction and fixation of greater tubercle to obtain better effectiveness in humeral head replacement. However, one-stage repair of rotator cuff is more important than greater tubercle fixation for functional recovery of shoulder joint.
Entities:
Keywords:
Humeral head replacement; greater tubercle; repair and reconstruction; rotator cuff
Authors: Brent A Ponce; Kevin J Thompson; Seth D Rosenzweig; Janet P Tate; David B Sarver; J Bannon Thorpe; Evan D Sheppard; Robert R Lopez Journal: J Shoulder Elbow Surg Date: 2013-04-22 Impact factor: 3.019