Document Type
Article
Publication Date
3-28-2023
Abstract
Postoperative periprosthetic humeral shaft fractures represent a growing and difficult complication to treat given the aging patient population and associated bone loss. Determining the best treatment option is multifactorial, including patient characteristics, fracture pattern, remaining bone stock, and implant stability. Possible treatment options include nonoperative management with bracing or surgical intervention. Nonoperative treatment has been shown to have higher nonunion rates, thus should only be selected for a specific patient population with minimally displaced fractures or those that are unfit for surgery. Surgical management is recommended with prosthetic loosening, fracture nonunion, or failure of nonoperative treatment. Surgical options include open reduction and internal fixation, revision arthroplasty, or hybrid fixation. Careful evaluation, decision making, and planning is required in the treatment of these fractures.
Recommended Citation
Kobayashi, Evangeline F.; Namdari, Surena; Schenker, Mara; Athwal, George S.; and Ahn, Jaimo, "Evaluation and Treatment of Postoperative Periprosthetic Humeral Fragility Fractures" (2023). Rothman Institute Faculty Papers. Paper 265.
https://jdc.jefferson.edu/rothman_institute/265
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Language
English
Comments
This article is the author's final published version in OTA International, Volume 6, Issue 1S, March 2023, Article number e244.
The published version is available at https://doi.org/10.1097%2FOI9.0000000000000244. Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association.