Intramedullary Fracture Positioning Sleeve for Proper Placement of Hemiarthroplasty in Fractures of the Proximal Humerus

被引:4
作者
Dines, David M. [1 ]
Warren, Russell F. [1 ]
Craig, Edward V. [1 ]
Lee, Donald [2 ]
Dines, Joshua S. [3 ]
机构
[1] Hosp Special Surg, Sports & Shoulder Serv, New York, NY 10021 USA
[2] Vanderbilt Univ, Vanderbilt Hand & Upper Extrem Ctr, Sch Med, Dept Orthoped Surg, Nashville, TN 37232 USA
[3] Kerlan Jobe Clin, Los Angeles, CA 90045 USA
关键词
shoulder fracture; shoulder fracture prosthesis; hemiarthroplasty for shoulder fracture;
D O I
10.1097/bte.0b013e318039bb1e
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Shoulder hemiarthroplasty is a well-recognized treatment for certain complex comminuted fractures of the proximal humerus. It is a technique-sensitive procedure that depends on the surgeon's ability to recreate the proper humeral height and achieve a stable tuberosity reconstruction for best outcomes. We now use an implant-specific polymethylmethacrylate intramedullary fracture positioning sleeve (Biomet Inc, Warsaw, Ind) to recreate the humeral length and version and facilitate tuberosity reconstruction in these difficult surgical reconstructions. Use of this device is technically demanding and depends on precise preoperative radiographic evaluation including scaled bilateral full humerus radiographs. With this device, we have been successful in recreating the proper humeral length in most cases.
引用
收藏
页码:69 / 74
页数:6
相关论文
共 9 条
[1]  
Boileau P, 2000, TECH SHOULDER ELBOW, V1, P96
[2]  
Cuomo F, 1999, OP CLOS M AM SHOULD
[3]  
DINES DM, 1994, CLIN ORTHOP RELAT R, P18
[4]  
Dines DM, 2000, ORTHOPAEDICS SPEC ED, V4, P25
[5]  
Goldman RT, 1995, J SHOULDER ELB SURG, V4, P1
[6]   Shoulder Arthroplasty for Fracture: Restoration of the "Gothic Arch'' [J].
Krishnan, Sumant G. ;
Pennington, Scott D. ;
Burkhead, Wayne Z. ;
Boileau, Pascal .
TECHNIQUES IN SHOULDER AND ELBOW SURGERY, 2005, 6 (02) :57-66
[7]   MODULAR HEMIARTHROPLASTY FOR FRACTURES OF THE PROXIMAL PART OF THE HUMERUS [J].
MOECKEL, BH ;
DINES, DM ;
WARREN, RF ;
ALTCHEK, DW .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1992, 74A (06) :884-889