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Erschienen in:
01.06.2013 | Review Article
Fractures around shoulder and elbow arthroplasty—rare but difficult
Erschienen in: European Orthopaedics and Traumatology | Ausgabe 2/2013
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Background
So far, periprosthetic fractures of the upper extremity have a low incidence. Considering the growing numbers for shoulder and elbow arthroplasties, it is evident that these fractures will be an increasing problem in the future. Intraoperative fractures can be differentiated from postoperative fractures with specific risk factors. Yet, there is only little evidence for their appropriate treatment in literature which consists mostly in small retrospective case series. The key points for therapy are the stability of the prosthesis, the quality of the bone stock and the course of the fracture.
Materials and methods
The Worland classification for periprosthetic proximal humeral fractures around shoulder arthroplasty and the Mayo-classification for periprosthetic fractures around elbow arthroplasty were used for a systematic presentation of the indications and surgical techniques.
Results
In the future, we will need prospective studies with larger patient numbers in order to develop and evaluate a valuable therapy concept for this fracture entity whose treatment is difficult and challenging at the same time.