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The humelock hemiarthoplasty device for both primary and failed management of proximal humerus fractures: a case series.

A I, J S, S J, W S K, J H - Open Orthop J (2015)

Bottom Line: We present our experience using the Humelock hemiarthoplasty device for both primary and failed management of proximal humeral fractures.The patients in our series had multiple injuries and the device allowed early mobilization and produced good results.We suggest that this device has a role in the failure of primary and secondary management of proximal humeral fractures in a district general hospital setting.

View Article: PubMed Central - PubMed

Affiliation: Department of Trauma and Orthopaedics, Queens Hospital Romford, London, UK.

ABSTRACT
Fractures of the proximal humerus account for 4-5% of all fractures. Managing proximal humerus fractures operatively and non-operatively have their respective complications both short- and long-term. We present our experience using the Humelock hemiarthoplasty device for both primary and failed management of proximal humeral fractures. We present four different examples from ten cases that include a failure of internal fixation, a failure of intramedullary nailing, a complex case in a patient with multiple co-morbidities, and a failure of nonoperative management. The patients in our series had multiple injuries and the device allowed early mobilization and produced good results. We suggest that this device has a role in the failure of primary and secondary management of proximal humeral fractures in a district general hospital setting.

No MeSH data available.


Related in: MedlinePlus

(a, b) X-ray after injury, (c) Intraoperative x-ray.
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Figure 3: (a, b) X-ray after injury, (c) Intraoperative x-ray.

Mentions: A 35-year-old lady with a history of type-1-diabetes, end stage renal failure requiring dialysis, and osteoporosis, sustained a left intracapsular neck of femur fracture and a left proximal humeral fracture following a mechanical fall. The hip fracture was treated with canulated screws and the humeral fracture treated with Humelock hemiarthroplasty (Fig. 3). Postoperatively the patient was using crutches for mobilization.


The humelock hemiarthoplasty device for both primary and failed management of proximal humerus fractures: a case series.

A I, J S, S J, W S K, J H - Open Orthop J (2015)

(a, b) X-ray after injury, (c) Intraoperative x-ray.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4321229&req=5

Figure 3: (a, b) X-ray after injury, (c) Intraoperative x-ray.
Mentions: A 35-year-old lady with a history of type-1-diabetes, end stage renal failure requiring dialysis, and osteoporosis, sustained a left intracapsular neck of femur fracture and a left proximal humeral fracture following a mechanical fall. The hip fracture was treated with canulated screws and the humeral fracture treated with Humelock hemiarthroplasty (Fig. 3). Postoperatively the patient was using crutches for mobilization.

Bottom Line: We present our experience using the Humelock hemiarthoplasty device for both primary and failed management of proximal humeral fractures.The patients in our series had multiple injuries and the device allowed early mobilization and produced good results.We suggest that this device has a role in the failure of primary and secondary management of proximal humeral fractures in a district general hospital setting.

View Article: PubMed Central - PubMed

Affiliation: Department of Trauma and Orthopaedics, Queens Hospital Romford, London, UK.

ABSTRACT
Fractures of the proximal humerus account for 4-5% of all fractures. Managing proximal humerus fractures operatively and non-operatively have their respective complications both short- and long-term. We present our experience using the Humelock hemiarthoplasty device for both primary and failed management of proximal humeral fractures. We present four different examples from ten cases that include a failure of internal fixation, a failure of intramedullary nailing, a complex case in a patient with multiple co-morbidities, and a failure of nonoperative management. The patients in our series had multiple injuries and the device allowed early mobilization and produced good results. We suggest that this device has a role in the failure of primary and secondary management of proximal humeral fractures in a district general hospital setting.

No MeSH data available.


Related in: MedlinePlus