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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) Initial injury, (b) 8 weeks later, (c) 16 weeks later, (d) intraoperative (e) 16 weeks postoperatively.
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Figure 4: (a) Initial injury, (b) 8 weeks later, (c) 16 weeks later, (d) intraoperative (e) 16 weeks postoperatively.

Mentions: With a previous history of mastectomy and axillary node clearance for breast cancer a 69-year-old lady had non-union of her left proximal humerus fracture following a fall. Initial management was nonoperative, however there was increased displacement in subsequent clinic reviews. She had a proximal humeral biopsy, which ruled out malignancy and was subsequently managed with Humelock hemiarthroplasty (Fig. 4).


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) Initial injury, (b) 8 weeks later, (c) 16 weeks later, (d) intraoperative (e) 16 weeks postoperatively.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: (a) Initial injury, (b) 8 weeks later, (c) 16 weeks later, (d) intraoperative (e) 16 weeks postoperatively.
Mentions: With a previous history of mastectomy and axillary node clearance for breast cancer a 69-year-old lady had non-union of her left proximal humerus fracture following a fall. Initial management was nonoperative, however there was increased displacement in subsequent clinic reviews. She had a proximal humeral biopsy, which ruled out malignancy and was subsequently managed with Humelock hemiarthroplasty (Fig. 4).

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