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VOL. 7, ISSUE 1 (2025)
Comminuted Periprosthetic Fractures in an Elderly Patient, challenges in management surgical planning: A case report
Authors
Dr. Humberto Vilela de Castro e Silva, Dr. Joaquim Barbas Pires, Dr. José Ignacio Pérez Chavez
Abstract

Complex multi-fragmentary periprotetic fractures of the proximal humerus are a rare type of injury, which represent a major challenge, even to the most experienced shoulder surgeons. In cases with lost humeral stem fixation, a long stem revision is normally the most used.

We report a case: An 86-year-old female who has sustained complex multi-fragmentary trauma of the proximal humerus in the right side presented to the clinic after a low-energy trauma. In the left side she had a plate osteosynthesis for a periprosthetic fracture associated with RTSA. The patient was managed with a long-stemmed revision (LIMA Corporate®) for shoulder reverse arthroplasty and cerclage wiring of the fracture area. A satisfactory clinical and radiological outcome was observed 6 months post-operatively. We report the functional, anatomical and radiological outcome of a case of a rare type of proximal humeral periproteticfracture that was managed with a longstemmed revision arthroplasty and cerclage wire and has shown a satisfactory early clinical outcome, no more pain and good consolidation.
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Pages:1-5
How to cite this article:
Dr. Humberto Vilela de Castro e Silva, Dr. Joaquim Barbas Pires, Dr. José Ignacio Pérez Chavez "Comminuted Periprosthetic Fractures in an Elderly Patient, challenges in management surgical planning: A case report". International Journal of Orthopaedics Research, Vol 7, Issue 1, 2025, Pages 1-5
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