Periprosthetic fractures following short stemmed reverse total shoulder. Is shorter better?

Short Stem Reverse Total Shoulder Arthroplasty Periprosthetic Type A Fracture

These authors report a case of a periprosthetic fracture from a low energy fall 8 months after a short stemmed reverse total shoulder arthroplasty.

 It was fixed with a locking plate.

An interesting related article regarding this prosthesis

Reverse shoulder arthroplasty with a short metaphyseal humeral stem showed that of 31 patients there were three intra-operative fractures and five late traumatic periprosthetic fractures.

Comment:  The need for a tight fit of the distal end of the short stemmed prosthesis may predispose the construct to intraoperative and postoperative fracture.

See also
Short-stem uncemented reverse shoulder arthroplasty - does it offer any advantage

Shoulder arthroplasty with a mini-stem humeral implant

Short stem humeral prosthesis: the risk of stress shielding. Is shorter better?

Our canal-protecting approach to reverse total shoulder is shown in this link.

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