Saturday, April 15, 2017

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.


Information about shoulder exercises can be found at this link.

Use the "Search" box to the right to find other topics of interest to you.