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反肩关节置换术后假体周围肱骨骨折。病例报告。

Periprosthetic humeral fractures after reverse shoulder arthroplasty. Case report.

作者信息

Wajnsztejn Andre, Foni Noel Oizerovici, Oizerovici Dan, Pires Robinson Esteves Santos, Ejnisman Benno

机构信息

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.

出版信息

Einstein (Sao Paulo). 2018;16(1):eRC4037. doi: 10.1590/S1679-45082017RC4037. Epub 2017 Sep 21.

Abstract

Periprosthetic fractures is a severe complication after joint replacement. The rapidly increase of reverse shoulder arthroplasty surgeries, periprosthetic humeral fractures, which are described as rare, may increase in the near future. We report the case of displaced humeral fracture bellow the stem of reverse shoulder prosthesis. The patient was an 85-year-old woman who had a total shoulder replacement 6 years previously. The surgical solution consisted of plate osteossynthesis and cerclage. This report describes an unprecedented case in Brazilian literature; and gives an overview of the existing literature including this injury classification.

摘要

假体周围骨折是关节置换术后的一种严重并发症。随着反肩关节置换手术的迅速增加,过去被认为罕见的假体周围肱骨骨折在不久的将来可能会增多。我们报告了一例反肩关节假体柄下方移位肱骨骨折的病例。患者为一名85岁女性,6年前接受了全肩关节置换术。手术解决方案包括钢板内固定和环扎术。本报告描述了巴西文献中前所未有的病例;并概述了包括这种损伤分类在内的现有文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feaa/6256734/484ead5350f2/1679-4508-eins-S1679-45082017RC4037-gf01.jpg

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