Publisher's Synopsis
This title focuses on such areas as: shoulder & upper extremity and trauma. Hemiarthroplasty is a common surgical treatment for certain proximal humerus fractures, including 4-part fracture in older individuals, 3-part fracture associated with osteopenia, head-split fracture, impaction fracture greater than 40 per cent of the articular surface, and anatomic neck fracture. Anatomic reconstruction of proximal humeral anatomy in these fractures is challenging. To enhance tuberosity healing and recreate normal joint mechanics, the surgeon must properly restore the humeral head height, size, offset, and version. In this video, we detail our technique of using hemiarthroplasty for the treatment of proximal humerus fractures. Height is determined by referencing off the pectoralis major insertion, and tuberosities are positioned at roughly 90 degrees to one another. Tuberosity reconstruction and healing is critical to successful functional outcome.
