Open Access, Peer-reviewed, Quarterly
pISSN 1225-1682
eISSN 2287-9293
    J Korean Fract Soc. 2020 Apr;33(2):118-123. Korean.
    Published online Apr 28, 2020.
    https://doi.org/10.12671/jkfs.2020.33.2.118
    Copyright © 2020 The Korean Fracture Society. All rights reserved.
    Review

    Periprosthetic Fracture after Total Shoulder Arthroplasty

    Nam Su Cho, M.D., Ph.D., Myung Seo Kim, M.D.,* Jae Woo Yang, M.D.,* Jeung Hwan Seo, M.D.,* and Dong Won Seo, M.D.*
      • Department of Orthopedic Surgery, Cheil Orthopedic Hospital, Seoul, Korea.
      • *Department of Orthopaedic Surgery, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University, Seoul, Korea.
    • Correspondence to: Nam Su Cho, M.D., Ph.D. Department of Orthopedic Surgery, Cheil Orthopedic Hospital, 726 Yeongdong-daero, Gangnam-gu, Seoul 06075, Korea. Tel: +82-2-501-6868, Fax: +82-2-501-6898, Email: nscos1212@empas.com
    Received March 31, 2020; Revised April 02, 2020; Accepted April 02, 2020.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Periprosthetic humeral fractures in patients with total shoulder arthroplasty are rare and difficult to treat. With the significant increase in the number of older patients who have undergone total shoulder arthroplasty in recent years, an increase in the number of periprosthetic shoulder fractures can be estimated. The decisions of treatment have to be taken individually, depending on the stability of the prosthesis, fracture location, and bone quality. On the other hand, there are limited data for treatment guidance and outcomes. This paper reviews the risk factors, classification, treatment, and outcomes of periprosthetic humeral fractures.

    Keywords
    Shoulder; Periprosthetic humeral fracture; Total shoulder arthroplasty; Treatment

    Figures

    Fig. 1
    Diagram showing the Wright and Cofield classification of a periprosthetic fracture of the humerus. Type A fractures are centered near the tip and extend proximally. Type B fractures are centered at the tip with variable extension distally. Type C fractures are located distal to the tip of the stem.

    Fig. 2
    Fracture location categories. (A) Region 1, tuberosity fracture. (B) Region 2, metaphyseal portion of the proximal humerus. (C) Region 3, proximal humeral diaphysis. (D) Region 4, mid- and distal humeral diaphysis.

    Tables

    Table 1
    Periprosthetic Humeral Fracture

    Notes

    Financial support:None.

    Conflict of interests:None.

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    MeSH Terms
    Arthroplasty*
    Classification
    Hand
    Humans
    Humeral Fractures
    Periprosthetic Fractures*
    Prostheses and Implants
    Risk Factors
    Shoulder Fractures
    Shoulder*
    Metrics
    Share
    Figures
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    Tables
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