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Journal of Long-Term Effects of Medical Implants
SJR: 0.332 SNIP: 0.491 CiteScore™: 0.89

ISSN Print: 1050-6934
ISSN Online: 1940-4379

Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.v19.i4.70
pages 305-311

Periprosthetic Fractures of the Humerus

Andreas F. Mavrogenis
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece
Andrea Angelini
Istituto Ortopedico Rizzoli, Department of Orthopaedics, University of Bologna, Bologna
Enrico Guerra
Department of Shoulder and Elbow Surgery, Istituto Ortopedico Rizzoli, Bologna, Italy
Panayiotis J. Papagelopoulos
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece
Pietro Ruggieri
Istituto Ortopedico Rizzoli, Department of Orthopaedics, University of Bologna, Bologna
Roberto Rotini
Department of Shoulder and Elbow Surgery, Istituto Ortopedico Rizzoli, Bologna, Italy

ABSTRACT

Classifications have been previously reported and biomechanical studies have been performed, but the management of humeral fractures between implants remains problematic. At the time of arthroplasty, planning of the optimum length of the prostheses is required, especially for patients being considered for a second arthroplasty in the ipsilateral elbow or shoulder. Current treatment may be conservative if reduction can be obtained and the prostheses are stable, or it may be surgical using internal fixation with plates, strut grafts, double plates, or a plate and strut graft construct if the fracture extends around the components of the prosthesis and autogenous bone grafting.