Does grafting of the tuberosities improve the functional outcomes of proximal humeral fractures treated with reverse shoulder arthroplasty? Gokcer Uzer,

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Presentation transcript:

Does grafting of the tuberosities improve the functional outcomes of proximal humeral fractures treated with reverse shoulder arthroplasty? Gokcer Uzer, MD, Fatih Yildiz, MD, Suat Batar, MD, Ruwais Binlaksar, MD, Mehmet Elmadag, MD, Gamze Kus, Msc Pt, Kerem Bilsel, MD, FEBOT Journal of Shoulder and Elbow Surgery Volume 26, Issue 1, Pages 36-41 (January 2017) DOI: 10.1016/j.jse.2016.05.005 Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees Terms and Conditions

Figure 1 Preparation of the autograft from the humeral head. Journal of Shoulder and Elbow Surgery 2017 26, 36-41DOI: (10.1016/j.jse.2016.05.005) Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees Terms and Conditions

Figure 2 Inner side of the graft was deepened for better fit to the stem and templating before implantation (A), the graft was attached after the humeral stem insertion (B), and the tuberosities were placed over the graft and fixed using horizontal and vertical cerclage suturing technique (C). Journal of Shoulder and Elbow Surgery 2017 26, 36-41DOI: (10.1016/j.jse.2016.05.005) Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees Terms and Conditions

Figure 3 Preoperative anteroposterior radiograph of a comminuted proximal humeral fracture of an 82-year-old woman (A). Complete unions of the tuberosities are shown on the radiograph (B) and computed tomography scan (C) of the same patient 1 year postoperatively. Journal of Shoulder and Elbow Surgery 2017 26, 36-41DOI: (10.1016/j.jse.2016.05.005) Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees Terms and Conditions

Figure 4 Clinical results of the patient in Fig. 3 1 year after the surgery. Journal of Shoulder and Elbow Surgery 2017 26, 36-41DOI: (10.1016/j.jse.2016.05.005) Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees Terms and Conditions