Journal of IMAB (Sep 2023)

LONG-STEMMED HEMIARTHROPLASTY WITH CERCLAGE WIRING FOR THE TREATMENT OF PROXIMAL HUMERAL FRACTURE: A CASE REPORT OF THE MULTIMORBID PATIENT

  • Emil Simeonov

DOI
https://doi.org/10.5272/jimab.2023293.5120
Journal volume & issue
Vol. 29, no. 2
pp. 5120 – 5124

Abstract

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Introduction: Complex multi-fragmentary fractures of the proximal humerus are a rare type of injury, which represent a major challenge, even to the most experienced shoulder surgeons. Hemiarthroplasty is commonly accepted as the first surgical choice of treatment for three or four-part fractures of the proximal humerus. Case Report: A 62-year-old female who has sustained complex multi-fragmentary trauma of the proximal humerus presented to the clinic after a low-energy trauma. The patient was managed with a long-stemmed shoulder hemiarthroplasty and cerclage wiring of the fracture area. A good clinical and radiological outcome was observed 5 months post-operatively. Conclusion: We report the functional, anatomical and radiological outcome of a case of a rare type of proximal humeral fracture that was managed with a long-stemmed hemiarthroplasty and cerclage wire and has shown a good early clinical outcome.

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