Intramedullary fracture positioning sleeve for proper placement of hemiarthroplasty in fractures of the proximal humerus

David M. Dines, Russell F. Warren, Edward V. Craig, Donald Lee, Joshua S. Dines

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Shoulder hemiarthroplasty is a well-recognized treatment for certain complex comminuted fractures of the proximal humerus. It is a technique-sensitive procedure that depends on the surgeon's ability to recreate the proper humeral height and achieve a stable tuberosity reconstruction for best outcomes.We now use an implant-specific polymethylmethacrylate intramedullary fracture positioning sleeve (Biomet Inc, Warsaw, Ind) to recreate the humeral length and version and facilitate tuberosity reconstruction in these difficult surgical reconstructions. Use of this device is technically demanding and depends on precise preoperative radiographic evaluation including scaled bilateral full humerus radiographs. With this device, we have been successful in recreating the proper humeral length in most cases.

Original languageEnglish (US)
Pages (from-to)69-74
Number of pages6
JournalTechniques in Shoulder and Elbow Surgery
Volume8
Issue number2
DOIs
StatePublished - Jun 1 2007

Keywords

  • Hemiarthroplasty for shoulder fracture
  • Shoulder fracture
  • Shoulder fracture prosthesis

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