Complications of operative fixation of proximal humeral fractures in patients with rheumatoid arthritis.

Abstract:

:Currently, there is no information in the literature on operative treatment of proximal humeral fractures in patients with rheumatoid arthritis. Eleven patients underwent osteosynthesis of the proximal humerus from December 1987 to December 2002. Nine patients were treated for acute fractures, and two were treated for nonunions. Four had loss of initial anatomic reduction, two were treated nonoperatively with resultant malunion, and two required revision fixation. Two patients with symptomatic pseudarthrosis were treated with internal fixation and bone grafting. Both had complications (1 requiring hemiarthroplasty after painful nonunion and 1 with chondrolysis). All patients with acute fractures achieved fracture union. One patient had an excellent result, four had satisfactory results, and six had an unsatisfactory result. Patients and treating physicians should be aware of the high rate of complications and unsatisfactory results in patients with rheumatoid arthritis who undergo operative treatment of proximal humeral fractures.

journal_name

J Shoulder Elbow Surg

authors

Smith AM,Sperling JW,Cofield RH

doi

10.1016/j.jse.2005.02.023

keywords:

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

559-64

issue

6

eissn

1058-2746

issn

1532-6500

pii

S1058-2746(05)00102-3

journal_volume

14

pub_type

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