Treatment of humeral fracture after shoulder arthroplasty us
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A periprosthetic humeral fracture is rare after shoulder arthroplasty, and such cases have considerable problems. Patients with this kind of fracture are often complicated by osteopenia, other types of severe disease or are elderly. Surgical treatment of this fracture type carries some risk and surgeons may be unsure about the most appropriate approach to adopt. The present case occurred in a 78-year-old woman with an osteoporotic humeral bone and chronic dislocation of the shoulder after shoulder arthroplasty. There were many risk factors for revision surgery or ostheosynthesis. Therefore, we decided to treat the patient by functional bracing. Fortunately, the complete radiographic union was confirmed at 17 weeks. She returned to daily life with good functional activity. In our opinion, it is acceptable to select functional bracing for periprosthetic humeral fractures after shoulder arthroplasty without stem loosening in elderly patients with an osteoporotic humeral bone.

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