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Functional outcome after proximal humeral fractures treated with hemiarthroplasty

Objective: To evaluate functional outcome after hemiarthroplasty for displaced proximal humeral frac- tures and to review whether prosthesis type, intraoperative technique or previous ipsilateral shoulder surgery could affect the outcome.
Conclusion: We conclude that soft tissue status and operative technique play an im- portant role in late postoperative pain and range of motion. Hemiarthroplasty after failed open reduc- tion and internal fixation is associated with inferior results. We were unable to show a difference in long- term outcome related to the prosthesis type.
Salah Fallatah, MD;*Geoffrey F. Dervin, MD, MSc;†Jacques A. Brunet, MD, MSc;* Anna F. Conway, MA;†Heather Hrushowy, BScN†
Can J Surg, Vol. 51, No. 5, October 2008

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Medial wear of the polyethylene component associated with heterotopic ossification after reverse shoulder arthroplasty

Medial wear on the polyethylene component after reverse shoulder arthroplasty (RSA) has been attributed to impingement of the humeral cup on the lateral border of the scapula. We present a case that illustrates that the presence of early heterotopic ossification may exacer- bate medial wear of the polyethylene component in cases of RSA.
Amr ElMaraghy, MD;*†Moira Devereaux, MScPT† Can J Surg, Vol. 51, No. 5, October 2008 E103

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