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Selected Instructional Course Lectures   |    
Complications Of Humeral Head Replacement for Proximal Humeral Fractures
Derek Plausinis, MASc, MD1; Young W. Kwon, MD, PhD1; Joseph D. Zuckerman, MD1
1 Department of Orthopaedic Surgery, New York University-Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003. E-mail address for J.D. Zuckerman: joseph.zuckerman@med.nyu.edu
View Disclosures and Other Information
The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in February 2005 in Instructional Course Lectures, Volume 54. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 A.M.-5 P.M., Central time).
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Jan 01;87(1):204-213
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Extract

Results after humeral head replacement for the treatment of acute proximal humeral fractures have been mixed. The variability in the reported outcomes reflects the technical factors related to the reconstruction, the timing of the surgery, the nature of the patient population, and the different methods of assessing the results. Hemiarthroplasty for the treatment of proximal humeral fractures provides good-to-excellent pain relief in 73% to 97% of patients1-5. Patients are generally satisfied with the procedure, as reflected by the 70% to 92% satisfaction rates in most series1,4,6-10. Functional outcomes, however, have been variable. One of the more commonly utilized outcome instruments is the Constant score, which measures four clinical parameters, including pain, range of motion, power, and activities of daily living, on a 100-point scale. Using this system, some authors have reported average scores as low as 38 points whereas others have reported average scores as high as 68 points3-5,10-12. Within each series, however, there has been a broad range of results, with excellent outcomes in some patients and poor results in others4,5,9,11,13,14.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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