Periprosthetic fractures in patients with consequences of shoulder joint traumas
K. A. Egiazaryan,
D. S. Ershov,
O. N. Milenin,
O. V. Pimanchev,
N. M. Kondyrev,
D. A. Badriev,
V. O. Rafikov https://doi.org/10.38181/2223-2427-2023-4-6
Abstract
Complications of shoulder joint traumas stand as a significant concern in modern traumatology. Various forms of endoprosthetics offer the potential to restore lost function resulting from fractures or dislocations of the proximal humerus. In the context of a significant deficiency in the rotator cuff of the shoulder (RC) in elderly patients with notably aged injuries, reverse endoprosthetics (RE) emerges as a justifiable choice. The accrued experience from the widespread adoption of anatomical arthroplasty of the shoulder joint (PS) has significantly influenced the evolution of this approach. Complications and progressive failures with short-term outcomes prompted the quest for solutions to the challenges posed by complex fractures and dislocations through the method of reverse arthroplasty, originally devised for treating rotatory arthropathy of the shoulder. However, the extensive application of RE has not consistently yielded excellent and good results in all cases of post-fracture and dislocation consequences. Mechanical complications, particularly periprosthetic fractures, are prevalent in RE and occur three times more frequently than in anatomical total arthroplasty of the shoulder joint. The urgency of this problem, considering the diminished rehabilitation potential of patients against the backdrop of intraoperative or postoperative fractures of the humerus and scapula, leading to a persistent deficit in the function of the shoulder joint, underscores the necessity of this study.
About the Authors
K. A. Egiazaryan
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Prof. Karen A. Egiazaryan, Head of the Department of Traumatology, Orthopedics and Military Field Surgery
1, Ostrovitianova St., Moscow, 117997
D. S. Ershov
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Dmitry S. Ershov, Education Head of the Department of Traumatology, Orthopedics and Military Field Surgery
1, Ostrovitianova St., Moscow, 117997
O. N. Milenin
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Dr. Oleg N. Milenin, Associate Professor, the Department of Traumatology, Orthopedics and Military Field Surgery
1, Ostrovitianova St., Moscow, 117997
O. V. Pimanchev
National Medical and Surgical Center named after N. I. Pirogov
Russian Federation
Russian Federation
Oleg V. Pimanchev, Head of the Department of Traumatology and Orthopedics
65, Nizhnyaya Pervomayskaya St., Moscow, 105203
N. M. Kondyrev
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Nikolaj M. Kondyrev, Assistant, the Department of Traumatology, Orthopedics and Military Field Surgery
1, Ostrovitianova St., Moscow, 117997
D. A. Badriev
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Denis A. Badriev, Assistant, the Department of Traumatology, Orthopedics and Military Field Surgery
1, Ostrovitianova St., Moscow, 117997
V. O. Rafikov
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Vladimir O. Rafikov, Laboratory assistant, the Department of Traumatology, Orthopedics and Military Field Surgery
1, Ostrovitianova St., Moscow, 117997
References
1. Egiazaryan KA, Rat’ev AP, Gordienko DI, Grigor’ev AA, Ovcharenko NV. Surgical Treatment of Humeral Fracture-Dislocations: Midterm Results. Travmatologiya i ortopediya Rossii. 2018;24(4):81—88 (in Russ.). https://doi.org/10.21823/2311-2905-2018-24-4-81-88
2. Egiazaryan KA, Rat’ev AP, Ershov DS, Kuruch EA, Kuznecov VN, Ovcharenko NV. Midterm treatment outcomes of proximal humerus fractures by intramedullary fixation. Travmatologiya i ortopediya Rossii. 2020;26(4):68—79 (in Russ.). https://doi.org/10.21823/2311-2905-2020-26-4-68-79
3. Egiazaryan KA, Ershov DS, Badriev DA, Soshnikov DY. Сhronic non-treated posterior fracture-dislocation of the shoulder. Vestnik RGMU. 2022;(2):88—92 (in Russ.). https://doi.org/10.24075/brsmu.2022.022
4. Egiazaryan KA, Rat’ev AP, Tamazyan VO, Glazkov KI, Ershov DS. Basic principles of the nail stability in proximal humerus fract ures fixation. Kafedra travmatologii i ortopedii. 2019;35(1):34—40 (in Russ.). https://doi.org/10.17238/issn2226-2016.2019.1.34-40
5. Egiazaryan KA, Rat’ev AP, Tamazyan VO, Glazkov KI, Ershov DS. Results of osteosynthesis of proximal humerus fractures with intramedullary nail and additional suture fixation of tuberosities. Politravma. 2019;(2):32—39 (in Russ.).
6. Egiazaryan KA, Lazishvili GD, Rat’ev AP, Danilov MA, Otvetchikova DI. Surgical treatment of injuries of the rotator cuff of the shoulder joint. Kafedra travmatologii i ortopedii. 2017;22(2):15—18 (in Russ.).
7. Zumstein MA, Pinedo M, Old J, Boileau P. Problems, complications, reoperations, and revisions in reverse total shoulder arthroplasty: A systematic review. J Shoulder Elb Surg. 2011;20(1):146—157. https://doi.org/10.1016/j.jse.2010.08.001
8. Cherkasov SN, Kudryashova LV, Egiazaryan KA. TAnalysis of the need as a basis for planning the volume of high-tech types of medical care for patients with diseases of the musculoskeletal system in Moscow. Byulleten’ Nacional’nogo nauchno-issledovatel’skogo instituta obshchestvennogo zdorov’ya imeni NA Semashko. 2015;4-5:199—204 (in Russ.).
9. Egiazaryan KA, Cherkasov SN, Attaeva LZh. The analysis of structure of primary incidence on a class of a trauma, poisoning and some other consequences of influence of the external reasons of adult population of the Russian Federation. Kafedra travmatologii i ortopedii. 2017;1:25—27 (in Russ.).
10. Cherkasov SN, Egiazaryan KA, Kurnosikov MS, Fedyaeva AV, Olejnikova VS. Approaches to planning a need for specialized hospital medical care modern methodical approaches to planning of medical care. Byulleten’ Nacional’nogo nauchno-issledovatel’skogo instituta obshchestvennogo zdorov’ya imeni N. A. Semashko. 2017;5:78—86 (in Russ.).
11. Murylev VY, Ivanenko LR, Kukovenko GA, Elizarov PM, Rubin GG, Sorokina GL. The review of the current state of shoulder arthroplasty for proximal humerus fracture sequelae. Kafedra travmatologii i ortopedii. 2020;(1):38—49 (in Russ.). https://doi.org/10.17238/issn2226-2016.2020.1.38-49
12. Ascione F, Kilian CM, Laughlin MS, et al. Increased scapular spine fractures after reverse shoulder arthroplasty with a humeral onlay short stem: an analysis of 485 consecutive cases. J Shoulder Elb Surg. 2018;27(12):2183—2190. https://doi.org/10.1016/j.jse.2018.06.007
13. Barco R, Savvidou OD, Sperling JW, Sanchez-Sotelo J, Cofield RH. Complications in reverse shoulder arthroplasty. EFORT open Rev. 2016;1(3):72—80. https://doi.org/10.1302/2058-5241.1.160003
14. Kempton LB, Balasubramaniam M, Ankerson E, Wiater JM. A radiographic analysis of the effects of prosthesis design on scapular notching following reverse total shoulder arthroplasty. J shoulder Elb Surg. 2011;20(4):571—576. https://doi.org/10.1016/j.jse.2010.08.024
15. Groh GI, Groh GM. Complications rates, reoperation rates, and the learning curve in reverse shoulder arthroplasty. J Shoulder Elb Surg. 2014;23(3):388—394. https://doi.org/10.1016/j.jse.2013.06.002
16. Riedel BB, Mildren ME, Jobe CM, Wongworawat MD, Phipatanakul WP. Evaluation of the learning curve for reverse shoulder arthroplasty. Orthopedics. 2010;33(4). https://doi.org/10.3928/0147744720100225-09
17. Wagner ER, Houdek MT, Elhassan BT, Sanchez-Sotelo J, Cofield RH, Sperling JW. What Are Risk Factors for Intraoperative Humerus Fractures During Revision Reverse Shoulder Arthroplasty and Do They Influence Outcomes? Clin Orthop Relat Res. 2015;473(10):3228—3234. https://doi.org/10.1007/s11999-015-4448-x
18. Canton G, Fazzari F, Fattori R, Ratti C, Murena L. Post-operative periprosthetic humeral fractures after reverse shoulder arthroplasty: A review of the literature. Acta Biomed. 2019;90:8—13. https://doi.org/10.23750/abm.v90i12-S.8974
19. Atoun E, Van Tongel A, Hous N, et al. Reverse shoulder arthroplasty with a short metaphyseal humeral stem. Int Orthop. 2014;38(6):1213—1218. https://doi.org/10.1007/s00264-014-2328-8
20. Brusalis CM, Taylor SA. Periprosthetic Fractures in Reverse Total Shoulder Arthroplasty: Current Concepts and Advances in Management. Curr Rev Musculoskelet Med. 2020;13(4):509—519. https://doi.org/10.1007/s12178-020-09654-8
21. Bohsali KI, Bois AJ, Wirth MA. Complications of Shoulder Arthroplasty. J Bone Joint Surg Am. 2017;99(3):256—269. https://doi.org/10.2106/JBJS.16.00935
22. García-Fernández C, Lópiz-Morales Y, Rodríguez A, López-Durán L, Martínez FM. Periprosthetic humeral fractures associated with reverse total shoulder arthroplasty: incidence and management. Int Orthop. 2015;39(10):1965—1969. https://doi.org/10.1007/s00264-015-2972-7
23. Veronese N, Maggi S. Epidemiology and social costs of hip fracture. Injury. 2018;49(8):1458—1460. https://doi.org/10.1016/j.injury.2018.04.015
24. Shah SS, Gaal BT, Roche AM, et al. The modern reverse shoulder arthroplasty and an updated systematic review for each complication: part I. JSES Int. 2020;4(4):929—943. https://doi.org/10.1016/j.jseint.2020.07.017
25. Kim SC, Kim IS, Jang MC, Yoo JC. Complications of Reverse Shoulder Arthroplasty: A Concise Review. Clin Shoulder Elb. 2021;24(1):42—52. https://doi.org/10.5397/cise.2021.00066
26. Schnetzke M, Coda S, Raiss P, Walch G, Loew M. Radiologic bone adaptations on a cementless short-stem shoulder prosthesis. J Shoulder Elb Surg. 2016;25(4):650—657. https://doi.org/10.1016/j. jse.2015.08.044
27. Mesiha M, Boileau P, Walch G. Technique for Reverse Total Shoulder Arthroplasty for Primary Glenohumeral Osteoarthritis with a Biconcave Glenoid. JBJS Essent Surg Tech. 2014;3(4):e21. https://doi.org/10.2106/JBJS.ST.M.00048
28. Jarrett CD, Brown BT, Schmidt CC. Reverse shoulder arthroplasty. Orthop Clin North Am. 2013;44(3):389—408. https://doi.org/10.1016/j.ocl.2013.03.010
29. Athwal GS, Sperling JW, Rispoli DM, Cofield RH. Periprosthetic humeral fractures during shoulder arthroplasty. J Bone Joint Surg Am. 2009;91(3):594—603. https://doi.org/10.2106/JBJS.H.00439
30. Bacle G, Nové-Josserand L, Garaud P, Walch G. Long-Term Outcomes of Reverse Total Shoulder Arthroplasty: A Follow-up of a Previous Study. J Bone Joint Surg Am. 2017;99(6):454—461. https://doi.org/10.2106/JBJS.16.00223
31. Petkovic D, Kovacevic D, Levine WN, Jobin CM. Management of the Failed Arthroplasty for Proximal Humerus Fracture. J Am Acad Orthop Surg. 2019;27(2):39—49. https://doi.org/10.5435/JAAOS-D-17-00051
32. Jost PW, Dines JS, Griffith MH, Angel M, Altchek DW, Dines DM. Total shoulder arthroplasty utilizing mini-stem humeral components: technique and short-term results. HSS J. 2011;7(3):213—217. https://doi.org/10.1007/s11420-011-9221-4
33. Saltzman BM, Leroux T, Collins MJ, Arns TA, Forsythe B. Short Stem Reverse Total Shoulder Arthroplasty Periprosthetic Type A Fracture. Orthopedics. 2017;40(4):e721—e724. https://doi.org/10.3928/0147744720170404-05
34. Wright TW, Cofield RH. Humeral fractures after shoulder arthroplasty. J Bone Joint Surg Am. 1995;77(9):1340—1346. https://doi.org/10.2106/00004623-199509000-00008
35. Kumar S, Sperling JW, Haidukewych GH, Cofield RH. Periprosthetic humeral fractures after shoulder arthroplasty. J Bone Joint Surg Am. 2004;86(4):680—689. https://doi.org/10.2106/00004623-20040400000003
36. Campbell JT, Moore RS, Iannotti JP, Norris TR, Williams GR. Periprosthetic humeral fractures: mechanisms of fracture and treatment options. J shoulder Elb Surg. 1998;7(4):406—413. https://doi.org/10.1016/s1058-2746(98)90033-7
37. Novi M, Porcellini G, Donà A, et al. A Long-Term Follow-Up of Post-Operative Periprosthetic Humeral Fracture in Shoulder Arthroplasty. Geriatr Orthop Surg Rehabil. 2021;12:21514593211039908. https://doi.org/10.1177/21514593211039908
38. Cameron B, Iannotti JP. Periprosthetic fractures of the humerus and scapula: management and prevention. Orthop Clin North Am. 1999;30(2):305—318. https://doi.org/10.1016/s0030-5898(05)70085-7
39. Mahendraraj KA, Abboud J, Armstrong A, et al. Predictors of acromial and scapular stress fracture after reverse shoulder arthroplasty: a study by the ASES Complications of RSA Multicenter Research Group. J shoulder Elb Surg. 2021;30(10):2296—2305. https://doi.org/10.1016/j.jse.2021.02.008
40. Cho CH, Jung JW, Na SS, Bae KC, Lee KJ, Kim DH. Is Acromial Fracture after Reverse Total Shoulder Arthroplasty a Negligible Complication?: A Systematic Review. Clin Orthop Surg. 2019;11(4):427—435. https://doi.org/10.4055/cios.2019.11.4.427
41. Lau SC, Large R. Acromial fracture after reverse total shoulder arthroplasty: a systematic review. Shoulder Elb. 2020;12(6):375—389. https://doi.org/10.1177/1758573219876486
42. Patterson DC, Chi D, Parsons BO, Cagle PJJ. Acromial spine fracture after reverse total shoulder arthroplasty: a systematic review. J shoulder Elb Surg. 2019;28(4):792—801. https://doi.org/10.1016/j. jse.2018.08.033
43. Hattrup SJ. The influence of postoperative acromial and scapular spine fractures on the results of reverse shoulder arthroplasty. Orthopedics. 2010;33(5). https://doi.org/10.3928/0147744720100329-04
44. Mayne IP, Bell SN, Wright W, Coghlan JA. Acromial and scapular spine fractures after reverse total shoulder arthroplasty. Shoulder Elb. 2016;8(2):90—100. https://doi.org/10.1177/1758573216628783
45. Hamid N, Connor PM, Fleischli JF, D’Alessandro DF. Acromial fracture after reverse shoulder arthroplasty. Am J Orthop (Belle Mead NJ). 2011;40(7):E125—9.
46. Otto RJ, Virani NA, Levy JC, Nigro PT, Cuff DJ, Frankle MA. Scapular fractures after reverse shoulder arthroplasty: evaluation of risk factors and the reliability of a proposed classification. J shoulder Elb Surg. 2013;22(11):1514—1521. https://doi.org/10.1016/j.jse.2013.02.007
47. Schenk P, Aichmair A, Beeler S, Ernstbrunner L, Meyer DC, Gerber C. Acromial Fractures Following Reverse Total Shoulder Arthroplasty: A Cohort Controlled Analysis. Orthopedics. 2020;43(1):15—22. https://doi.org/10.3928/01477447-20191031-03
48. Crosby LA, Hamilton A, Twiss T. Scapula fractures after reverse total shoulder arthroplasty: classification and treatment. Clin Orthop Relat Res. 2011;469(9):2544—2549. https://doi.org/10.1007/s11999011-1881-3
49. Kennon JC, Lu C, McGee-Lawrence ME, Crosby LA. Scapula fracture incidence in reverse total shoulder arthroplasty using screws above or below metaglene central cage: clinical and biomechanical outcomes. J shoulder Elb Surg. 2017;26(6):1023—1030. https://doi.org/10.1016/j.jse.2016.10.018
50. Zilber S, Camana E, Lapner P, Haritinian E, Nove Josserand L. Reverse total shoulder arthroplasty using helical blade to optimize glenoid fixation and bone preservation: preliminary results in thirty five patients with minimum two year follow-up. Int Orthop. 2018;42(9):2159—2164. https://doi.org/10.1007/s00264-0183891-1
51. Jauregui JJ, Nadarajah V, Shield WP 3rd, Henn RF 3rd, Gilotra M, Hasan SA. Reverse Shoulder Arthroplasty: Perioperative Considerations and Complications. JBJS Rev. 2018;6(8):e3. https://doi.org/10.2106/ JBJS.RVW.17.00152
52. Werner CML, Steinmann PA, Gilbart M, Gerber C. Treatment of painful pseudoparesis due to irreparable rotator cuff dysfunction with the Delta III reverse-ball-and-socket total shoulder prosthesis. J Bone Joint Surg Am. 2005;87(7):1476—1486. https://doi.org/10.2106/JBJS.D.02342
53. Neyton L, Erickson J, Ascione F, Bugelli G, Lunini E, Walch G. Grammont Award 2018: Scapular fractures in reverse shoulder arthroplasty (Grammont style): prevalence, functional, and radiographic results with minimum 5-year follow-up. J shoulder Elb Surg. 2019;28(2):260—267. https://doi.org/10.1016/j.jse.2018.07.004
54. Burkholz KJ, Roberts CC, Hattrup SJ. Scapular Spine Stress Fracture as a Complication of Reverse Shoulder Arthroplasty. Radiol case reports. 2007;2(2):78—82. https://doi.org/10.2484/rcr.v2i2.105
55. Lópiz Y, Rodríguez-González A, García-Fernández C, Marco F. Scapula insufficiency fractures after reverse total shoulder arthroplasty in rotator cuff arthropathy: What is their functional impact? Rev. Esp Cir Ortop Traumatol. 2015;59(5):318—325. https://doi.org/10.1016/j.recot.2015.01.003
56. Nyffeler RW, Werner CML, Gerber C. Biomechanical relevance of glenoid component positioning in the reverse Delta III total shoulder prosthesis. J shoulder Elb Surg. 2005;14(5):524—528. https://doi.org/10.1016/j.jse.2004.09.010
57. Stevens CG, Murphy MR, Stevens TD, Bryant TL, Wright TW. Bilateral scapular fractures after reverse shoulder arthroplasties. J Shoulder Elb Surg. 2015;24(2):e50—e55. https://doi.org/10.1016/j.jse.2014.09.045
58. Hess F, Zettl R, Smolen D, Knoth C. Anatomical reconstruction to treat acromion fractures following reverse shoulder arthroplasty. Int Orthop. 2018;42(4):875—881. https://doi.org/10.1007/s00264017-3710-0
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For citations:
Egiazaryan K.A., Ershov D.S., Milenin O.N., Pimanchev O.V., Kondyrev N.M., Badriev D.A., Rafikov V.O. Periprosthetic fractures in patients with consequences of shoulder joint traumas. Surgical practice (Russia). 2023;(4):68-80. (In Russ.) https://doi.org/10.38181/2223-2427-2023-4-6
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