Acta Chir Orthop Traumatol Cech. 2011; 78(2):161-164 | DOI: 10.55095/achot2011/026

Shoulder Fusion in Two Patients with a Long-standing Proximal Humerus ResectionCase report

J. KAGER1, R. K. MARTI2, E. L. F. B. RAAYMAKERS2,*
1 Department of Radiology, Ziekenhuis Groep Twente, Almelo, Netherlands
2 Department of Orthopaedic Surgery, Academical Medical Centre, Amsterdam, Netherlands

With a "headless" humerus active abduction and elevation of the arm are hardly possible. Especially if the humeral head was removed because of an infection, shoulder fusion is often the only safe solution for this disabling condition.
Large corticocancellous, autologous bone grafts are interposed between the thin humeral stump on one side and its broad glenoid-acromion counterpart on the other. A 4.5 narrow AO-plate stabilizes the fusion. The technique is described and the functional result of two patients is shown.
Ten years after the operation, both patients were free of pain and very satisfied about the utility of the arm. The fusion had convincingly healed in the planned position.
Shoulder fusion proved to be a safe and good solution for both our patients with a longstanding headless humerus. Ten years after the operation they were free of pain and had regained a useful arm.

Published: April 1, 2011  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
KAGER J, MARTI RK, RAAYMAKERS ELFB. Shoulder Fusion in Two Patients with a Long-standing Proximal Humerus Resection. Acta Chir Orthop Traumatol Cech. 2011;78(2):161-164. doi: 10.55095/achot2011/026. PubMed PMID: 21575561.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. CECH, O. et al.: Vorschlag der Schulterarthrodese nach Cech-Debrunner. In "Stabilni osteosynteza v traumatologii a ortopedii" Editor O. Cech a spol., Prag, Avicenum 1982.
    2. CLARE, D. J, WIRTH, M. A., GROH, G. I., ROCKWOOD, C. A. Jr.: Shoulder arthrodesis. J. Bone Jt Surg. 83-A: 593-600, 2001. Go to original source... Go to PubMed...
    3. COFIELD, R. H., BRIGGS, B. T.: Glenohumeral arthrodesis. Operative and long-term functional results. J. Bone Jt Surg., 61-A: 668-77, 1979. Go to original source...
    4. DEBEER, P. PLASSCHAERT, H., STUYCK, J.: Resection arthroplasty of the infected shoulder: a salvage procedure for the elderly patient. Acta orthop. Belg., 72: 126-30, 2006.
    5. ESENWEIN, S. A., ROBERT, K., KOLLIG, E., AMBACHER, T., KUTSCH-LISSBERG, F., MUHR, G.: Langzeitergebnisse der Resektionsarthroplastik nach Girdlestone beim therapierefraktären Hüftgelenkinfekt. Chirurg., 72:1336-43, 2001. Go to original source...
    6. JUSTIS, E. J.: Arthrodesis of shoulder, elbow and wrist. 8thed. New York, Mosby 1992, 353-61.
    7. KASSAB, M., DUMAINE, V., BABINET, A., OUAKNINE, M., TOMENO, B., ANRACT, P.: Les reconstructions après resection tumorale de l'extrémité supérieure de l'humérus. À propos d'une série de 29 reconstructions avec un recul moyen de 7 ans. Rev. Chir. Orthop., 91: 15-23, 2005. Go to original source... Go to PubMed...
    8. MELICHERCIK, P., JAHODA, D., BARTAK, V., KLAPKOVA, E., NYC, O., POKORNY, D.: In vitro assessment of vancomycin released from bone grafts Acta Chir. orthop. Traum. čech., 77: 411-415, 2010. Go to original source...
    9. MILETI, J., SPERLING, J. W., COFIELD, R. H.: Shoulder arthroplasty for the treatment of postinfectious glenohumeral arthritis. J. Bone Jt Surg., 85-A: 609-14, 2003. Go to original source... Go to PubMed...
    10. NAGANO, A., OKINAGA, S., OCHIAI, N., KUROKAWA, T.: Shoulder arthrodesis by external fixation. Clin. Orthop., 247: 97-100, 1989. Go to original source...
    11. RICHARDS, R. R, WADDELL, J. P, HUDSON, A. R.: Shoulder arthrodesis for the treatment of brachial plexus palsy. Clin. Orthop., 198: 250-8, 1985. Go to original source...
    12. RÜHMANN, O., BOHNSACK, M., SCHMOLKE, S., CARLS, J., WIRTH, C. J.: Plattenarthrodese der Schulter. Besonderheiten bei Defekt- und Resektionszuständen. Z. Orthop., 140: 662-71, 2002. Go to original source... Go to PubMed...
    13. RÜHMANN, O., SCHMOLKE, S., BOHNSACK, M., FLAMME, C., WIRTH, C. J.: Shoulder arthrodesis: indications, technique, results, and complications. J. Shoulder Elbow Surg., 14: 38-50, 2005. Go to original source... Go to PubMed...
    14. WICK, M., MULLER, E. J., AMBACHER, T., HEBLER, U., MUHR, G., KUTSCHA-LISSBERG, F.: Arthrodesis of the shoulder after septic arthritis. Long-term results. J. Bone Jt Surg., 85-B: 666-70, 2003. Go to original source...
    15. SAFRAN, O., IANNOTTI, J. P.: Arthrodesis of the shoulder. J. Amer. Acad. Orthop. Surg., 14: 145-153, 2006. Go to original source... Go to PubMed...
    16. MARTI, R. K., VAN HEERWAARDEN, R. J., VAN DER WERKEN, CHR.: General considerations on indications, types of osteotomy, bone healing and methods of fixation. In: Osteotomies for Posttraumatic Deformities. Ed. Marti, R. K. and van Heerwaarden, R. J. Stuttgart, Thieme 2008. Go to original source...

    Return to the content