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. 2008 Oct;39(4):441-50, vi.
doi: 10.1016/j.ocl.2008.05.004.

Hemiarthroplasty for proximal humeral fracture: restoration of the Gothic arch

Sumant G Krishnan  1 , Phillip W Bennion, John R Reineck, Wayne Z Burkhead
Affiliations

Hemiarthroplasty for proximal humeral fracture: restoration of the Gothic arch

Sumant G Krishnan et al. Orthop Clin North Am. 2008 Oct.

Abstract

Proximal humerus fractures are the most common fractures of the shoulder girdle, and initial management of these injuries often determines final outcome. When arthroplasty is used to manage proximal humeral fractures, surgery remains technically demanding, and outcomes have been unpredictable. Recent advances in both technique and prosthetic implants have led to more successful and reproducible results. Key technical points include restoration of the Gothic arch, anatomic tuberosity reconstruction, and minimal soft tissue dissection.

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