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<p>The treatment of fracture sequelae following proximal humeral fractures presents a&#xa0;significant challenge, as they range from necrosis and pseudarthrosis to malunions. Classifications such as Boileau’s facilitate diagnosis and treatment planning. Type&#xa0;1 sequelae, characterized by necrosis, can be treated with either anatomical or reverse prostheses depending on the condition of the rotator cuff. Type&#xa0;2 sequelae involve locked dislocations and may require bony reconstructions. Type&#xa0;3 pseudarthrosis is managed either with joint-preserving techniques or prosthetic replacement, depending on the degree of degenerative changes. Type&#xa0;4 malunions often benefit from corrective osteotomies and/or prosthesis implantation. Studies have demonstrated significant functional improvements following surgical intervention, with individual factors such as deformities or rotator cuff condition influencing treatment strategies.</p>

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Frakturfolgen – wann, wie, was?

  • 期刊论文

  • 发表日期：

    2025年5月6日

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  • Ole Somberg,
  • Thomas Rosteius,
  • Maria Bernstorff,
  • Thomas A. Schildhauer,
  • Matthias Königshausen

摘要

The treatment of fracture sequelae following proximal humeral fractures presents a significant challenge, as they range from necrosis and pseudarthrosis to malunions. Classifications such as Boileau’s facilitate diagnosis and treatment planning. Type 1 sequelae, characterized by necrosis, can be treated with either anatomical or reverse prostheses depending on the condition of the rotator cuff. Type 2 sequelae involve locked dislocations and may require bony reconstructions. Type 3 pseudarthrosis is managed either with joint-preserving techniques or prosthetic replacement, depending on the degree of degenerative changes. Type 4 malunions often benefit from corrective osteotomies and/or prosthesis implantation. Studies have demonstrated significant functional improvements following surgical intervention, with individual factors such as deformities or rotator cuff condition influencing treatment strategies.