RESEARCH ARTICLE


The Humelock Hemiarthoplasty Device for Both Primary and Failed Management of Proximal Humerus Fractures: A Case Series



Ikram A, Singh J, Jagarnauth S, Khan W.S*, Hambidge J
Department of Trauma and Orthopaedics, Queens Hospital Romford, London, UK


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© Ikram,et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the University College London Institute of Orthopaedics and Musculoskeletal Sciences, Royal National Orthopaedic Hospital, Stanmore, Middlesex, HA7 4LP, UK; Tel: 07791 025554; Fax: 01707 655059; E-mail: wasimkhan@doctors.org.uk


Abstract

Fractures of the proximal humerus account for 4-5% of all fractures. Managing proximal humerus fractures operatively and non-operatively have their respective complications both short- and long-term. We present our experience using the Humelock hemiarthoplasty device for both primary and failed management of proximal humeral fractures. We present four different examples from ten cases that include a failure of internal fixation, a failure of intramedullary nailing, a complex case in a patient with multiple co-morbidities, and a failure of nonoperative management. The patients in our series had multiple injuries and the device allowed early mobilization and produced good results. We suggest that this device has a role in the failure of primary and secondary management of proximal humeral fractures in a district general hospital setting.

Keywords: Early mobilization, failure, Humelock hemiarthroplasty, proximal humerus..