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Olga D. Savvidou First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Frantzeska Zampeli First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Panagiotis Koutsouradis Department of Orthopaedic Surgery, 417 Veterans Hospital (NIMTS), Athens, Greece

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George D. Chloros First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Aggelos Kaspiris Department of Trauma and Orthopaedics, Thriasio General Hospital-NHS, Athens, Greece

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Savas Sourmelis First Department of Orthopaedics, Hygeia Hospital, Athens, Greece

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Panayiotis J. Papagelopoulos First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Introduction The management of distal humerus fractures is considered challenging and technically demanding, because of the complexity of the regional anatomy and the multifragmentary pattern of injury. Distal humerus fractures in adults have

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Frédéric Vauclair Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Patrick Goetti Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Ngoc Tram V. Nguyen Mayo Clinic, Rochester, Minnesota, USA

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Joaquin Sanchez-Sotelo Mayo Clinic, Rochester, Minnesota, USA

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Introduction Distal humerus fractures are relatively uncommon injuries, accounting for approximately 2% of all fractures. 1 The overall incidence in adults is 5.7 cases per 100,000 per year. 1 – 3 Similar to other extremity fractures

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Alfonso Vaquero-Picado Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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Gaspar González-Morán Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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Luis Moraleda Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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Introduction Supracondylar fractures of the humerus are the most frequent fractures affecting the paediatric elbow 1 and their correct management is important because they can cause catastrophic complications. Despite there being a clear

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Arnaud Godenèche Ramsay Générale de Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, Lyon, France

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Jérôme Garret Clinique du Parc, Lyon, France

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Johannes Barth Centre Ostéoarticulaire des Cèdres, Grenoble, France

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Aude Michelet ReSurg SA, Nyon, Switzerland

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Laurent Geais Move-Up SAS, Alixan, France

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Shoulder Friends Institute Shoulder Friends Institute, Paris, France

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’ OR ‘anatomic shoulder arthroplasty’ OR ‘anatomic shoulder replacement’) AND (‘humeral’ OR ‘humeri’ OR ‘humerus’) AND (‘implant’ OR ‘component’ OR ‘stem’) AND (‘revision’ OR ‘revised’ OR ‘stress shielding’ OR ‘stress-shielding’ OR ‘loosening’ OR

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Lorenzo Massimo Oldrini Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Alessandro Sangiorgio Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Pietro Feltri Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Francesco Marbach Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland

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Giuseppe Filardo Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland

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Christian Candrian Service of Orthopaedics and Traumatology, Department of Surgery, EOC, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland

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the axillary nerve, which may suffer iatrogenic injury. In addition, exposure of the medial aspects of the proximal humerus is limited, and anatomical reduction of fractures with more than two parts may be more difficult ( 20 ). Accordingly, open

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Patrick Goetti Department of Orthopaedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland

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Patrick J. Denard Department of Orthopaedic & Rehabilitation, Oregon Health & Science University, Portland, Oregon, USA

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Philippe Collin Centre Hospitalier Privé Saint-Grégoire (Vivalto Santé), Saint- Grégoire, France

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Mohamed Ibrahim Department of Orthopaedics and Trauma Surgery, Faculty of Medicine, Fayoum University, Fayoum, Egypt

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Pierre Hoffmeyer Hirslanden Clinique des Grangettes, Geneva, Switzerland

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Alexandre Lädermann Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Meyrin, Switzerland
Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland

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present in isolation in 51% of cases. 40 They are, however, sufficient to increase posterior translation and inferior translation of the humerus in the sulcus position by 86% and 31% respectively. 41 Additionally, glenoid retroversion is more

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Laurent Nové-Josserand Ramsay Générale de Santé, Hôpital Privé Jean Memoz, Centre Orthopédique Santy, Lyon, France

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transdeltoid approach because of the existing rotator cuff tear or fracture. Second: resection of the humeral head to approach the glenoid and open the surgical space. Third: reclining the humerus to allow a frontal approach to the glenoid cavity. In the

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Simon M. Lambert University College London Hospital, UK

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’ tolerance of malunion at the completion of healing. Clinicians who advocate surgical intervention to restore the shape of the proximal humerus, with the intention of restoration of the centre of rotation of the glenohumeral joint for optimal deltoid function

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Elisa Pala Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Alberto Procura Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Giulia Trovarelli Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Antonio Berizzi Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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Pietro Ruggieri Department of Orthopedics and Orthopedic Oncology, University of Padova, Padova, Italy

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34  Humerus 8 7 15  Tibia 2 1 3 Pathological fracture  Actual 16 15 31  Impending 11 10 21 The long bone treated with IM nailing was the femur (34 cases), followed by the humerus

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Maciej Otworowski Idea Ortopedia, Warsaw, Poland

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Dariusz Grzelecki Department of Orthopedics and Rheumoorthopedics, Centre of Postgraduate Medical Education, Otwock, Poland

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Krzysztof Starszak Department of Human Anatomy, Medical University of Silesia, Katowice, Poland

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Andrzej Boszczyk Trauma and Orthopedics Department, Centre of Posgraduate Medical Education, Otwock, Poland

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Mateusz Piorunek Medical University of Warsaw, Warsaw, Poland

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Bartłomiej Kordasiewicz Idea Ortopedia, Warsaw, Poland
Trauma and Orthopedics Department, Centre of Posgraduate Medical Education, Otwock, Poland

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humerus were the 14th most common complication (1.3%), postoperative fractures were 17th (1%), and glenoid fractures were 19th ( 6 ). The general rate of periprosthetic fracture in the studies included in this review was as follows: 0–10% in TSA, 0

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