Skip to main content

Official Journal of the Italian Society of Orthopaedics and Traumatology

Table 4 Mandatory and optional primary revision surgeries by treatment modalities

From: Failure and revision rates of proximal humeral fracture treatment with the use of a standardized treatment algorithm at a level-1 trauma center

Treatment modality (n = total number in group)

No. of patients with primary revision surgery

% of treatment cohort with revision (%)

Mandatory revision surgeries (n = 32; 50%)

Optional revision surgeries (n = 32; 50%)

Non-operative (n = 96)

4

4.2

n = 1 removal of displaced bone fragment

n = 2 arthroscopic arthrolysis for shoulder stiffness

n = 1 subacromial decompression

 

Locked nailing (n = 45)

8

17.8

n = 1 revision osteosynthesis for loss of reduction

n = 1 arthroscopic arthrolysis for shoulder stiffness

n = 1 debridement and irrigation for infection

n = 5 arthroscopic implant removal

(11.1%)

Locked plating (n = 211)

44

20.9

n = 4 revision osteosynthesis for loss of reduction

n = 2 debridement and irrigation for infection

n = 2 debridement and irrigation for hematoma

n = 1 removal of displaced bone fragment

n = 3 arthroscopic arthrolysis for shoulder stiffness

n = 5 implant removal for screw perforation

n = 27 arthroscopic implant removal (12.8%)

Hemi-fracture prosthesis (n = 29)

3

10.3

n = 2 debridement and irrigation for infection

n = 1 removal of displaced tuberosity cerclage

 

Reverse fracture prosthesis (n = 42)

5

11.9%

n = 2 debridement and irrigation for hematoma

n = 2 inlay exchange for dislocation of prosthesis

n = 1 debridement and irrigation for infection

Â