15 September 2016
First session on shoulder arthroplasty at SICOT in Rome
Pierre Hoffmeyer (Geneva University Hospital, Switzerland) contrasted conservative treatments with osteosynthesis. With regard to the spectrum of injuries, he provided an overview of operative and non-operative treatment options. Based on epidemiologic facts, he made the case that 85% of proximal humerus fractures do not need an operation. This initiated a controversial debate on the topic.
Martin Jäger (Freiburg University Hospital, Germany) then gave a talk on primary hemiarthroplasty versus reverse shoulder arthroplasty. He emphasized the failure of tuberosity healing and provided evidence on functional outcomes.
Stefaan Nijs (Leuven University Hospital, Belgium) continued the session with a presentation on reversed polarity prosthesis. Stating that there is no single proximal humerus fracture, he introduced a classification model to include all factors into the decision-making process, even taking the patient's personality into consideration.
Alexandre Lädermann (Geneva University Hospital, Switzerland) shined a spotlight on arthroplasty for failed treatments. After classifying sequelae into four different types: Cephalic collapse or necrosis, locked dislocation or fracture dislocation, surgical neck nonunion and tuberosity malunion. He concluded with a closer look on representative cases, showing initial situation, treatment, and results.