What question did this study set out to answer?

To summarize management strategies and evaluate outcomes for periprosthetic proximal humeral fractures following shoulder arthroplasty.

July 15, 2026CureusOpen Access

Management of Periprosthetic Proximal Humerus Fractures Following Shoulder Arthroplasty: A Systematic Review

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Systematic review summarizes management strategies and outcomes of humeral fractures post-arthroplasty, suggesting improvements.

To summarize management strategies and evaluate outcomes for periprosthetic proximal humeral fractures following shoulder arthroplasty.
Conducted systematic review of studies on management strategies for periprosthetic fractures.
Comprehensive search across PubMed, Embase, Scopus, and Cochrane Library.
Included eight studies with a total of 210 patients classified using Cofield or Worland systems.
ORIF achieved union rates up to 93%, while nonoperative management had higher nonunion and malunion rates.
Revision arthroplasty had moderate union rates of approximately 84% but increased complication risks.
Successful outcomes associated with humeral stem stability, fracture displacement, and individualized management.

Memon et al. (2026) studied this question.

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