Abstract
Periprosthetic fractures occurring in total shoulder arthroplasty (TSA) represent challenges both in decision-making as well as surgical management.
These fractures more frequently involve the humerus but can also occur in the scapula. In a few cases with minimal displacement conservative care may be employed.
In most, however, surgical intervention is needed. Depending on the quality of the surrounding bone, the health of the patient, the stability of the existing implant, and the integrity of the surrounding soft tissues, options for management include open reduction and internal fixation, long stem implants, bone grafting, strut and cable fixation, or a combination of these techniques.
In some cases revision arthroplasty is indicated. An approach to surgical decision-making, operative techniques and avoidance of complications will be presented.
