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Hemiarthroplasty for Proximal Humerus Fracture

This video represents hemiarthroplasty for the fracture of the proximal humerus using a prosthetic humerus head. The preoperative radiographs show a complex fracture of the proximal humerus with separate tuberosity fragment and a subluxed humeral head fragment. The operative plan is to replace the fractured humerus head with humerus prosthesis. The incision is made lateral to the coracoid process. The greater and lesser tuberosity fragments are secured using stitches placed at the tendon-bone junction. The humerus head fragment is removed, inspected and used as a guide for size of the humerus head prosthesis. Arthroplasty is done at the fracture region. The trial component is checked. The humerus canal is prepared for implant head prosthesis. Appropriate cement is placed into the canal and the prosthesis is cemented. Few vertical and horizontal sutures are placed across the tuberosities. The stability of the repair is tested. The wound is irrigated and closed in a standard fashion.