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In such cases surface replacement might be a promising option. <\/jats:p><jats:p> A total of 28 shoulders with glenohumeral arthritis subsequent to a fracture underwent surface replacement arthroplasty of the humeral head in patients with a mean age of 60 years (35 to 83). On the basis of the inclination of the impacted head, post-traumatic arthritis was divided into three types: type 1, an impacted fracture of the head in an anatomical position (seven cases); type 2, a valgus impacted fracture (13 cases); type 3, a varus impacted fracture (eight cases). The outcome was measured by means of the Constant score. <\/jats:p><jats:p> According to the Boileau classification of the sequelae of fractures of the proximal humerus, all 28 patients had a final result of intra-capsular category 1. The mean Constant score for the 28 shoulders increased from 23.2 points (2 to 45) pre-operatively to 55.1 points (20 to 89) at a mean of 31 months (24 to 66) post-operatively. Valgus impacted fractures had significantly better results (p &lt; 0.039). <\/jats:p><jats:p> Surface replacement arthroplasty can provide good results for patients with post-traumatic osteoarthritis of the shoulder. Their use avoids post-operative complications of the humeral shaft, such as peri-prosthetic fractures. Further surgery can be undertaken more easily as the bone stock is preserved. <\/jats:p>","DOI":"10.1302\/0301-620x.92b10.24316","type":"journal-article","created":{"date-parts":[[2010,9,30]],"date-time":"2010-09-30T23:19:46Z","timestamp":1285888786000},"page":"1403-1409","source":"Crossref","is-referenced-by-count":33,"title":["Humeral surface replacement for the sequelae of fractures of the proximal humerus"],"prefix":"10.1302","volume":"92-B","author":[{"given":"G.","family":"Pape","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Division of Upper Limb Surgery, University of Heidelberg, Schlierbacher Landstrasse 200A, 69118 Heidelberg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Zeifang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Division of Upper Limb Surgery, University of Heidelberg, Schlierbacher Landstrasse 200A, 69118 Heidelberg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Bruckner","sequence":"additional","affiliation":[{"name":"Department of Medical Biometry and Informatics, University of Heidelberg, INF 305, 69120 Heidelberg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Raiss","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Division of Upper Limb Surgery, University of Heidelberg, Schlierbacher Landstrasse 200A, 69118 Heidelberg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Rickert","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Division of Upper Limb Surgery, University of Heidelberg, Schlierbacher Landstrasse 200A, 69118 Heidelberg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Loew","sequence":"additional","affiliation":[{"name":"ATOS Klinik, Bismarckstrasse 9-15, 69115 Heidelberg, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Bailie DS, Llinas PJ, Ellenbecker TS. 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