Temporary Cement Prosthesis as a Bridge After Control of Axillary Artery Hemorrhage in Proximal Humeral Fracture-Dislocation: A Case Report.

Authors

Li Du, Weifeng Ni, Weitao Jia, Haijun Xiao

Published in

JBJS case connector. Volume 16. Issue 3. Jul 01, 2026. Epub Aug 21, 2026.

Abstract

A 64-year-old woman underwent open reduction and internal fixation for four-part proximal humeral fracture-dislocation with palpable distal pulses. Upon dislocated head removal, life-threatening hemorrhage occurred from posterior circumflex humeral artery tear. Bleeding was controlled through packing, resuscitation, and open vascular repair. Owing to unavailable shoulder prosthesis and prolonged operative time, a temporary cement prosthesis with Steinmann pins was used. At the 3-year follow-up, partial function was restored with no loosening.
This case highlights axillary branch injury masked by tamponade effect. When arthroplasty unavailable, temporary cement prosthesis serves as a creative salvage option-a novel emergency application.

PMID:
42627945
Bibliographic data and abstract were imported from PubMed on 22 Aug 2026.

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