Surgical treatment of complex proximal humeral fractures in elderly patients: a matched-pair analysis of angular-stable plating vs. reverse shoulder arthroplasty

2020 ◽  
Vol 29 (9) ◽  
pp. 1796-1803
Author(s):  
Alexander Klug ◽  
Jasmin Harth ◽  
Reinhard Hoffmann ◽  
Yves Gramlich
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Shoulder Arthroplasty ◽  
Reverse Shoulder Arthroplasty ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Matched Pair ◽  
Matched Pair Analysis ◽  
Complex Proximal Humeral Fractures ◽  
Pair Analysis

scholarly journals Reverse Total Shoulder Arthroplasty for Treatment of 3- and 4-Part Proximal Humeral Fractures: Clinical and Radiological Analysis With Minimum Follow-Up of 2 Years

2020 ◽  
Vol 11 ◽  
pp. 215145932091532
Author(s):  
Luis Barbosa ◽  
Luis Pires ◽  
Paulo Rego ◽  
Raul Alonso
Keyword(s):  
Elderly Patients ◽  
Shoulder Arthroplasty ◽  
External Rotation ◽  
Reverse Shoulder Arthroplasty ◽  
Total Shoulder Arthroplasty ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Complication Rates ◽  
The Mean ◽  
Complex Proximal Humeral Fractures

Background: Hemiarthroplasty has been associated with inferior and unpredictable outcomes when used in the treatment of complex proximal humeral fractures in elderly patients. In this age-group, reverse shoulder arthroplasty is gaining popularity due to the promising results presented in recent evidence. Our aim is to analyze the cases of complex proximal humeral fractures treated by reverse shoulder arthroplasty, regarding functional results and complications. Materials and Methods: Thirty-five fractures from 33 patients with the mean age of 73.5 (65-81) years were treated with reverse shoulder arthroplasty for complex fractures of the proximal humerus. These patients were followed for a mean of 38.3 months (24-68) and analyzed regarding clinical outcomes and complications. Results: The average Quick-Disabilities of the Arm, Shoulder and Hand and American Shoulder and Elbow Surgeons scores were 6.8 points and 78.3%, respectively. The mean Constant score on the affected side was 64.4 points, 19.5% less than the nonoperated side. The mean active elevation was 123°, abduction 109°, external rotation 38°, and internal rotation 41°. The radiographic tuberosity healing rate was 85.7%. There were no significant differences in outcomes, between patient with healed and reabsorbed tuberosities. Inferior scapular notching was seen in 8 patients. The global complication rate was 12.8%. Conclusion: Reverse shoulder arthroplasty yields good and reproductive results with acceptable complication rates in selected elderly patients with complex proximal humeral fractures.

Treatment of proximal humeral fractures with reverse shoulder arthroplasty in elderly patients

2014 ◽  
Vol 99 (1) ◽  
pp. 39-44 ◽  
Author(s):  
C. Iacobellis ◽  
A. Berizzi ◽  
C. Biz ◽  
A. Camporese
Keyword(s):  
Elderly Patients ◽  
Shoulder Arthroplasty ◽  
Reverse Shoulder Arthroplasty ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures

scholarly journals Reverse Shoulder Arthroplasty Versus Antegrade Nailing for 3- and 4-Part Proximal Humeral Fractures in Elderly Patients.

2020 ◽  
Author(s):  
Khalil AMRI ◽  
Rabie AYARI ◽  
Karim LATRECH TLEMSANI ◽  
Achraf ABDENNADHER ◽  
Mohamed BEN SALAH ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Shoulder Arthroplasty ◽  
Reverse Shoulder Arthroplasty ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Antegrade Nailing

Abstract The authors have requested that this preprint be withdrawn due to erroneous posting.

scholarly journals Treatment of Complex Proximal Humeral Fractures in the Elderly with Reverse Shoulder Arthroplasty

2020 ◽  
Vol 12 (5) ◽  
pp. 1372-1379
Author(s):  
Xu Tian ◽  
Ming Xiang ◽  
Guangyu Wang ◽  
Bo Zhang ◽  
Junyang Liu ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Reverse Shoulder Arthroplasty ◽  
The Elderly ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Complex Proximal Humeral Fractures

Cemented vs Uncemented Reverse Shoulder Arthroplasty for Acute Proximal Humeral Fractures

2021 ◽  
Author(s):  
Luciano A. Rossi ◽  
Bruchmann Maria Guillermina ◽  
Martin Buljubasich ◽  
Nicolás Atala ◽  
Ignacio Tanoira ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Reverse Shoulder Arthroplasty ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures
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