Reverse Shoulder Arthroplasty for proximal humeral fractures: Better clinical midterm outcome after primary reverse Arthroplasty versus secondary reverse arthroplasty after failed ORIF in the elderly: Benefits of Reverse Shoulder Arthroplasty for complex humeral fractures in the elderly

2021 ◽  
Author(s):  
Nadine Ott ◽  
Kilian Wegmann ◽  
Lena George ◽  
Christian Paul ◽  
Koroush Kabir
Keyword(s):  
Shoulder Arthroplasty ◽  
Reverse Shoulder Arthroplasty ◽  
The Elderly ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Midterm Outcome ◽  
Reverse Arthroplasty

scholarly journals Humeral Head Replacement and Reverse Shoulder Arthroplasty for the Treatment of Proximal Humerus Fracturesm

2017 ◽  
Vol 11 (1) ◽  
pp. 1108-1114 ◽  
Author(s):  
Aaron Andrew Frombach ◽  
Kendra Brett ◽  
Peter Lapner
Keyword(s):  
Shoulder Arthroplasty ◽  
New Technology ◽  
Reverse Shoulder Arthroplasty ◽  
Standard Of Care ◽  
The Elderly ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Current Evidence ◽  
Complication Rates ◽  
Surgical Fixation

Acute proximal humeral fractures in the elderly are generally treated non-operatively if alignment is acceptable and in stable fracture patterns. When operative treatment is indicated, surgical fixation is often difficult or impossible to obtain. Hemiarthroplasty has long been the standard of care. However, with its reliance on tuberosity healing, functional outcomes and patient satisfaction are often poor. Reverse shoulder arthroplasty has emerged as a new technology for treating proximal humeral fractures but the indications for its use remain uncertain. While not conclusive, the evidence suggests that reverse shoulder arthroplasty yields more consistent results, with improved forward elevation and higher functional outcome scores. The primary advantages of hemiarthroplasty are improved shoulder rotation and shorter operative time. Complication rates do not vary significantly between the two options. Although higher quality trials are needed to further define the role of reverse shoulder arthroplasty, current evidence suggests that this is a reasonable option for surgeons who are highly familiar with its use.

Reverse shoulder arthroplasty for the treatment of three-part and four-part proximal humeral fractures in the elderly

2015 ◽  
Vol 24 (2) ◽  
pp. 215-222 ◽  
Author(s):  
Mark Ross ◽  
Ben Hope ◽  
Andy Stokes ◽  
Susan E. Peters ◽  
Iain McLeod ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Reverse Shoulder Arthroplasty ◽  
The Elderly ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures

scholarly journals Reverse Shoulder Arthroplasty for the Treatment of 3 and 4- Part Fractures of the Humeral Head in the Elderly

2017 ◽  
Vol 11 (1) ◽  
pp. 108-118 ◽  
Author(s):  
Ioannis Gigis ◽  
Alexandros Nenopoulos ◽  
Dimitrios Giannekas ◽  
Roderich Heikenfeld ◽  
Theodoros Beslikas ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Reverse Shoulder Arthroplasty ◽  
Humeral Fracture ◽  
The Elderly ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures ◽  
Long Term Results ◽  
Cochrane Library ◽  
Osteoporotic Bone ◽  
Reverse Prosthesis

Background:Proximal humeral fractures in elderly patients present with severe comminution and osteoporotic bone quality.Reverse shoulder arthroplasty has lately been proven beneficial in treating patients with complex proximal humeral fractures. The above technique is recommended and has better results in elderly than in younger individuals.Methods:We performed a literature search in the databases Pubmed, Medline, EMBASE and Cochrane Library for published articles between 1970 and 2016 using the terms: proximal humerus fractures and reverse shoulder arthroplasty.Results:Significant benefits with the use of reverse prosthesis, especially in patients older than 70 years with a proximal humeral fracture, include reduced rehabilitation time as well as conservation of a fixed fulcrum for deltoid action in case of rotator cuff failure.Compared with hemiarthroplasty and internal fixation, reverse prosthesis may be particularly useful and give superior outcomes in older patients, due to comminuted fractures in osteopenic bones.However, significant disadvantages of this technique are potential complications and a demanding learning curve.Therefore, trained surgeons should follow specific indications when applying the particular treatment of proximal humeral fractures and be familiar with the surgical technique.Conclusion:Although long-term results and randomized studies for reverse prosthesis are lacking, short and mid- term outcomes have given promising results encouraging more shoulder surgeons to use this type of prosthesis in proximal humeral fractures.

scholarly journals Reverse Shoulder Arthroplasty Is Superior to Plate Fixation at 2 Years for Displaced Proximal Humeral Fractures in the Elderly

2020 ◽  
Vol 102 (6) ◽  
pp. 477-485 ◽  
Author(s):  
Alexander Nilsskog Fraser ◽  
Jonas Bjørdal ◽  
Tone Mehlum Wagle ◽  
Anna Cecilia Karlberg ◽  
Odd Arve Lien ◽  
...  
Keyword(s):  
Shoulder Arthroplasty ◽  
Plate Fixation ◽  
Reverse Shoulder Arthroplasty ◽  
The Elderly ◽  
Proximal Humeral Fractures ◽  
Humeral Fractures

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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