scholarly journals Efficacy comparison of intramedullary nails, locking plates and conservative treatment for displaced proximal humeral fractures in the elderly

2017 ◽  
Vol Volume 12 ◽  
pp. 2047-2054 ◽  
Author(s):  
Wei Ge ◽  
Qi Sun ◽  
Gen Li ◽  
Guanghua Lu ◽  
Ming Cai ◽  
...  
Injury ◽  
2013 ◽  
Vol 44 ◽  
pp. S5
Author(s):  
N. Aksu ◽  
B. Abay ◽  
R. Soydan ◽  
C. Kopuz ◽  
A.N. Kara ◽  
...  

2017 ◽  
Vol 11 (1) ◽  
pp. 1108-1114 ◽  
Author(s):  
Aaron Andrew Frombach ◽  
Kendra Brett ◽  
Peter Lapner

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.


2006 ◽  
Vol 127 (6) ◽  
pp. 459-463 ◽  
Author(s):  
Chris M. van den Broek ◽  
Marijn van den Besselaar ◽  
Jean M. F. Coenen ◽  
Paul A. Vegt

2017 ◽  
Vol 58 ◽  
pp. 128-136 ◽  
Author(s):  
Ismael Mendoza-Muñoz ◽  
Álvaro González-Ángeles ◽  
Miriam Siqueiros-Hernández ◽  
Mildrend Montoya-Reyes

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