Reversed shoulder arthroplasty in treatment of proximal humeral fractures – early results in Department of Orthopaedics, Traumatology and Oncology, Regional Hospital in Torun, Poland

Introduction. Proximal humeral fractures (PHF) are a frequent finding, and still growing part of it needs to be treated operatively. Extending life expectancy, increasing percentage of osteoporotic fractures and progressive patients’ demand force surgeons to seek the best solutions of treating complex fractures. Just some teen years ago older patients who suffered a severe PHF were doomed to shoulder dysfunction. Today we can offer them a reversed shoulder arthroplasty (RSA) Purpose. The aim of the paper was a clinical evaluation of the patients who were treated with RSA in a Regional Hospital. Material and Methods. In years 2017-2021 in our department there were performed 41 RSAs and 5 TSAa (total anatomic shoulder arthroplasty). Earlier in 2010-2017 we performed 26 hemiarthroplasties. The procedures were done via delto-pectoral approach. The implant used were Aequalis Reversed Fracture (Tornier) and SMR (Lima). Results. The patients were evaluated in a simplified manner after 6 months postop. Functional active range of motion and VAS score were noted. Conclusions. In our department RSA is a well adopted method of treating complex PHFs, especially in elderly patients, and it yields overall good results and great percentage of satisfied patients.

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Special considerations of reverse total shoulder arthroplasty in the treatment of comminuted proximal humeral fractures in elderly: a narrative review

Minerva Ortopedica e Traumatologica ◽

10.23736/s0394-3410.20.03971-5 ◽

2020 ◽

Vol 71 (2) ◽

Author(s):

Dino Bobovec ◽

Tomislav Žigman ◽

Daniel Rajačić ◽

Tomislav Sečan ◽

Tin Ehrenfreund ◽

...

Keyword(s):

Shoulder Arthroplasty ◽

Total Shoulder Arthroplasty ◽

Reverse Total Shoulder Arthroplasty ◽

Narrative Review ◽

Proximal Humeral Fractures ◽

Humeral Fractures ◽

Reverse Total Shoulder

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Cemented vs Uncemented Reverse Shoulder Arthroplasty for Acute Proximal Humeral Fractures

Journal of Shoulder and Elbow Surgery ◽

10.1016/j.jse.2021.06.022 ◽

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

The Open Orthopaedics Journal ◽

10.2174/1874325001711011108 ◽

2017 ◽

Vol 11 (1) ◽

pp. 1108-1114 ◽

Cited By ~ 5

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.

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