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2017 ; 11
(ä): 1108-1114
Nephropedia Template TP
gab.com Text
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English Wikipedia
Humeral Head Replacement and Reverse Shoulder Arthroplasty for the Treatment of
Proximal Humerus Fracturesm
#MMPMID29152005
Frombach AA
; Brett K
; Lapner P
Open Orthop J
2017[]; 11
(ä): 1108-1114
PMID29152005
show ga
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.