Decreased Reoperations and Improved Outcomes With Reverse Total Shoulder Arthroplasty in Comparison to Hemiarthroplasty for Geriatric Proximal Humerus Fractures: A Systematic Review and Meta-Analysis

Journal of Orthopaedic Trauma
Daniel C AustinJohn-Erik Bell

Abstract

We sought to compare range of motion, clinical outcome scores, and complications after reverse total shoulder arthroplasty (RSA) and hemiarthroplasty (HA) in geriatric patients with acute proximal humerus fractures. We searched MEDLINE (1946-2017), EMBASE (1947-2017), the Cochrane Central Register of Controlled Trials (1898-2017) and ClinicalTrials.gov in October 2017. No limits were used in the database search. We also manually reviewed reference lists of included studies. We did not restrict studies based on language. We included all randomized controlled trials and cohort studies in which the study population had a mean age of 65 years or older, received RSA or HA to treat an acute proximal humerus fracture, and had a minimum follow-up of 6 months. Two independent reviewers used a standardized data collection form to extract relevant information from included studies. Discrepancies were resolved by a consensus or a third party if consensus could not be reached. Study authors were contacted for missing or incomplete data. Using a random effects model, we calculated mean differences (MD) and standardized mean differences (SMD) for continuous outcomes; we calculated relative risk for dichotomous outcomes. Fifteen studies were i...Continue Reading

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Citations

Aug 4, 2019·Archives of Orthopaedic and Trauma Surgery·Alexander KlugReinhard Hoffmann
Dec 31, 2019·Current Reviews in Musculoskeletal Medicine·Stephen G ThonRachel M Frank
Apr 14, 2020·Current Reviews in Musculoskeletal Medicine·Brandon J Kelly, Chad M Myeroff
Feb 23, 2021·The Journal of Bone and Joint Surgery. American Volume·Samuel J MeaseAndrew M Choo
Jun 2, 2021·The Bone & Joint Journal·Alexander AmundsenJeppe V Rasmussen
Aug 7, 2021·Journal of Shoulder and Elbow Surgery·Luciano A RossiMaximiliano Ranalletta

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