Outcomes of reverse total shoulder arthroplasty as primary versus revision procedure for proximal humerus fractures

Journal of Shoulder and Elbow Surgery
Bobby DezfuliThomas W Wright

Abstract

Reverse total shoulder arthroplasty (RTSA) has been shown to be an effective treatment for proximal humerus fracture (PHF). This study evaluates outcomes of all patients with PHF treated with RTSA as a primary procedure for acute PHF, a delayed primary procedure for symptomatic PHF malunion or nonunion, a revision procedure for failed PHF hemiarthroplasty (HA), or a revision procedure for failed open reduction and internal fixation (ORIF). Patients who underwent RTSA for PHF were evaluated for active range of motion and Shoulder Pain and Disability Index (SPADI), Simple Shoulder Test-12, American Shoulder and Elbow Surgeons (ASES), University of California-Los Angeles (UCLA) shoulder rating scale, Constant, and 12-Item Short Form Health Survey scores. Scaption and external rotation (ER) strength were also assessed. RTSA was performed in 49 patients with PHF; 13 patients underwent RTSA for acute PHF, 13 for malunion or nonunion, 12 for failed PHF HA, and 11 for failed PHF ORIF. ER range of motion, SPADI, ASES, UCLA, and Constant scores achieved significance. The acute fracture group significantly outperformed the failed HA group in SPADI, ASES, and UCLA scores. The malunion/nonunion group significantly outperformed the failed HA...Continue Reading

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Citations

Dec 5, 2017·Clinics in Orthopedic Surgery·Eric M PadegimasSurena Namdari
Sep 28, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Djuro PetkovicCharles M Jobin
Apr 17, 2018·EFORT Open Reviews·Filippo FamiliariEdward G McFarland
Feb 6, 2018·Geriatric Orthopaedic Surgery & Rehabilitation·Adam Schumaier, Brian Grawe
Apr 16, 2019·Acta orthopaedica et traumatologica turcica·Fernando SantanaCarlos Torrens
Apr 14, 2020·Current Reviews in Musculoskeletal Medicine·Brandon J Kelly, Chad M Myeroff
Feb 26, 2020·Journal of Orthopaedic Surgery and Research·Yaofei JiaXiangdong Yun
Oct 23, 2020·Arthritis Care & Research·Rachelle BuchbinderSamuel L Whittle
Oct 11, 2020·Journal of Shoulder and Elbow Surgery·Michael A MovermanJonathan C Levy
Aug 26, 2020·Journal of Shoulder and Elbow Surgery·Eric R WagnerNeal Chen
Mar 24, 2021·The Orthopedic Clinics of North America·Adeshina AdeyemoGary Updegrove
Apr 8, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Henry D SeidelLewis L Shi
Jul 9, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Francesco AscioneAlfonso M Romano
Aug 18, 2021·Journal of Shoulder and Elbow Surgery·Georgios N PanagopoulosOfer Levy
Aug 8, 2021·Journal of Shoulder and Elbow Surgery·Peter J OstergaardBrandon E Earp
Nov 27, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Francesco AscioneAlfonso M Romano
Jan 16, 2022·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Samuel HauptChristoph Sommer

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