Reverse shoulder arthroplasty for acute proximal humeral fractures in the geriatric patient: results, health-related quality of life and complication rates

International Orthopaedics
Yaiza LópizFernando Marco

Abstract

Reverse shoulder arthroplasty (RSA) in fractures is especially indicated in patients of advanced age, although the influence of age on functional outcomes, health-related quality of life (HRQoL) and complication rate is unknown. We hypothesized that complication rate would decrease in the geriatric population because of their reduced activity, improving the perceived HRQoL. Retrospective study of 42 patients with proximal humeral fractures treated with RSA, divided into two groups: <80 years (<80y)(n = 16) and ≥80 years (≥80y)(n = 26). The assessment tools used were radiological images (functional outcome) with the Constant-Murley score(CMS); disabilities of the arm, shoulder and hand (DASH) score; and HRQoL with the EQ-5D index. Mean follow-up time was 32.6 months. Mean CMS adjusted for age and sex (R-CMS) was 68 % ± 29 %. Patients in the ≥80y group had a lower total CMS, 33 vs 64 (p = 0.027). Mean active range of motion at 24 months <80y/≥80y was: forward flexion: 126°/110°; abduction: 117°/105°; external rotation: 22°/20°; and internal rotation: L3/sacrum. Mean EQ-VAS was 74 ± 16 in the <80y group, and 63 ± 12.6 in the ≥80y group. Mean DASH was 29.5 ± 9.2. The EQ-5D "self-care" item in the >80y group was the most affected. T...Continue Reading

References

Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
Jun 6, 1996·Health Policy·R Brooks
Oct 5, 2001·Chirurgie de la main·T DubertA Dinh
Mar 30, 2004·The Journal of Bone and Joint Surgery. British Volume·F KralingerH Resch
Nov 8, 2006·Revue de chirurgie orthopédique et réparatrice de l'appareil moteur·J-F Cazeneuve, D-J Cristofari
Jul 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Bryan WallGilles Walch
Nov 28, 2008·Injury·George KontakisPanagiotis Megas
Dec 20, 2008·Journal of Shoulder and Elbow Surgery·Koroush KabirChristoph Rangger
Jul 21, 2009·Orthopaedics & Traumatology, Surgery & Research : OTSR·J-F Cazeneuve, D J Cristofari
Apr 2, 2010·The Journal of Bone and Joint Surgery. British Volume·J F Cazeneuve, D-J Cristofari
Dec 8, 2010·Journal of Shoulder and Elbow Surgery·Matthias A ZumsteinPascal Boileau
Apr 6, 2011·Journal of Orthopaedic Trauma·Jonathan C Levy, Brian Badman
Sep 1, 2011·Clinical Orthopaedics and Related Research·Christopher LenarzReuben Gobezie
Sep 16, 2011·Orthopaedics & Traumatology, Surgery & Research : OTSR·J-F Cazeneuve, D-J Cristofari
Oct 19, 2011·Journal of Shoulder and Elbow Surgery·Davide BlonnaFilippo Castoldi
Jun 19, 2012·Journal of Shoulder and Elbow Surgery·David GallinetLaurent Obert
Mar 5, 2013·International Orthopaedics·Marius M Scarlat
Jul 10, 2013·Journal of Shoulder and Elbow Surgery·Pascal BoileauDaniel G Schwartz
Jan 27, 2015·International Orthopaedics·Pierre Mansat, Nicolas Bonnevialle
Sep 1, 2015·International Orthopaedics·Carlos García-FernándezFernando Marco Martínez

❮ Previous
Next ❯

Citations

May 18, 2016·International Journal of Shoulder Surgery·Joe de Beer, Deepak N Bhatia
Sep 13, 2019·Applied Health Economics and Health Policy·Jenny ClelandJulie Ratcliffe
Nov 28, 2019·Journal of Clinical Medicine·Jorge Arias-de la TorreMireia Espallargues
Jan 30, 2018·Acta ortopedica brasileira·Arnaldo Amado FerreiraEvelinda Marramon Trindade
Jun 21, 2019·Geriatric Orthopaedic Surgery & Rehabilitation·Gregory GasbarroIvan S Tarkin
Nov 17, 2020·Journal of Shoulder and Elbow Surgery·Yaiza LopizFernando Marco
Oct 1, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Carlos Garcia-FernandezFernando Marco

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.