Reverse shoulder arthroplasty for the treatment of acute complex proximal humeral fractures: Influence of greater tuberosity healing on the functional outcomes

Journal of Orthopaedic Surgery
Carlos TorrensFernando Santana

Abstract

To investigate the influence of greater tuberosity healing on the functional outcomes of reverse shoulder arthroplasty (RSA) for the treatment of acute complex proximal humeral fractures (PHFs), and to investigate the influence of patient- and surgery-related factors in the healing of the greater tuberosity. Retrospective study including 41 consecutive PHFs treated using RSA with minimum 2-year follow-up. In all the cases, tuberosities were reattached with a standardized technique. All the patients were assessed at the last follow-up with constant score. Body mass index, surgery delay, comorbidities, polyethylene size, glenosphere size, overhanging of glenosphere, and scapular notch were recorded, and their influence in final constant score and in greater tuberosity healing was analyzed. Mean final constant score was of 60.7 points (standard deviation (SD) = 9.9). Greater tuberosity healed in proper position in 68% of the cases. There were no significant differences in constant score between patients with (mean = 61; SD = 9.5) and without (mean = 61; SD = 11.3) the healing of greater tuberosity. All patients scored above 90° in forward elevation. Scapular notch was reported in 14.6% of the cases. Age significantly affected the ...Continue Reading

References

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Sep 5, 2014·Journal of Orthopaedic Trauma·Jason R FerrelRichard A Fischer

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Citations

Nov 28, 2019·Journal of Clinical Medicine·Jorge Arias-de la TorreMireia Espallargues
Mar 13, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jonas SchmalzlPatrick J Denard
Apr 14, 2020·Current Reviews in Musculoskeletal Medicine·Brandon J Kelly, Chad M Myeroff
Mar 18, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Won Chul ShinMin Hyeok Choi
Oct 4, 2020·Journal of Shoulder and Elbow Surgery·Jonas SchmalzlLars-Johannes Lehmann
Jul 22, 2021·Geriatric Orthopaedic Surgery & Rehabilitation·Georg SiebenbürgerBen Ockert
Sep 25, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Alberto Izquierdo-FernándezJosé Carlos Minarro

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Methods Mentioned

BETA
RSA

Software Mentioned

RSA
SPSS

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