Reverse Shoulder Arthroplasty for Proximal Humerus Fractures: A Review of Current Evidence
- PMID: 39066981
- PMCID: PMC11371980
- DOI: 10.1007/s12178-024-09919-6
Reverse Shoulder Arthroplasty for Proximal Humerus Fractures: A Review of Current Evidence
Abstract
Purpose of review: The aim of this review is to summarize information published in the recent peer-reviewed literature on reverse shoulder arthroplasty (RSA) for proximal humerus fractures.
Recent findings: Although there is still some debate regarding which may be the best treatment for proximal humerus fractures in certain age ranges, RSA seems to offer more predictable results than other surgical treatments for elderly patients. Successful tuberosity healing seems to correlate with better outcomes. Recent trends indicate interest in cementless fixation, fracture-specific stems and a 135-degree polyethylene opening angle. RSA provides a successful surgical solution for selected proximal humerus fractures. Indications, design features, and surgical execution have continued to evolve over the last few years.
Keywords: Complications; Outcome studies; Proximal humerus fractures; Reverse shoulder arthroplasty; Shoulder.
© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Conflict of interest statement
Stryker - Dr. Sanchez-Sotelo receives royalties through Mayo Clinic related to shoulder arthroplasty products.
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References
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- Boin MA, Virk MS, Paszicsnyek A, Kriechling P, Razaeian S, Ernstbrunner L, et al. Reverse total shoulder arthroplasty for Proximal Humeral fractures and Sequalae compared to non-fracture indications: a matched cohort analysis of Outcome and complications. Clin Orthop Relat Res. 2022;6(10):2421–9. - PMC - PubMed
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- •Handoll HH, Elliott J, Thillemann TM, Aluko P, Brorson S. Interventions for treating proximal humeral fractures in adults. Cochrane database Syst Rev. 2022;6(6):CD000434. Like most systematic reviews carried out under the Cochrane seal, this one provides interesting information comparing different surgical and nonoperative treatment options for proximal humerus fractures. - PMC - PubMed
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