Survey study suggests that reverse total shoulder arthroplasty is becoming the treatment of choice for four-part fractures of the humeral head in the elderly

Savin, David; Zamfirova, Ina; Iannotti, Joseph P.; Goldberg, Benjamin A.; Youderian, Ari R.

doi:10.1007/s00264-016-3227-y

Cited by 53 publications

(36 citation statements)

References 28 publications

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“…Reverse total shoulder arthroplasty (TSA) was initially developed for treatment of cuff-tear arthropathy. In the last decade, there has been a shift toward reverse TSA as a primary operative solution for displaced proximal humeral fractures in the elderly, and it is now widely accepted as standard treatment 14 .…”

mentioning

confidence: 99%

Reverse Shoulder Arthroplasty Is Superior to Plate Fixation at 2 Years for Displaced Proximal Humeral Fractures in the Elderly

Fraser

Bjørdal

Wagle

et al. 2020

Journal of Bone and Joint Surgery

128

126

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confidence: 99%

Reverse Shoulder Arthroplasty Is Superior to Plate Fixation at 2 Years for Displaced Proximal Humeral Fractures in the Elderly

Fraser

Bjørdal

Wagle

et al. 2020

Journal of Bone and Joint Surgery

128

126

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“…In their recent systematic review and meta-analysis including level I-IV studies, Gallinet et al [16] , also concluded on the superiority of RSA, although they emphasized the lack of longterm studies. In a surgeon survey, Savin et al [31] report that most practitioners agree that RSA is at least as reliable as, and often more adapted than, HSA for managing four-part PHF in el-derly patients. One clear advantage of RSA over HSA is that, by granting full function to the deltoid muscle, RSA reduces the effect of poor or slow tuberosity healing on outcomes [16].…”

Section: Discussionmentioning

confidence: 99%

Hemi- vs. reverse shoulder arthroplasty for acute proximal humeral fractures

et al. 2019

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“…Research Center of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China. 3 Department of Joint Orthopaedic, the First A liated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China. 4 The First A liated Hospital of Guangzhou University of Chinese Medicine.…”

Section: Consent For Publicationmentioning

confidence: 99%

“…Proximal humeral fracture (PHF) account for 4%~5% of all fractures, 26% of shoulder fractures [1]. It's concentrated in elder with osteoporosis and is the third most common in older patients, followed by femoral neck fractures and distal radius fractures [2,3]. We often use Neer classi cation criteria to assess the severity of this fracture injury.…”

Section: Introductionmentioning

confidence: 99%

Is Surgery Better Than Conservative Treatment for Proximal Humeral Fracture: A Systematic Review and Meta-Analysis

Gong¹,

Lin²,

Xu³

et al. 2020

Preprint

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Background: Previous studies had compared the effectiveness of surgical and conservative treatment in proximal humeral fracture (PHF), suggesting that both treatments were effective for displaced fractures. However, which treatment is more effective, especially in the elderly patient population, remains controversial to date. This study aims to evaluate the efficacy of the two treatment methods, including functional outcome scores, complications, etc.Methods: We searched four databases (MEDLINE, Web of Science, EMBASE, Cochrane Library) from the inception of the databases to March 2020. Within the scope of the search, the publication time and language of the relevant literatures were not limited. The meta-analysis directly compared the results and complications of the two groups and subgroups. Results: We included 11 comparative studies into our meta-analysis. The contents of the study included 7 randomized controlled trials (RCTs) and 4 non-randomized controlled trials (nRCTs). The pooled data demonstrated that there was no significant difference in postoperative Constant score between surgical and conservative treatment in the RCT subgroup, but there were differences among the nRCT and prosthesis subgroup. Although there was no significant difference between the surgery and conversation group in the major postoperative complications, the subgroup analysis showed fewer complications in the joint prosthesis replacement group. Conclusion: Both treatments could provide better clinical results for patients. The joint prosthesis replacement may offer additional benefits in terms of reduced complications and postoperative function. Furthermore, due to the increasing number of prosthesis replacements and the advent of the aging age, we should consider the individual differences between patients and enrich the clinical efficacy through the personal experience of surgeons before choosing treatment options.

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Survey study suggests that reverse total shoulder arthroplasty is becoming the treatment of choice for four-part fractures of the humeral head in the elderly

Abstract: Level III - Case controlled study.

Cited by 53 publications

References 28 publications

Reverse Shoulder Arthroplasty Is Superior to Plate Fixation at 2 Years for Displaced Proximal Humeral Fractures in the Elderly

Reverse Shoulder Arthroplasty Is Superior to Plate Fixation at 2 Years for Displaced Proximal Humeral Fractures in the Elderly

Hemi- vs. reverse shoulder arthroplasty for acute proximal humeral fractures

Is Surgery Better Than Conservative Treatment for Proximal Humeral Fracture: A Systematic Review and Meta-Analysis

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