Treatment of proximal humeral fractures by reverse shoulder arthroplasty: Mid-term evaluation of functional results and Notching

Hernández-Elena, J.; Red-Gallego, María Ángeles de la; Garcés-Zarzalejo, C.; Pascual-Carra, M.A.; Pérez-Aguilar, M.D.; Rodríguez-López, T.; Alfonso-Fernández, A.; Pérez-Núñez, María Isabel

doi:10.1016/j.recote.2015.09.005

Cited by 3 publications

(2 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After screening, 277 documents were excluded, thus including 46 for full-text review. Of these 46 references, 25 were excluded and 21 studies were included in the final evidence tables [18][19][20][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47]. Table 1 shows the level of evidence of the selected studies.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Torre

García

Smith

et al. 2019

JCM

View full text Add to dashboard Cite

The effectiveness and safety of shoulder arthroplasties in the general context of a Spanish patient population remains unclear. The aim of this study was to ascertain both the effectiveness and safety of primary shoulder arthroplasties and the prosthesis types used in Spain. A systematic review of all the available literature evaluating the effectiveness and safety of primary shoulder arthroplasties in Spain was performed. A narrative synthesis was performed, and evidence tables were created in four dimensions: study design, arthroplasty characteristics, safety, and effectiveness. Orthopaedic Data Evaluation Panel (ODEP) scores were used to evaluate prosthesis types. Twenty-one studies were selected that included a total of 1293 arthroplasties. The most common indication was fractures, while the prosthesis most frequently used was the Delta Xtend (ODEP 10A). The most common complication was scapular notching. Prosthesis revision rate was approximately 6% for follow-ups between 12 and 79 months. In addition, significant improvements were observed in the Constant–Murley test score after the intervention. Currently in Spain, shoulder arthroplasty can be considered a safe and effective procedure with functional recovery and pain reduction for eligible patients with humeral fracture, rotator cuff arthropathy, fracture sequelae and malunion of the proximal humerus, and degenerative disease. Future longitudinal research and population-based studies could serve to confirm these results and identify points of improvement.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Table 3 shows that the most frequent complication in reverse shoulder arthroplasties was scapular notching, reported in 14 studies [33,48]. One study found a higher presence in older patients [46]. In terms of complications associated with tuberosities, malunion was documented in six studies, with the maximum rate being 33%.…”

Section: Zafra Et Al 2014mentioning

confidence: 98%

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Torre

García

Smith

et al. 2019

JCM

View full text Add to dashboard Cite

show abstract

Reverse shoulder arthroplasty in 3 and 4 part proximal humeral fractures in patients aged more than 65 years: Results and complications

Villodre-Jiménez

Estrems-Díaz

Diranzo-García

et al. 2017

Revista Española de Cirugía Ortopédica y Traumatología (English

View full text Add to dashboard Cite

Complications and Intraoperative Fractures in Reverse Shoulder Arthroplasty: A Systematic Review

Dolci

Mélis

Verona

et al. 2021

Geriatr Orthop Surg Rehabil

View full text Add to dashboard Cite

Introduction The reverse shoulder arthroplasty is nowadays a treatment option for a variety of shoulder problems. As its incidence rose, also the number of complications increased, including intraoperative fractures. Significance We performed a systematic review and critical analysis of the current literature following the PRISMA guidelines. Our purpose was to: 1) determine incidence, causes, and characteristics of intraoperative fractures; 2) evaluate their current treatment options, possible related complications, reoperation rates, and the patients’ outcome; and 3) determine the overall incidence of each complication related to reverse shoulder arthroplasty. The articles were selected from PubMed medical database in April 2020 using a comprehensive search strategy. Rayyan software was used to support the selection process of the records. A descriptive and critical analysis of the results was performed. Results The study group included a total of 13,513 reverse shoulder arthroplasty procedures. The total number of complications was 1647 (rate 12.1%). The most common complication was dislocation (340 cases, rate 2.5%). Forty-six studies reported a total of 188 intraoperative fractures among the complications (rate 1.4%). The intraoperative fracture rate was 2.9% and 13.6% in primary and revision settings, respectively. There were 136 humeral fractures, 60% of them occurred in revision RSAs, during the removal of the previous implant, and involved the shaft in the majority of cases (39%). Glenoid fractures were 51 and occurred mostly during the reaming of the glenoid. We observed 7 further related complications (rate of 4%) and 3 reoperations (rate of 1.5%). The outcome was satisfactory in the majority of cases. Conclusions A comprehensive review on intraoperative fractures in reverse shoulder arthroplasties is presented. Results suggest favorable outcomes for all treatment methods, with a modest further complication rate. This investigation may aid in the treatment decision-making for these complications.

show abstract

Treatment of proximal humeral fractures by reverse shoulder arthroplasty: Mid-term evaluation of functional results and Notching

Cited by 3 publications

References 23 publications

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Safety and Effectiveness of Shoulder Arthroplasties in Spain: A Systematic Review

Reverse shoulder arthroplasty in 3 and 4 part proximal humeral fractures in patients aged more than 65 years: Results and complications

Complications and Intraoperative Fractures in Reverse Shoulder Arthroplasty: A Systematic Review

Contact Info

Product

Resources

About