Functional outcomes of reverse shoulder arthroplasty compared with hemiarthroplasty for acute proximal humeral fractures

Meta-analysis suggests that reverse shoulder arthroplasty in proximal humerus fractures is a better option than hemiarthroplasty in the elderly

“…5). Two [13,14] of the eight articles provided detailed information on tuberosity healing status. The rate of healed tuberosity in RSA group was obviously higher than that of the HA group (83.67 % vs 47.06 %).…”

“…2b and 3b) was initially best indicated for rotator cuff and its indications have been widened to complex proximal humeral fractures. Although better function-especially with tuberosity healing status-was predictably provided, some complications were still unavoidable [12][13][14][15][16][17][18].…”

Comparison of Reverse Total Shoulder Arthroplasty vs Hemiarthroplasty for Acute Fractures of the Proximal Humerus: Systematic Review

“…The remainder were two-part fractures. A deltopectoral approach was used in six studies, 14,[17][18][19][20]22 and either a superolateral or deltopectoral approach was used in two studies. 13,21 The greater and lesser tuberosities were excised in one study.…”

“…The ASES score was used in five studies, 17,[19][20][21][22] the DASH in three studies, 13,14,18 the absolute Constant-Murley score in three studies, 13,14,18 the modified Constant-Murley score in two studies, 14,18 and the SST in two studies. 19,20 Reverse total shoulder arthroplasty was more effective than HA in alleviating pain ( Table 2).…”

“…Of these, eight compared RTSA with HA for the treatment of acute proximal humerus fractures. 13,14,[17][18][19][20][21][22] These eight studies reported 180 patients treated with RTSA and 439 patients treated with HA. One study was a prospective, blinded, randomized controlled trial (level I), 14 and one was a prospective, nonrandomized study (level II).…”