Hemiarthroplasty versus reverse shoulder arthroplasty: comparative study of functional and radiological outcomes in the treatment of acute proximal humerus fracture

Baudi, Paolo; Campochiaro, Gabriele; Serafini, Fabio; Gazzotti, Gabriele; Matino, Giovanni; Rovesta, Claudio; Catani, Fabio

doi:10.1007/s12306-014-0322-3

Cited by 73 publications

(49 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Seven studies [4,12,14,[22][23][24][25] reported the total complications, including: resorption or dislocation of the tuberosity, transitory axillary palsy, reflex sympathetic dystrophy that responded to medical treatment, superficial infection, deep infection, postoperative hematoma, apical pneumothorax, pulmonary embolism and so on. As is computed, an overall complication rate of 22.22 % (24/108) was observed in the HA group and 8.57 % (9/105) in the RSA group.…”

Section: Clinical and Radiographic Assessmentmentioning

confidence: 99%

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

Wang

Zhu

Zhang

et al. 2015

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

Section: Clinical and Radiographic Assessmentmentioning

confidence: 99%

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

Wang

Zhu

Zhang

et al. 2015

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…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.…”

Section: Resultsmentioning

confidence: 99%

“…13 The tuberosities were reattached in six studies. 13,14,17,[20][21][22] In two 14,21 of those studies, a technique described by Boileau et al 10 was used for tuberosity reconstruction. In this technique, heavy (no.…”

Section: Resultsmentioning

confidence: 99%

“…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).…”

Section: Discussionmentioning

confidence: 99%

“…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).…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

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

Borade¹,

Familiari²,

Choi³

et al. 2017

Journal of Postgraduate Medicine, Education and Research

View full text Add to dashboard Cite

The optimal treatment of proximal humerus fractures is debated; however, reverse total shoulder arthroplasty (RTSA) has become increasingly popular as the primary treatment. We systematically reviewed the PubMed, EMBASE, and Scopus databases to identify English-language clinical studies (evidence levels I through IV) comparing the results of RTSA with those of hemiarthroplasty (HA) for the treatment of acute proximal humerus fractures. We evaluated the following outcomes: Range of motion, patient-reported outcome measures (including pain relief), and complications. We identified eight published studies comparing RTSA with HA for treatment of acute proximal humerus fractures. The RTSA group (180 patients) showed significantly better postoperative pain relief, active anterior elevation, Constant-Murley scores, and American Shoulder and Elbow Surgeons (ASES) scores compared with the HA group (439 patients; all p < 0.05). There were no significant differences between the two groups for overall complications (RTSA, 11.8% vs HA, 20.8%), infections (2% for both groups), dislocations (RTSA, 0% vs HA, 2.5%), or nerve injury (RTSA, 1% vs HA, 2.8%). Scapular notching occurred in 15.8% of RTSA cases (grade I, 53%; grade II, 32%; grade III, 16%; and grade IV, 0%). In the treatment of acute proximal humerus fractures, RTSA provided better pain relief, postoperative anterior elevation, and outcome scores after surgery compared with HA and had similar complication rates.

show abstract

Interventions for treating proximal humeral fractures in adults

Handoll

Elliott

Thillemann

et al. 2022

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Analysis 1.11. Comparison 1 Early mobilisation (within or up to 1 week) versus immobilisation for 3 or 4 weeks, Outcome 11 Changes in pain intensity (mm) from baseline: 100 mm visual analogue scale (positive change = less pain). . Analysis 1.12. Comparison 1 Early mobilisation (within or up to 1 week) versus immobilisation for 3 or 4 weeks, Outcome 12 Range of motion at 6 months (degrees): difference between two shoulders. . . . . . . . . . . . . Analysis 1.13. Comparison 1 Early mobilisation (within or up to 1 week) versus immobilisation for 3 or 4 weeks, Outcome

show abstract

Hemiarthroplasty versus reverse shoulder arthroplasty: comparative study of functional and radiological outcomes in the treatment of acute proximal humerus fracture

Abstract: Reverse shoulder arthroplasty indication is steadily increasing in acute displaced proximal humeral fracture. Pain and articular movement results appear better than those with hemiarthroplasty. Our data are similar to the international literature.

Cited by 73 publications

References 32 publications

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

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

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

Interventions for treating proximal humeral fractures in adults

Contact Info

Product

Resources

About