Reosteosynthese vs. Prothese nach fehlgeschlagener Humeruskopfosteosynthese

Outcomes and revision rates of primary vs. secondary reverse total shoulder arthroplasty for proximal humeral fractures

“…Owing to its complexity, the operative treatment of PHF remains a surgical challenge. Consequently, high complication rates have been reported, especially for humeral head-preserving fracture fixation in elderly patients [1][2][3][4]10].…”

“…The functional success of anatomic fracture arthroplasty is related to the correct ingrowth of the tuberosities [7,8]. In the case of rotator cuff insufficiency or fatty degeneration of the muscles, reversed fracture arthroplasty is an alternative option [9,10]. Because of tuberosity-related complications with anatomic hemiarthroplasty, primary reverse total shoulder arthroplasty (RSA) is increasingly recommended as a surgical treat-ment option for elderly patients with displaced PHF [9,11].…”