Reverse shoulder arthroplasty for acute proximal humeral fractures: Postoperative complications at 7 days, 90 days and 1 year

Noguera, L.; Trigo, Luis; Melero, Víctor Manuel Andía; Santana, Fernando; Torrens, Carlos

doi:10.1016/j.injury.2019.01.002

Cited by 14 publications

(14 citation statements)

References 11 publications

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“… 31 , 47 , 49 In older patients with an American Society of Anesthesiologists (ASA) score of at least 3, Noguera et al reported a significant increase in major complications at the 90-day postoperative mark after RSA for a proximal humerus fracture. 34 In addition, Ezuma et al documented men were 2.38 times more likely to have perioperative and postoperative RSA complications and 10.59 times more likely to return to the operating room for an unplanned reoperation than women even though significantly more women compared with men older than 65 years underwent RSA for proximal humerus fractures. 11 Male patients and patients with multiple comorbidities in the setting of a complex proximal humerus fracture may be at a higher risk of complications with RSA.…”

Section: Discussionmentioning

confidence: 99%

How age and gender influence proximal humerus fracture management in patients older than fifty years

Patel¹,

Wilder²,

Ofa³

et al. 2022

JSES International

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Section: Discussionmentioning

confidence: 99%

How age and gender influence proximal humerus fracture management in patients older than fifty years

Patel¹,

Wilder²,

Ofa³

et al. 2022

JSES International

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“…Many surgeons may also now see it as a possible solution for poor shoulder conditions, which were previously seen as unsolvable [29]. In complex proximal humerus fractures, which represent the third-most common fracture seen in patients aged > 60 years [30], rTSA was found to provide more reproducible function with better recovery, as well as lower revision rates than HA [31,32]. However, recent studies also suggest, that shoulder arthroplasty due to fracture could be associated with more inconsistent outcomes [33,34] and an increased risk of postoperative complications compared with OA and cuff arthropathy [35].…”

Section: Projections As a Function Of Age And Indicationmentioning

confidence: 99%

Projections of Primary and Revision Shoulder Arthroplasty until 2040: Facing a Massive Rise in Fracture-Related Procedures

Klug

Herrmann

Fischer

et al. 2021

JCM

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Although the demand for shoulder arthroplasties has reached its highest number worldwide, there remains a lack of epidemiologic data regarding recent and future trends. In this study, data for all shoulder arthroplasties (hemiarthroplasty, reverse/anatomic shoulder arthroplasty) from the nationwide inpatient statistics of Germany (2010–2019) and population forecasts until 2040 were gathered. A Poisson and a negative binomial approach using monotone B-splines were modeled for all types of prostheses to project the annual number and incidence of primary and revision arthroplasty. Additionally, trends in main indicators were also gathered and expected changes were calculated. Overall, the number of primary shoulder replacements is set to increase significantly by 2040, reaching at least 37,000 (95% CI 32,000–44,000) procedures per year. This trend is mainly attributable to an about 10-fold increased use of fracture-related reverse shoulder arthroplasty in patients over 80 years of age, although the number of procedures in younger patients will also rise substantially. In contrast, hemiarthroplasties will significantly decrease. The number of revision procedures is projected to increase subsequently, although the revision burden is forecast to decline. Using these country-specific projection approaches, a massive increase of primary and revision shoulder arthroplasties is expected by 2040, mainly due to a rising number of fracture-related procedures. These growth rates are substantially higher than those from hip or knee arthroplasty. As these trends are similar in most Western countries, this draws attention to the international issue, of: if healthcare systems will be able to allocate human and financial resources adequately, and if future research and fracture-prevention programs may help to temper this rising burden in the upcoming decades.

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“…Os autores concluíram que a idade é um fator crítico para o sucesso da ARO. 49 Noguera et al 47 avaliaram as complicações associadas à utilização da ARO para tratamento das fraturas proximais do úmero em 103 pacientes com idade superior a 65 anos, com média de 77,3 anos. O percentual total de complicações foi de 25%, sendo 17,4% consideradas simples, e 7,6%, severas.…”

Section: Complicaçõesunclassified

“…A conclusão do estudo foi a de que a média de complicações graves nos pacientes submetidos a ARO para fraturas foi baixa na população idosa. 47 Em uma revisão sistemática e metanálise, Austin et al 50 sugerem que a ARO resulta em melhora da amplitude de movimentos, dos escores de acompanhamento clínico, das taxas de reoperações de todas as causas, e na ausência de diferença nas taxas de infecção quando comparada à HA. Os autores concluem que o uso da ARO para o tratamento das fraturas agudas da extremidade proximal do úmero na população idosa pode levar a um melhor resultado no curto e médio prazos em comparação à HA.…”

Section: Complicaçõesunclassified

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Artroplastia do ombro no tratamento das fraturas da extremidade proximal do úmero: Conceitos atuais

Filho

Amaral

2021

Rev Bras Ortop (Sao Paulo)

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ResumoFraturas complexas da extremidade proximal do úmero, especialmente em idosos, frequentemente necessitam de tratamento cirúrgico artroplástico. Tradicionalmente, a hemiartroplastia (HA) do ombro é o método de escolha, com longa sobrevida do implante, e oferece um ombro indolor, mas com resultados clínicos heterogêneos, relacionados ao correto posicionamento do implante quanto à altura e à versão, além da consolidação anatômica dos tubérculos. Atualmente, a utilização de artroplastias reversas do ombro para o tratamento dessas fraturas vêm aumentando exponencialmente, com melhores resultados funcionais do que as HAs, principalmente quanto à flexão anterior, apesar de a longevidade do implante ainda não ter sido estabelecida. O desenvolvimento de componentes umerais protéticos específicos para o tratamento de fraturas, introduzidos na prática clínica nos últimos anos, levou a resultados clínicos melhores.

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Reverse shoulder arthroplasty for acute proximal humeral fractures: Postoperative complications at 7 days, 90 days and 1 year

Cited by 14 publications

References 11 publications

How age and gender influence proximal humerus fracture management in patients older than fifty years

How age and gender influence proximal humerus fracture management in patients older than fifty years

Projections of Primary and Revision Shoulder Arthroplasty until 2040: Facing a Massive Rise in Fracture-Related Procedures

Artroplastia do ombro no tratamento das fraturas da extremidade proximal do úmero: Conceitos atuais

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