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Reverse shoulder arthroplasty for the management of proximal humerus fractures.

Publication ,  Journal Article
Jobin, CM; Galdi, B; Anakwenze, OA; Ahmad, CS; Levine, WN
Published in: J Am Acad Orthop Surg
March 2015

The use of reverse shoulder arthroplasty is becoming increasingly popular for the treatment of complex three- and four-part proximal humerus fractures in the elderly compared with the often unpredictable and poor outcomes provided by open reduction and internal fixation and by hemiarthroplasty. Inferior results with plate osteosynthesis are often a result of complications of humeral head osteonecrosis, loss of fixation, and screw penetration through the humeral head, whereas major concerns with hemiarthroplasty are tuberosity resorption, malunion, and nonunion resulting in pseudoparalysis. Comparative studies support the use of reverse shoulder arthroplasty in elderly patients with complex proximal humerus fractures because the functional outcomes and relief of pain are reliably improved. Repair and union of the greater tuberosity fragment during reverse shoulder arthroplasty demonstrates improved external rotation, clinical outcomes, and patient satisfaction compared with outcomes after tuberosity resection, nonunion, or resorption. Satisfactory results can be obtained with careful preoperative planning and attention to technical details.

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Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

March 2015

Volume

23

Issue

3

Start / End Page

190 / 201

Location

United States

Related Subject Headings

  • Shoulder Joint
  • Shoulder Fractures
  • Range of Motion, Articular
  • Patient Satisfaction
  • Orthopedics
  • Humans
  • Fracture Fixation, Internal
  • Bone Screws
  • Arthroplasty, Replacement
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Jobin, C. M., Galdi, B., Anakwenze, O. A., Ahmad, C. S., & Levine, W. N. (2015). Reverse shoulder arthroplasty for the management of proximal humerus fractures. J Am Acad Orthop Surg, 23(3), 190–201. https://doi.org/10.5435/JAAOS-D-13-00190
Jobin, Charles M., Balazs Galdi, Oke A. Anakwenze, Christopher S. Ahmad, and William N. Levine. “Reverse shoulder arthroplasty for the management of proximal humerus fractures.J Am Acad Orthop Surg 23, no. 3 (March 2015): 190–201. https://doi.org/10.5435/JAAOS-D-13-00190.
Jobin CM, Galdi B, Anakwenze OA, Ahmad CS, Levine WN. Reverse shoulder arthroplasty for the management of proximal humerus fractures. J Am Acad Orthop Surg. 2015 Mar;23(3):190–201.
Jobin, Charles M., et al. “Reverse shoulder arthroplasty for the management of proximal humerus fractures.J Am Acad Orthop Surg, vol. 23, no. 3, Mar. 2015, pp. 190–201. Pubmed, doi:10.5435/JAAOS-D-13-00190.
Jobin CM, Galdi B, Anakwenze OA, Ahmad CS, Levine WN. Reverse shoulder arthroplasty for the management of proximal humerus fractures. J Am Acad Orthop Surg. 2015 Mar;23(3):190–201.

Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

March 2015

Volume

23

Issue

3

Start / End Page

190 / 201

Location

United States

Related Subject Headings

  • Shoulder Joint
  • Shoulder Fractures
  • Range of Motion, Articular
  • Patient Satisfaction
  • Orthopedics
  • Humans
  • Fracture Fixation, Internal
  • Bone Screws
  • Arthroplasty, Replacement
  • 3202 Clinical sciences