Abstract | BACKGROUND: The purpose of this study was to review the survivorship, radiologic and clinical outcomes of reverse shoulder arthroplasty (RSA) used for the treatment of 3-part and 4-part proximal humeral fractures in the elderly. METHODS: Between 2003 and 2009, 29 shoulders in 28 elderly patients (87% female) with a 3-part or 4-part fractures were managed with RSA in Brisbane, Australia. Clinical and radiologic outcomes of this continuous cohort were retrospectively reviewed at an average follow-up of 54.9 months. Average age at surgery was 79 years. Survivorship and radiologic outcome assessment for all patients was undertaken. Seven patients died, and 1 was unavailable for clinical review, leaving 21 shoulders in 20 patients available for clinical review. RESULTS: There were no revisions of the reverse prosthesis. Mean average pain was 2.19 of 100 (standard deviation [SD], 6.97). Mean American Shoulder and Elbow Surgeons score was 89.3 (SD, 13.65). Mean normalized Constant score was 88.03 (SD, 11.24). Grade 1 scapular notching was observed radiologically in 4 shoulders. A scapular spur was observed in 7 shoulders. Class 1 heterotopic ossification was seen in 4 shoulders. Nonprogressive lucent lines were seen in 2 shoulders. Nonprogressive radiolucency was observed around the superior screw in 3 shoulders. No loosening of the glenoid baseplate or of the humeral component was observed. There was 1 complication of an axillary nerve palsy, which spontaneously resolved by 12 months after surgery. CONCLUSION: RSA using the shoulder technique described in this series provides good clinical and radiologic outcomes in elderly patients with 3-part and 4-part fractures.
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Authors | Mark Ross, Ben Hope, Andy Stokes, Susan E Peters, Iain McLeod, Phillip F R Duke |
Journal | Journal of shoulder and elbow surgery
(J Shoulder Elbow Surg)
Vol. 24
Issue 2
Pg. 215-22
(Feb 2015)
ISSN: 1532-6500 [Electronic] United States |
PMID | 25168347
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved. |
Topics |
- Aged
- Aged, 80 and over
- Arthroplasty, Replacement
(adverse effects, methods)
- Bone Screws
- Female
- Follow-Up Studies
- Fractures, Comminuted
(surgery)
- Humans
- Joint Prosthesis
- Male
- Ossification, Heterotopic
(diagnostic imaging)
- Pain Measurement
- Pain, Postoperative
(etiology)
- Radiography
- Retrospective Studies
- Scapula
(diagnostic imaging)
- Shoulder
(diagnostic imaging)
- Shoulder Fractures
(surgery)
- Shoulder Joint
(diagnostic imaging, surgery)
- Survival Rate
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