Acta Orthopaedica et Traumatologica Turcica
Research Articles

Reverse total shoulder arthroplasty for failed treatment of proximal humerus fractures

1.

Department of Orthopedics and Traumatology, Acıbadem Maslak Hospital, İstanbul, Turkey

2.

Department of Orthopedics and Traumatology, Acıbadem Mehmet Ali Aydınlar University, School of Medicine, İstanbul, Turkey

3.

Department of Orthopedics and Traumatology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey

4.

Department of Orthopedics and Traumatology, Ortogrup Clinic, Adana, Turkey

AOTT 2021; 55: 480-485
DOI: 10.5152/j.aott.2021.20387
Read: 588 Downloads: 80 Published: 02 November 2021

Objective: The aim of this study was to evaluate the functional and radiological outcomes and complications of reverse total shoulder arthroplasty (RTSA) for failed treatment of proximal humerus fractures (FTPHF).

Methods: In this retrospective study, 20 patients (17 female, 3 male; mean age = 71.35 years; age range = 54-81 years) who underwent RTSA for FTPHF between 2012 and 2018 were included. The mean follow-up was 37.85 (range: 24-83) months. Outcome measures included shoulder range of motion, Constant score, ASES (American Shoulder and Elbow Surgeons) score, visual analog scale (VAS). Intra-or post-operative complications were also recorded.

Results: The mean anterior flexion and external rotation improved from 37.25°±10.59° and 11.05°±4.79° preoperatively to 105.53° ± 9.33 and 22.37° ± 4.12° postoperatively, respectively (P < 0.01 for both). The mean Constant and ASES scores ameliorated from 21.95 ± 3.57 and 18.15 ± 4.69 preoperatively to 61.7 ± 7.6 and 71.18 ± 4.69 at the final follow-up, respectively (P < 0.01 for both). VAS significantly reduced from 6.83 ± 2.04 preoperatively to 1.79 ± 0.61 at the final follow-up (P < 0.01). None of the patients had major complications or required revision.

Conclusion: Treatment with the RTSA for the FTPHF seems to be an effective treatment method that can provide satisfactory radiological and functional outcomes with low complication rates.

Level of Evidence: Level IV, Therapeutic Study

Cite this article as: Karademir G, Tunalı O, Erşen A, Akpınar S, Atalar AC. Reverse total shoulder arthroplasty for failed treatment of proximal humerus fractures. Acta Orthop Traumatol Turc 2021; 55(6): 480–485.

Files
ISSN 1017-995X EISSN 2589-1294