My Shoulder is on Backwards?! Reverse Total Shoulder Arthroplasty vs Hemi- Arthroplasty in Complex Humeral Fractures of Elderly
Faculty Advisor Name
Dr. Abby Massey
Department
Department of Health Professions
Description
Objective: This systematic review compares clinical outcomes (mainly the Constant score) of hemiarthroplasty and reverse total shoulder arthroplasty in complex proximal humerus fractures of elderly patients.
Methods: Pubmed was used as a search engine, focusing on randomized control trials that compared hemiarthroplasty to reverse total shoulder arthroplasty. Three studies were included.
Results: Reverse total shoulder arthroplasty had greater Constant scores than hemiarthroplasty with an average of 56.9 and 43.1, respectively. Specifically, reverse total shoulder arthroplasty outperformed hemiarthroplasty for range of motion in shoulder flexion and abduction.
Conclusion: In the case of a complex proximal humerus fracture of an elderly patient, reverse total shoulder arthroplasty has more favorable clinical outcomes than hemiarthroplasty.
My Shoulder is on Backwards?! Reverse Total Shoulder Arthroplasty vs Hemi- Arthroplasty in Complex Humeral Fractures of Elderly
Objective: This systematic review compares clinical outcomes (mainly the Constant score) of hemiarthroplasty and reverse total shoulder arthroplasty in complex proximal humerus fractures of elderly patients.
Methods: Pubmed was used as a search engine, focusing on randomized control trials that compared hemiarthroplasty to reverse total shoulder arthroplasty. Three studies were included.
Results: Reverse total shoulder arthroplasty had greater Constant scores than hemiarthroplasty with an average of 56.9 and 43.1, respectively. Specifically, reverse total shoulder arthroplasty outperformed hemiarthroplasty for range of motion in shoulder flexion and abduction.
Conclusion: In the case of a complex proximal humerus fracture of an elderly patient, reverse total shoulder arthroplasty has more favorable clinical outcomes than hemiarthroplasty.
