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Decreased reoperations and improved outcomes with reverse total shoulder arthroplasty in comparison to hemiarthroplasty for geriatric proximal humerus fractures: A systematic review and meta-analysis

Journal of Orthopaedic Trauma Dec 22, 2018

Austin DC, et al. - Researchers analyzed 913 elders (mean age 65 years or older) who were given reverse total shoulder arthroplasty (RSA) or hemiarthroplasty (HA) to treat an acute proximal humerus fracture and had a minimum follow-up of 6 months to compare the range of motion, clinical outcome scores, and complications after RSA and HA. They observed the RSA group had significantly improved the pain scores, outcome scores, and forward flexion whereas the HA group had a significant increment in the risk of reoperation. No differences were found between the 2 groups regarding the external rotation or deep infection.
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