Reverse total shoulder arthroplasty provides better shoulder function than hemiarthroplasty for displaced 3- and 4-part proximal humeral fractures in patients over 70 years of age: a multicenter randomized controlled trial
Journal of Shoulder and Elbow Surgery Dec 10, 2020
Jonsson EO, Ekholm C, Salomonsson B, et al. - Between September 2013 and May 2016, researchers designed a multicenter, randomized controlled trial including individuals over 70 years of age with displaced 3- or 4-part proximal humeral fractures. In this study, 99 patients were assigned randomly to reverse total shoulder arthroplasty (rTSA) (48 patients) and HA (51 patients). For analysis, 15 individuals were lost to follow-up, leaving 41 rTSA and 43 hemiarthroplasties (HAs) patients. This study’s findings revealed that rTSA gives better shoulder function than HA as assessed with the Constant score, further emphasized by rTSA patients being more satisfied with their shoulder function. The variation seems to be mainly due to a better range of motion (abduction and flexion) in the rTSA group. The outcomes also demonstrate that individuals over 80 years of age benefit less from an rTSA than patients between 70 and 79 years of age.
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