Outcome of geriatric proximal humeral fractures: a comparison between reverse shoulder arthroplasty versus open reduction and internal fixation

ObjectivesIn view of the increased attention to reverse shoulder arthroplasty (rTSA) as a treatment for complex proximal humeral fractures in the elderly, the present study analyzes in-hospital complications and the postoperative management of rTSA versus open reduction and internal fixation (ORIF)....

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Published in:OTA international : the open access journal of orthopaedic trauma 2022-04, Vol.5 (2S), p.e188-e188
Main Authors: Ott, Nadine, Müller, Carolin, Jacobs, Andreas, Paul, Christian, Wegmann, Kilian, Müller, Lars Peter, Kabir, Koroush
Format: Article
Language:English
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Summary:ObjectivesIn view of the increased attention to reverse shoulder arthroplasty (rTSA) as a treatment for complex proximal humeral fractures in the elderly, the present study analyzes in-hospital complications and the postoperative management of rTSA versus open reduction and internal fixation (ORIF). MethodsWe retrospectively reviewed patients hospitalized from 2016 to 2018 for proximal humeral fractures (ICD-9 codes: S42.21), III- and IV-part, who underwent an ORIF with locking plates, rTSA or nonoperative treatment. In-hospital complications and postoperative management in both groups were included in the analysis. ResultsWe included n 190 patients (ORIF 90, rTSA 71, nonoperative 29), more likely to be female (82.1% vs 17.9%; P 
ISSN:2574-2167
2574-2167
DOI:10.1097/OI9.0000000000000188