Reverse shoulder replacement versus hemiarthroplasty for proximal humeral fracture in elderly patients: a systematic review.

Autor: Vall M; Hospital General de Granollers, Barcelona, Spain.; Universitat Autònoma de Barcelona, Campus Bellaterra, Cerdanyola del Vallès, Barcelona, Spain., Natera L; Hospital General de Granollers, Barcelona, Spain.; The Reading Shoulder Unit, Berkshire Independent Hospital, Reading, UK., Witney-Lagen C; University Hospitals Sussex NHS Foundation Trust, Brighton, UK., Imam MA; Ashford and St Peters NHS FT, Chertsey, UK.; Fortius Clinic, London, UK.; Smart Health Unit, University of East London, London, UK., Narvani AA; Ashford and St Peters NHS FT, Chertsey, UK.; Fortius Clinic, London, UK., Sforza G; The Reading Shoulder Unit, Berkshire Independent Hospital, Reading, UK., Levy O; The Reading Shoulder Unit, Berkshire Independent Hospital, Reading, UK.; Orthopaedic Department, Barzilai Medical Centre, Ashkelon, Israel.; Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel., Relwani J; East Kent Hospitals University NHS Foundation Trust, Ashford, Margate and Canterbury, UK., Consigliere P; The Reading Shoulder Unit, Berkshire Independent Hospital, Reading, UK. paolo.consigliere@nhs.net.; East Kent Hospitals University NHS Foundation Trust, Ashford, Margate and Canterbury, UK. paolo.consigliere@nhs.net.
Jazyk: angličtina
Zdroj: Musculoskeletal surgery [Musculoskelet Surg] 2022 Dec; Vol. 106 (4), pp. 357-367. Date of Electronic Publication: 2022 Aug 16.
DOI: 10.1007/s12306-022-00761-y
Abstrakt: This systematic review of the literature aims to analyse current knowledge to inform choice between hemiarthroplasty (HA) and reverse total shoulder arthroplasty (rTSA) for managing proximal humerus fractures (PHF) in elderly patients; the aim is to understand if rTSA can be considered the gold standard for treating PHF in the elderly when surgical fixation or conservative treatment is not viable options. Studies reporting outcomes and complications of PHF treated with shoulder arthroplasty in the elderly were included. Studies were in English and published after 2008. Evidence levels I, II, III and IV were included. According to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a comprehensive literature search was conducted using Medline, CINAHL (Cumulative Index to Nursing and Allied Health Literature) and PubMed search engines, as well as the Cochrane Central Register of Controlled Trials. General data collected were study design, number of patients treated with HA and rTSA, age of patients (mean, mean and SD, mean and range), length of follow-up, type of implant, and clinical outcomes. rTSA can be regarded as the gold standard for surgical management of displaced 3 and 4-part fractures in the elderly. However, the literature offers mostly low-quality studies, thereby requiring further work to achieve a full understanding of this important topic.
(© 2022. The Author(s), under exclusive licence to Istituto Ortopedico Rizzoli.)
Databáze: MEDLINE
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