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

Autor: Nadine Ott, MD, Carolin Müller, Andreas Jacobs, Prof. MD, Christian Paul, MD, Kilian Wegmann, Prof. MD, Lars Peter Müller, Prof. MD, Koroush Kabir, Prof. MD
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: OTA International, Vol 5, Iss 2S, p e188 (2022)
Druh dokumentu: article
ISSN: 2574-2167
00000000
DOI: 10.1097/OI9.0000000000000188
Popis: Abstract. Objectives:. In 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). Methods:. We 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. Results:. We included n 190 patients (ORIF 90, rTSA 71, nonoperative 29), more likely to be female (82.1% vs 17.9%; P
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