INITIAL RESULTS OF REVERSE TOTAL SHOULDER ARTHROPLASTY FOR COMPLEX FRACTURE OF THE PROXIMAL HUMERUS

Trọng Tấn Lê1,, Hồng Thiên Khanh Bùi 1,2, Đình Triết Dương 1, Văn Thạnh Nguyễn2
1 University of Medicine and Pharmacy at Ho Chi Minh City hospital
2 University of Medicine and Pharmacy at Ho Chi Minh City

Main Article Content

Abstract

Introduction: The complex proximal humerus fracture, especially in elderly patients, is the challenge for orthopedic surgeons. In case of comminuted fracture, bone loss, osteoporosis, dislocation or rotator cuff injury, open reduction and internal fixation of proximal humerus fracture is relatively difficult and faces the high risk of failure. Reverse shoulder arthroplasty with more biomechanical advantages, has emerged as a surgical treatment option in such cases. Method and subjects:  Case series were diagnosed complex proximal humerus fracture in patients over 60 years old and underwent reverse total shoulder arthroplasty. Result: We report a case series of 5 patients from 04/2021 to 08/2022. The mean operative time was 98,6±24,2 minutes. The follow-up time was from 4 to 20 months. Mean Constant’s score was 65,5±6,1. Mean ASES score was 68±4,8. Most patients reported mild pain or no pain according to the VAS scale. No complications or failures related to surgery have been reported. Conclusion: Reverse total shoulder arthroplasty may be a safe and effective option for complex proximal humerus fracture.

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References

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