Article Sidebar

PDF
Date Published: 12/04/2023
Abstract Views: 335
Views PDF: 188
DOI: https://doi.org/10.51298/vmj.v525i1A.4935
Issue
Vol. 525 No. 1A (2023)
Section
Các bài báo
How to Cite
Lê, T. T. ., Bùi , H. T. K. ., Dương , Đình T., & Nguyễn, V. T. (2023). INITIAL RESULTS OF REVERSE TOTAL SHOULDER ARTHROPLASTY FOR COMPLEX FRACTURE OF THE PROXIMAL HUMERUS. Vietnam Medical Journal, 525(1A). https://doi.org/10.51298/vmj.v525i1A.4935

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.

Article Details

Keywords

proximal humerus fracture, reverse total shoulder arthroplasty

References

1. Brent Mollon, Siddharth A. Mahure, Christopher P. Roche. Impact of scapular notching on clinical outcomes after reverse total shoulder arthroplasty: an analysis of 476 shoulders, Journal of shoulder and elbow, 2017.
2. Critchley O, McLean A, Page R. Reverse total shoulder arthroplasty compared to stemmed hemiarthroplasty for proximal humeral fractures: A registry analysis of 5946 patients, J Shoulder Elbow Surg, 2020.
3. Pascal Boileau, Tjarco D. Alta, Lauryl Decroocq et al. Reverse shoulder arthroplasty for acute fractures in the elderly: is it worth reattaching the tuberosities? Joulnal of Shoulder and Elbow Surgery. 2019.
4. Peng-fei Han, Su Yang, Yue-peng Wang et al, Reverse shoulder arthroplasty vs. hemiarthroplasty for the treatment of osteoporotic proximal humeral fractures in elderly patients: A systematic review and meta-analysis update. Experimental and therapeutic medicine. 2022
5. Repetto I, Alessio-Mazzola M, Cerruti P, Sanguineti F, Formica M, Felli L et al. Surgical management of complex proximal humeral fractures: pinning, locked plate and arthroplasty: clinical results and functional outcome on retrospective series of patients. Musculoskelet Surg, 2017.
6. Taylor A. VanHelmond, Hari Iyer, Brandon E. Lung et al. Clinical outcomes following reverse total shoulder arthroplasty with tuberosity excision for treatment of proximal humerus fractures: a case series. JSES Reviews, Reports, and Techniques. 2020.
7. Xu Tian, Ming Xiang, Guangyu Wand et al. Treatment of Complex Proximal Humeral Fractures in the Elderly with Reverse Shoulder Arthroplasty.Orthopaedic Surgery. 2020.