Article entitled ¿reverse shoulder arthroplasty for proximal humeral fractures: better clinical midterm outcome after primary reverse arthroplasty versus secondary reverse arthroplasty after failed orif in the elderly "written by nadine ott, md, kilian wegmann, md, lena george, christian paul, md, and koroush kabir published by sciencedirect on 02/03/2021 was reviewed.This study has analyzed the outcomes of patients with primary reverse arthroplasty and after secondary reverse arthroplasty for failed osteosynthesis.The authors retrospectively reviewed 57 patients with an average age of 76 years from 2010 and 2015 who underwent primary rtsa (30) and secondary rtsa after the failure of plate osteosynthesis (27) after proximal humeral fractures.The functional outcome of the operated shoulder was evaluated by clinical scores, range of motion (rom), pain and activity level.Reverse shoulder arthroplasty is an effective treatment for proximal humeral fractures as primary or revision surgery.The reliable clinical outcome especially in the follow-up to 40 months after primary reverse arthroplasty may suggest to prefer rtsa for complex humeral fractures in the elderly the study looked at rom issues, pain, and activity level.The complications noted during the study included: 1: periprosthetic infection, 1 dislocation.Both were treated with a revision surgery, the implant remained in place open debridement, septic solution and exchange of all mobile components.An exchange of inlay was needed to stabilize the joint.After secondary: periprosthetic infection treated with revision (2), hematoma (1) and a nerve lesion (1).
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