Rapidly destructive arthropathy of shoulder joint.

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Abstract

[Indexed for MEDLINE] 14. Eur J Orthop Surg Traumatol. 2023 Jul;33(5):1581-1589. doi: 10.1007/s00590-022-03313-z. Epub 2022 Jun 27. Shoulder arthroplasty for proximal humeral fracture treatment: a retrospective functional outcome analysis. Weber S(1), Grehn H(1), Hutter R(1), Sommer C(2), Haupt S(3)(4). Author information: (1)Department of Orthopaedics, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland. (2)Department of Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland. (3)Department of Orthopaedics, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland. samuelhaupt@gmail.com. (4)Department of Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland. samuelhaupt@gmail.com. PURPOSE: Following proximal humeral fractures hemiarthroplasty (HA) or reversed total shoulder arthroplasty (rTSA) are performed if osteosynthesis or conservative treatment is not possible. HA has been reported to result in decreased functional outcomes compared with rTSA. Secondary shoulder arthroplasty, performed after a different initial treatment, has also been associated with inferior outcomes. METHODS: Patients recieving a shoulder arthroplasty related to a proximal humeral fracture from 2010 to 2019 were included. A retrospective analysis of functional outcomes was performed using QuickDASH and subjective shoulder value (SSV). RESULTS: The mean [standard deviation (SD)] follow-up time among the 82 included patients was 48 (28) months. The mean age was 70 (10) years. The mean age for HA was significantly different from rTSA [57 (9) and 72 (21) years; p