Reverse total shoulder arhroplasty for the treatment of failed xation in proximal humeral fractures

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dc.contributor.authorGarcía Fernández, Carlos
dc.contributor.authorLópiz Morales, María Yaiza
dc.contributor.authorRizo, Belén
dc.contributor.authorSerrano Mateo, Laura
dc.contributor.authorAlcobía Díaz, Borja
dc.contributor.authorRodríguez González, Alberto
dc.contributor.authorMarco Martínez, Fernando
dc.date.accessioned2024-08-19T08:34:08Z
dc.date.available2024-08-19T08:34:08Z
dc.date.issued2018-09-01
dc.description.abstractBackground: This study evaluates the clinical outcomes in patients with proximal humerus fractures (PHF) treated with reverse total shoulder arthroplasty (RTSA) as a revision procedure for failed fixation that have more than 5 years of follow-up. Materials and methods: This is a retrospective study of 270 RTSA. The inclusion criteria for this study consisted of patients initially treated with either open reduction and plate fixation (ORIF) or fixation using an intramedullary nail (IMN), who were managed with a single-stage revision to a RTSA, and had a minimum of 24 months clinical and radiological follow-up. Six patients with failed fixation of displaced PHF were revised with RTSA. One patient was excluded from the study because she died. Five shoulders were reviewed for the purpose of this study. The patients were evaluated using Constant score, relative Constant score and visual analogue scale for pain. Results: The mean follow-up was 89 months (65-108). The mean absolute Constant score improved from 31, 81 to 44, 2 and the relative Constant score improved from 31,81% to 67,2%. Mean VAS improved from 6, 8 to 2. One patient rated their outcome excellent, 1good, 1 satisfied and 2 poor. Conclusion: RTSA is an appropriate treatment as a revision surgery for failed fixation of PHF. Patients should be adequately warned that they will improve their function but may have complications following this salvage procedure.
dc.description.departmentDepto. de Cirugía
dc.description.facultyFac. de Medicina
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.citationGarcía-Fernández C, Lopiz Y, Rizo B, Serrano-Mateo L, Alcobía-Díaz B, Rodríguez-González A, Marco F. Reverse total shoulder arhroplasty for the treatment of failed fixation in proximal humeral fractures. Injury. 2018 Sep;49 Suppl 2:S22-S26. doi: 10.1016/j.injury.2018.06.042. PMID: 30219143.
dc.identifier.doi10.1016/j.injury.2018.06.042
dc.identifier.essn1879-0267
dc.identifier.issn0020-1383
dc.identifier.officialurlhttps://doi.org/10.1016/j.injury.2018.06.042
dc.identifier.pmid30219143
dc.identifier.relatedurlhttps://www.journals.elsevier.com/injury
dc.identifier.relatedurlhttps://pubmed.ncbi.nlm.nih.gov/30219143/
dc.identifier.urihttps://hdl.handle.net/20.500.14352/107474
dc.issue.numberSupplement 2 , September 201
dc.journal.titleInjury
dc.language.isoeng
dc.page.finalS26
dc.page.initialS22
dc.publisherElsevier
dc.rights.accessRightsrestricted access
dc.subject.cdu616.7-76-089
dc.subject.keywordFailed proximal humeral fixation
dc.subject.keywordReverse shoulder arthroplasty
dc.subject.ucmCiencias Biomédicas
dc.subject.unesco32 Ciencias Médicas
dc.titleReverse total shoulder arhroplasty for the treatment of failed xation in proximal humeral fractures
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number49
dspace.entity.typePublication
relation.isAuthorOfPublicationac13f2b2-91f6-40be-8d94-1b716483e3b1
relation.isAuthorOfPublicatione160ced6-aec8-4bde-9f5f-5d5872dadf87
relation.isAuthorOfPublication.latestForDiscoveryac13f2b2-91f6-40be-8d94-1b716483e3b1
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