ArticleActa orthopaedica2020
Patients undergoing shoulder arthroplasty for failed nonoperative treatment of proximal humerus fracture have low implant survival and low patient-reported outcomes: 837 cases from the Danish Shoulder Arthroplasty Registry.
Article in Acta orthopaedica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 20 citations in OpenAlex.
- Reverse shoulder arthroplasty following failed rotator cuff repair: A systematic review and meta-analysis.Shoulder & elbow · 2024Review
- Does primary treatment of proximal humerus fractures show favourable functional outcomes over secondary treatment with reverse shoulder arthroplasty?Shoulder & elbow · 2024Article
- Patient-Reported Outcome Measures in High-Risk Medical Device Registries: A Scoping Review.Aesthetic surgery journal. Open forum · 2024Article
- What is the middle term survival of reverse shoulder arthroplasty? A retrospective observational registry-based study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Observational
- Response rates in clinical quality registries and databases that collect patient reported outcome measures: a scoping review.Health and quality of life outcomes · 2023Article
- Two-day staged bilateral reverse shoulder arthroplasty for traumatic proximal humerus fractures: a case report.JSES reviews, reports, and techniques · 2023Article
- A Comparison of Complications and Survivorship after Reverse Total Shoulder Arthroplasty for Proximal Humerus Fracture compared with Cuff Tear Arthropathy.The archives of bone and joint surgery · 2023Article
- Article
- Failed Reverse Total Shoulder Arthroplasty: What Are Our Bailouts?Current reviews in musculoskeletal medicine · 2021Review
- An update on reverse total shoulder arthroplasty: current indications, new designs, same old problems.EFORT open reviews · 2021Review
- Use of a 5-item modified Fragility Index for risk stratification in patients undergoing surgical management of proximal humerus fractures.JSES international · 2021Article
- High Completeness and Accurate Reporting of Key Variables Make Data from the Danish Shoulder Arthroplasty Registry a Valuable Source of Information.Clinical epidemiology · 2021Article
- The initial treatment of complex proximal humerus fracture affects the outcome of revision with reverse shoulder arthroplasty.International orthopaedics · 2020Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - When nonoperative treatment of proximal humerus fracture (PHF) fails, shoulder arthroplasty may be indicated. We investigated risk factors for revision and evaluated patient-reported outcome 1 year after treatment with either stemmed hemiarthroplasty (SHA) or reverse total shoulder arthroplasty (RTSA) after previous nonoperative treatment of PHF sequelae.Patients and methods - Data were derived from the Danish Shoulder Arthroplasty Registry and included 837 shoulder arthroplasties performed for PHF sequelae between 2006 and 2015. Type of arthroplasty, sex, age, and surgery period were investigated as risk factors. The Western Ontario Osteoarthritis of the Shoulder index (WOOS) was used to evaluate patient-reported outcome (0-100, 0 indicates worst outcome). Cox regression and linear regression models were used in the statistical analyses.Results - 644 patients undergoing SHA and 127 patients undergoing RTSA were included. During a mean follow-up of 3.7 years, 48 (7%) SHA and 14 (11%) RTSA were revised. Men undergoing RTSA had a higher revision rate than men undergoing SHA (hazard ratio [HR] 6, 95% confidence interval [CI] 2-19). 454 (62%) patients returned a complete WOOS questionnaire. The mean WOOS score was 53 for SHA and 53 for RTSA. Patients who were 65 years or older had a better WOOS score than younger patients (mean difference 7, CI 1-12). Half of patients had WOOS scores below 50.Interpretation - Shoulder arthroplasty for PHF sequelae was associated with a high risk of revision and a poor patient-reported outcome. Men treated with RTSA had a high risk of revision.
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