ArticleJSES international2020
Low risk of revision after reverse shoulder arthroplasty for acute proximal humeral fractures.
Article in JSES international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Reverse Total Shoulder Arthroplasty for Failed Osteosynthesis in Proximal Humerus Fractures: Outcomes and Challenges.Cureus · 2026Article
- Short-term outcomes of reverse total shoulder arthroplasty for proximal humerus fractures in patients under 70 versus patients 70 and over.JSES international · 2025Article
- Revision of reverse shoulder arthroplasty by indication : a National Joint Registry study.Bone & joint open · 2025Article
- Complications following reverse total shoulder arthroplasty for proximal humeral fractures: a systematic review.JSES reviews, reports, and techniques · 2025Review
- Cemented Versus Uncemented Reverse Shoulder Arthroplasty Treatment of Proximal Humerus Fractures: National Shoulder Arthroplasty Data from Türkiye.Clinics in orthopedic surgery · 2024Article
- Reverse total shoulder arthroplasty for proximal humerus fracture: tuberosity repair technique.JSES reviews, reports, and techniques · 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
- Contralateral preoperative templating for fracture reverse total shoulder arthroplasty: technique article and case series.JSES reviews, reports, and techniques · 2023Article
- Shoulder arthroplasty for proximal humeral fracture treatment: a retrospective functional outcome analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Proximal humerus fracture management and outcomes are distinctly different for individuals 60 years of age or younger: a systematic review.JSES reviews, reports, and techniques · 2023Article
- Revision Rates and Associated Risk Factors after Shoulder Arthroplasty.Journal of clinical medicine · 2022Article
- Epidemiology and trends in management of acute proximal humeral fractures in adults: an observational study of 137,436 cases from the Danish National Patient Register, 1996-2018.Acta orthopaedica · 2022Observational
- [Current trends in reverse fracture arthroplasty].Unfallchirurgie (Heidelberg, Germany) · 2022Review
- How age and gender influence proximal humerus fracture management in patients older than fifty years.JSES international · 2022Article
- No change in reoperation rates despite shifting treatment trends: a population-based study of 4,070 proximal humeral fractures.Acta orthopaedica · 2021Article
- Effectiveness of reverse total shoulder arthroplasty for primary and secondary fracture care: mid-term outcomes in a single-centre experience.BMC musculoskeletal disorders · 2021Article
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReverse shoulder arthroplasty (RSA) has gained popularity in the treatment of proximal humeral fractures (PHFs), especially in elderly patients. The purpose of this study was to investigate the use of RSA implants for acute PHFs and risk of revision, as well as risk factors for revision.
methodsRSA implants for acute PHFs were identified from the Nordic Arthroplasty Register Association registry data from 2004 to 2016. Kaplan-Meier survival analysis was used to calculate implant survival. Cox multiple regression analysis was used to calculate the adjusted revision rate for sex, age, country of operation, and year of surgery.
resultsThe study included 1523 RSA implants for PHFs (84% women; average age, 77 years; average follow-up time, 2.5 years). The 5-year cumulative implant survival rate was 97% (confidence limits, 95.5% and 98%). Revision was performed for 33 implants (2%). The most common reason for revision was instability, occurring in 11 cases (0.7%), followed by fracture, occurring in 6 (0.4%), and infection, occurring in 5 (0.3%). Four different arthroplasty brands were used in this cohort, with the Delta Xtend in two-thirds of cases (n = 1025). Age younger than 60 years and male sex were associated with slightly higher rates of revision; however, these differences did not reach statistical significance (hazard ratio of 2.02 with
conclusionThe use of RSA for acute PHFs is increasing in the Nordic countries. The short-term risk of revision is low. The main reason for revision of RSA for this indication is instability.
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