ArticleDeutsches Arzteblatt international2021
The Surgical Treatment of Proximal Humeral Fractures in Elderly Patients.
Article in Deutsches Arzteblatt international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Reverse total shoulder arthroplasty versus locked plate fixation for proximal humeral fractures in the elderly: a systematic review.PloS one · 2025Pooled it
- The replicability of real-world evidence for the surgical treatment of proximal humeral fractures in older patients evaluated using sceptical p-value.Scientific reports · 2026Observational
- How does the level of care change after proximal humeral fracture in older patients? A propensity score matching analysis.European geriatric medicine · 2026Article
- Mortality in patients over 65 with proximal humerus fractures: a systematic review of 414,379 shoulders with meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Review
- Restoring shoulder function after osteoporotic fracture using a novel double-coil rPMS protocol: A case report with functional and radiological follow-up.Trauma case reports · 2026Article
- Treatment and prognosis of proximal humerus fracture in older adults: a retrospective cohort study using health insurance claims database.BMC geriatrics · 2026Article
- The impact of prior level of care on the course of proximal humeral fractures in older patients: an analysis based on health insurance claims data.BMC health services research · 2026Article
- Geriatric-Typical Characteristic Complexes Predict Short-Term Outcome of Proximal Humeral Fractures in Geriatric Patients.Clinical interventions in aging · 2026Article
- Centenarians with proximal humeral fracture.BMC geriatrics · 2025Article
- [Proximal humerus fracture: old and new, established and doubtful, conservative and operative aspects].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- [Endoprosthesis in proximal humerus fractures -What is important?]Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Which Factors Influence the Need for Inpatient Aftercare of Elderly Patients After Hospital Treatment for Proximal Humerus Fractures?Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Treatment of Proximal Humeral Fractures in Older Patients During COVID-19 Pandemic in Germany.Clinical epidemiology · 2025Article
- The VIDIA BONE score as a patient- and fracture-related risk score for the occurrence of fracture sequelae in proximal humerus fractures.BMC musculoskeletal disorders · 2024Article
- Conservative Versus Operative Treatment of Proximal Humerus Fractures in Older Individuals.Deutsches Arzteblatt international · 2024Article
- Valgising angular stable plate fixation in the treatment of multifragmentary proximal humeral fractures in elderly patients.Archives of orthopaedic and trauma surgery · 2024Article
- Factors influencing choice of treatment for proximal humeral fractures elaborated in a Delphi consensus process.Archives of orthopaedic and trauma surgery · 2023Article
- [One-year outcomes after proximal humeral fractures : A risk-adjusted regression analysis of routine data based on 17,322 cases].Chirurgie (Heidelberg, Germany) · 2023Article
- The Incidence of Proximal Humerus Fracture-an Analysis of Insurance Data.Deutsches Arzteblatt international · 2023Article
- Assessment of Complication Risk in the Treatment of Proximal Humerus Fractures: A Retrospective Analysis of 4019 Patients.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe goal of this study is to compare mortality, major adverse events, and complication rates after the surgical treatment of proximal humeral fractures with locked plate fixation (LPF) versus reverse total shoulder arthroplasty (RTSA) in elderly patients.
methodsHealth insurance data from patients aged 65 and above for the period January 2010 to September 2018 were retrospectively evaluated. The median follow-up duration after LPF (40 419 patients) or RTSA (13 552 patients) was 52 months. Hazard ratios adapted to the patients' risk profiles were determined with the aid of multivariable Cox regression models. The p-values were adjusted using the Bonferroni-Holm method.
resultsAfter adaptation to the patients' risk profiles, reverse shoulder replacement showed statistically significantly lower mortality (HR 0.92, 95% confidence interval [0.88; 0.95]; p <0.001) and fewer major adverse events (HR 0.92 [0.89; 0.95]; p<0.001). Eight years after surgery, the risk of surgical complications was twice as high for LPF (12.2% [11.9; 12.7]; HR for RTSA versus LPF 0.5 [0.46; 0.55]; p<0.001 for both), with 3.8% [3.6; 4.0] of the patients receiving a secondary RTSA. Surgical complications were more common (p<0.05) in patients with a diagnosis of osteo - porosis, obesity, alcohol abuse, chronic polyarthritis, or frozen shoulder.
conclusionThe long-term findings are in agreement with clinical short-term findings from other studies and support the current trend toward more liberal use of reverse shoulder replacements in elderly patients.
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