ArticleBMC musculoskeletal disorders2022
Cemented vs. uncemented reverse total shoulder arthroplasty for the primary treatment of proximal humerus fractures in the elderly-a retrospective case-control study.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Lower revision rate of cemented humeral stem reverse total shoulder arthroplasty compared to cementless humeral stem in proximal humerus fractures: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Primary stability of an uncemented humeral stem in reverse shoulder arthroplasty for acute proximal humeral fractures: a prospective study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Meta-analysis of the efficacy of reverse total shoulder arthroplasty and open reduction and internal fixation in the treatment of proximal humerus fractures.Experimental and therapeutic medicine · 2026Article
- Tuberosity refixation in reverse proximal humerus fracture arthroplasty: a prospective cohort study with two-year follow-up.Archives of orthopaedic and trauma surgery · 2026Article
- Radiographic outcomes of the humeral stem after treating a proximal humerus fracture with an uncemented reverse total shoulder arthroplasty: a multicenter retrospective review.JSES international · 2026Article
- Clinical relevance, classification, and risk factors for stress shielding in total shoulder arthroplasty: a systematic review and meta-analysis of clinical outcomes.EFORT open reviews · 2026Review
- Uncemented versus cemented humeral fixation during reverse total shoulder arthroplasty for proximal humerus fracture.Journal of orthopaedics · 2025Article
- Complications following reverse total shoulder arthroplasty for proximal humeral fractures: a systematic review.JSES reviews, reports, and techniques · 2025Review
- Osteoporosis Management for Shoulder Surgeons.Current reviews in musculoskeletal medicine · 2024Review
- Greater Tuberosity Healing Rate and Clinical Results Following RSA Are Similar for Two Fracture-Specific Implant Systems.Journal of clinical medicine · 2024Article
- Reverse Shoulder Arthroplasty for Proximal Humerus Fractures: A Review of Current Evidence.Current reviews in musculoskeletal medicine · 2024Review
- Reverse shoulder arthroplasty for two-parts proximal humerus fractures with "shish-kebab" technique.JSES reviews, reports, and techniques · 2024Article
- Cemented Versus Uncemented Reverse Shoulder Arthroplasty Treatment of Proximal Humerus Fractures: National Shoulder Arthroplasty Data from Türkiye.Clinics in orthopedic surgery · 2024Article
- Stress shielding: short-term radiological results of the reverse shoulder arthroplasty with an anatomic proximal coated stem in proximal humeral fractures.Archives of orthopaedic and trauma surgery · 2024Article
- The effects of length and width of the stem on proximal humerus stress shielding in uncemented primary reverse total shoulder arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUncemented reverse total shoulder arthroplasty (RTSA) for the primary treatment of proximal humerus fractures (PHF) in elderly patients was introduced at our institution in 2017. Recent reports have raised concerns about increased rates of early bone resorption at the proximal humerus with uncemented fracture stems. The aim of this study was to find out whether there was any difference in functional or radiographic outcomes between cemented and uncemented RTSA for PHF.
methodsSeventeen consecutive patients who underwent uncemented RTSA (group nC) in 2017 and 2018 were age and sex matched (propensity score matching 1:2) to 34 patients with cemented RTSA implanted between 2011 and 2016 (group C) for the primary treatment of PHF. These two groups were compared in terms of clinical and radiographic outcomes at 2 years after the index surgery.
resultsThe mean bone quality was low in both groups: in group nC the deltoid tuberosity index (DTI) was 1.43 (1.22-1.72) and in group C 1.42 (1.22-1.67). At the final 2 year follow-up, the relative CS was 98.3% (71-118) in group nC and 97.9% (36-125) in group C (p = 0.927); the absolute CS was 70.2 (49-89) in group nC and 68.0 (30-94) in group C (p = 0.509). Lucent lines at the humeral site were seen in 8 cases (47%) in group nC and in 13 cases (38%) in group C (p = 0.056). Compared to 3% in group C, all patients in group nC showed at least grade 1 and 65% showed grade 3 bone resorption at the proximal humerus (p < 0.001).
conclusionCompared to cemented RTSA bone resorption at the proximal humerus was significantly more frequent in patients with uncemented RTSA for PHF. So far, this is rather a radiographic than a clinical finding, because both groups showed very satisfying functional outcomes and low revision rates at the 2 year follow-up. LEVEL OF EVIDENCE III: A retrospective case-control study.
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