ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
Early rehabilitation after reverse total shoulder prosthesis on fracture of proximal humerus in elderly patients provides better functional outcome.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 15 citations in OpenAlex.
- Comparison of functional outcomes between medialized and lateralized reverse shoulder prostheses in acute proximal humerus fractures.Journal of orthopaedic surgery and research · 2026Article
- Improved Outcomes with Early Functional Rehabilitation After Reverse Shoulder Arthroplasty for Proximal Humerus Fractures in Older Patients.Journal of clinical medicine · 2026Article
- The Value of Early Active Rehabilitation on Long-Term Functional Outcomes in Neer Type-4 Valgus Impacted Proximal Humeral Fractures Treated with Open Reduction and Internal Fixation: A Retrospective Cohort Study.Journal of clinical medicine · 2025Article
- Reverse shoulder replacement for the treatment of proximal humerus fractures: a current literature review.JSES international · 2025Review
- [Endoprosthesis in proximal humerus fractures -What is important?]Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Complications following reverse total shoulder arthroplasty for proximal humeral fractures: a systematic review.JSES reviews, reports, and techniques · 2025Review
- From the last 100 to the first 100-outcome after a manufacturer change in reverse fracture arthroplasty.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Shoulder Arthroplasty in Hemophilia.The archives of bone and joint surgery · 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
- Reverse Shoulder Arthroplasty for Proximal Humerus Fractures: A Review of Current Evidence.Current reviews in musculoskeletal medicine · 2024Review
- Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeReverse total shoulder arthroplasty (RSA) has revolutionized the management of proximal humerus fractures (PHF) in the elderly patients. There is few or no consensus regarding to management of postoperative rehabilitation in elderly patients. An early rehabilitation from D1 allowed better functional results compared to rehabilitation started to D30 independently from tuberosities consolidation.
methods94 patients operated on for PHF were evaluated retrospectively, with a minimum radio-clinical follow-up of 2 years. Clinical evaluation included mobilities and four functional scores: ASES, quick DASH, gross constant, weighted constant. Radiological evaluation was performed on a frontal shoulder X-ray with evaluation of tuberosities' consolidation.
resultsThe mean follow-up was 45 ± 19 months (24-88 months). Early rehabilitation was significantly associated with a better Constant Score (71.1 ± 17.2 vs. 56.4 ± 15.8; p < 0.001), better adjusted Constant score (92.4 ± 14.2 vs. 80.3 ± 19.5; p < 0.001), better quick DASH (22.8 ± 19.8 vs. 36.7 ± 21.3; p < 0.01), better ASES (78.6 ± 20.2 vs. 63 ± 22; p < 0.001).
conclusionIn traumatology, functional result of RSA seems not related in tuberosities' union but in rehabilitation in order to limit postoperative stiffness of operated shoulder. An early rehabilitation is related with better clinical and functional results, independently of tuberosities' union. LEVEL OF EVIDENCE: 3, control-case study.
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