ArticleJournal of orthopaedics2025
Clinical and functional outcomes of reverse total shoulder arthroplasty for proximal humerus fracture versus rotator cuff arthropathy: A retrospective analysis.
Article in Journal of orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Modular versus non-modular humeral stems in shoulder arthroplasty for proximal humerus fracture: a multicenter retrospective cohort study.Journal of orthopaedics · 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
- Complication rates following total shoulder arthroplasty for osteoarthritis versus proximal humerus fracture: a propensity-matched cohort comparison of 9,190 patients.Journal of shoulder and elbow arthroplasty · 2026Article
- Improving Accuracy in Reverse Total Shoulder Arthroplasty for Acute Proximal Humerus Fractures Using Virtual Surgical Planning: A Comparative Cohort Study.Journal of clinical medicine · 2026Article
- Decreased clinical and functional outcomes following reverse total shoulder arthroplasty for proximal humerus fractures compared to rotator cuff arthropathy: a systematic review and meta-analysis.JSES reviews, reports, and techniques · 2026Review
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Authors and funding
8 authors.
Funding
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Abstract
Introduction: The utility of reverse total shoulder arthroplasty (RTSA) has evolved to accommodate many complex shoulder pathologies including proximal humerus fractures (PHFs) and fracture sequelae. Within our aging population, PHFs are occurring at higher rates than ever before. Literature assessing differences in clinical and functional following RTSA for PHF and rotator cuff arthropathy (RCA) is limited. This study aims examine outcomes after RTSA for PHF and RCA at 2-years follow-up. Methods: Records of who underwent RTSA for PHF and RCA at our institution between July 1, 2009 to October 1, 2019 with a 2-year minimum follow-up were retrospectively analyzed. Patient demographic information, postoperative functional measurements, and complications were collected. A 5-year Kaplan-Meier survival analysis was performed. Results: Overall, 23 patients underwent RTSA for fracture and 123 for RCA. Fracture patients showed significantly worse forward elevation (128.9° ± 38.8° vs 141.9° ± 21.1°; p-value = 0.0242). No differences were observed in range of motion or strength for external rotation and internal rotation, as well as patient-reported outcome measures. Fracture patients showed a complication rate of 9.1 % and an implant survival rate of 78.0 % after 5 years. RCA patients experienced a 7.4 % complication rate and a 91.5 % survival rate after 5 years. Discussion: RTSA has been shown to restore shoulder functionality in patients with complex PHFs. In this study, RTSA for fracture resulted in similar functionality, complication rates, and implant longevity when compared to elective indications.
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