SynthesisArchives of orthopaedic and trauma surgery2025
Reverse arthroplasty compared to hemiarthroplasty and open reduction and internal fixation for displaced proximal humerus fracture in patients above 60: a Bayesian network meta-analysis.
Synthesis in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Fewer major complications but more pain in reverse shoulder arthroplasty compare with open reduction internal fixation in closed proximal humerus fracture: a National database study.Journal of orthopaedic surgery and research · 2026Article
- Salvage Reverse Shoulder Arthroplasty for Failed Proximal Humeral Fracture Fixation with Broken Implant.Orthopedic reviews · 2026Article
- The effect of adjusting the baseplate size to the glenoid on primary fixation stability in reverse total shoulder arthroplasty: a finite element analysis.Journal of orthopaedic surgery and research · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe present Bayesian network meta-analysis compared reverse total shoulder arthroplasty (rTSA) to hemiarthroplasty (HA) and open reduction and internal fixation (ORIF) for displaced proximal humeral fractures (PHF) in patients above 60.
methodsThis study was conducted according to the PRISMA extension statement for reporting systematic reviews incorporating network meta-analyses of healthcare interventions. In December 2024, PubMed, Web of Science, and Embase databases were accessed. No time constraint was set for the search. All clinical studies were accessed comparing rTSA, ORIF and HA for displaced PHF in patients older than 60. Only studies which compared at least two of the interventions of interest were eligible when they reported a minimum of 12 months of follow-up. Two-, three-, and four-part displaced fractures and fractures with a head-splitting component were considered.
resultsData from 878 procedures were collected. 72% (631 of 878 patients) were women. The mean length of the follow-up was 33.8 ± 14.8 months. The mean age of the patients was 73.4 ± 4.6 years. Between groups, comparability was found in the mean age, the ratio of men to women, the length of the follow-up, and the time elapsed from injury to the procedure. The rTSA demonstrated the lowest rate of complications, followed by HA and ORIF. The rTSA demonstrated the lowest rate of revision, followed by HA and ORIF. Given the limited and heterogeneous data, only complications and revision rates were analysed in the network meta-analysis; functional outcomes were discussed narratively.
conclusionIn patients above 60 with displaced PHF, rTSA was associated with a lower complication and revision rate than ORIF and HA. LEVEL OF EVIDENCE: Level IV, systematic review and meta-analysis.
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