Clinical results of reverse shoulder arthroplasty for comminuted proximal humerus fractures in elderly patients : a comparison between nonporous stems versus trabecular metal stems

© 2020 The Author(s).

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 4(2020), 4 vom: 11. Dez., Seite 952-958
1. Verfasser: Sasanuma, Hideyuki (VerfasserIn)
Weitere Verfasser: Iijima, Yuji, Saito, Tomohiro, Kanaya, Yuji, Yano, Yuichiro, Fukushima, Takashi, Nakama, Sueo, Takeshita, Katsushi
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2020
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Comminuted proximal humerus fracture elderly external rotation greater tuberosity union reverse shoulder arthroplasty trabecular metal stem
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100 1 |a Sasanuma, Hideyuki  |e verfasserin  |4 aut 
245 1 0 |a Clinical results of reverse shoulder arthroplasty for comminuted proximal humerus fractures in elderly patients  |b a comparison between nonporous stems versus trabecular metal stems 
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520 |a BACKGROUND: This study compared the clinical results for nonporous stems vs. trabecular metal (TM) stems used in reverse shoulder arthroplasty (RSA) for comminuted proximal humeral fractures (CPHFs) in elderly patients 
520 |a METHODS: In this retrospective study, a total of 41 shoulders (39 women) of patients with CPHF aged >70 years who underwent RSA were investigated. The minimum follow-up period was 2 years. A total of 15 shoulders were treated with Grammont-style RSA using nonporous stems (the G-RSA group), and 26 shoulders were treated with RSA combining TM stems (the FR-RSA group). The American Shoulder and Elbow Surgeons (ASES) shoulder score, Constant score, shoulder joint range of motion (ROM), and radiographic findings were compared between the 2 groups 
520 |a RESULTS: ASES scores and Constant scores were significantly higher in the FR-RSA group than in the G-RSA group. External rotation at the side in the FR-RSA group was significantly higher than that in the G-RSA group. In the FR-RSA and G-RSA groups, the union rates at the greater tuberosity (GT) were 88.5% and 46.7%, respectively, and scapular notching rates were 20% and 7.7%, respectively. Based on a subanalysis, the age was lower, body mass index was higher, and ASES scores, Constant scores, and external rotation ROM were higher in the GT union group than in the GT nonunion group 
520 |a CONCLUSION: GT bone union rates were high, and external rotation ROM of the shoulder joint were more improved for RSA using TM stems than those for RSA using nonporous stems in elderly patients with CPHF 
650 4 |a Journal Article 
650 4 |a Comminuted proximal humerus fracture 
650 4 |a elderly 
650 4 |a external rotation 
650 4 |a greater tuberosity union 
650 4 |a reverse shoulder arthroplasty 
650 4 |a trabecular metal stem 
700 1 |a Iijima, Yuji  |e verfasserin  |4 aut 
700 1 |a Saito, Tomohiro  |e verfasserin  |4 aut 
700 1 |a Kanaya, Yuji  |e verfasserin  |4 aut 
700 1 |a Yano, Yuichiro  |e verfasserin  |4 aut 
700 1 |a Fukushima, Takashi  |e verfasserin  |4 aut 
700 1 |a Nakama, Sueo  |e verfasserin  |4 aut 
700 1 |a Takeshita, Katsushi  |e verfasserin  |4 aut 
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