Clin Orthop Relat Res 2021 04 29. Epub 2021 Apr 29.
J. Stolberg-Stolberg, M. J. Raschke, J. C. Katthagen, Department of Trauma, Hand, and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.
Background: Currently, there seems to be a paradigm change in the surgical treatment of proximal humeral fractures in patients aged 65 years and older, with a considerable increase in the use of reverse total shoulder arthroplasty (RTSA) compared with angular stable internal fixation (locking plate fixation). However, even among shoulder specialists there is controversy regarding the best treatment strategy.
Questions/purposes: To evaluate for (1) a greater risk of in-hospital major adverse events, (2) a greater risk for in-hospital surgical complications, and (3) a greater risk of 30-day mortality, locking plate fixation and RTSA were compared for the treatment of proximal humerus fractures of patients aged 65 years and older after controlling for potentially confounding variables in a large-database analysis. Read More