Please login to view this media
- Talk
- 21/09/2021
- UK
Arthroplasty in Shoulder Fractures - Is Reverse the Way Forward for Multi-fragmentary (Unfixable) Proximal Humerus Fractures?
Description
This presentation discusses the management of multi-fragmentary, unfixable proximal humeral fractures, focusing specifically on reverse arthroplasty and its implications compared to hemiarthroplasty. Dr. Rohit Gupta, the speaker, shares insights into the classification of fractures, the significance of vascularity to the humeral head, and the outcomes of different surgical interventions. A clinical case involving a 78-year-old woman is presented to illustrate the decision-making process regarding whether to utilize hemiarthroplasty or reverse arthroplasty.
Gupta emphasizes the importance of robust tuberosity attachment and highlights the advantages of using fracture-specific implant designs. The discussion covers various studies comparing the complications and functional outcomes of hemiarthroplasty against reverse arthroplasty, concluding that the latter generally yields better results for patients with complex fractures. Additionally, the presentation touches on ongoing research such as the PROFHER study, which aims to provide further clarity on the optimal surgical approaches for elderly patients with these types of fractures. Gupta advocates for the timely recommendation of reverse arthroplasty in older patients with poor bone quality, highlighting the need for careful patient selection and the use of appropriate implants.