Reverse Shoulder Arthroplasty For The Treatment of Three and Four-Part Fractures of the Proximal Humerus in the Elderly: A Prospective Review of 70 Cases with a Medium-Term Follow Up

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This transcript outlines a medical study presented by Ali Abdelwahab regarding trauma reverse shoulder arthroplasty in cases of proximal humerus fractures. The study investigates a cohort of 70 patients with an emphasis on the outcomes of reattaching the tuberosity during the surgical procedure. Abdelwahab notes that traditional hemiarthroplasty often results in poor functional outcomes, leading to a preference for reverse shoulder arthroplasty despite similar initial complications due to inadequate tuberosity fixation. The mean follow-up showed improvements in forward flexion and external rotation, although complications like nonunion and malunion of the greater tuberosity were prevalent. The findings suggest while tuberosity healing enhances range of motion, it does not significantly affect functional outcomes or reduce complications, particularly highlighting the influence of heterotopic ossification on patient recovery.

DOI: 10.1302/3114-230311

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