TY - JOUR ID - 8731 TI - Early Versus Late Reverse Shoulder Arthroplasty for Proximal Humerus Fractures: Does It Matter? JO - The Archives of Bone and Joint Surgery JA - ABJS LA - en SN - 2345-4644 AU - Seidl, Adam AU - Sholder, Daniel AU - Warrender, William AU - Livesey, Michael AU - Williams Jr., Gerald AU - Abboud, Joseph AU - Namdari, Surena AD - Department of Orthopedics, The University of Colorado, Aurora, USA The Rothman Institute, Thomas Jefferson University, Philadelphia, USA AD - The Rothman Institute, Thomas Jefferson University, Philadelphia, USA Y1 - 2017 PY - 2017 VL - 5 IS - 4 SP - 213 EP - 220 KW - Hemiarthroplasty KW - Non-operative treatment KW - Open reduction internal fixation KW - Proximal Humerus Fracture KW - Proximal Humerus Fracture Sequelae KW - Reverse shoulder arthroplasty KW - Tuberosity healing DO - 10.22038/abjs.2017.20040.1522 N2 - Background: This study compared the outcomes between patients with proximal humerus fractures (PHF) whounderwent acute reverse total shoulder arthroplasty (RSA) to those who underwent an alternative initial treatmentbefore requiring (secondary) RSA.Methods: Patients who underwent RSA after suffering a PHF were identified. Two year clinical follow-up was requiredfor inclusion. Patients were divided into an acute group (RSA secondary RSA group was subdivided by initial treatment (non-operative, hemiarthroplasty, open reduction internalfixation (ORIF)). Clinical and radiographic outcomes were compared.Results: Forty-seven patients met inclusion criteria with 15 in the acute RSA group and 32 in the secondary RSA group.The acute RSA group demonstrated better external rotation (28˚) than the secondary RSA group (18˚, P=0.0495). Theacute RSA group showed a trend towards better Single Assessment Numeric Evaluation (SANE) scores. Tuberosityhealing rate was higher in the acute RSA group.Conclusion: While acute and secondary RSA can yield successful outcomes, acute RSA results in a higher tuberosityhealing rate and improved external rotation. UR - https://abjs.mums.ac.ir/article_8731.html L1 - https://abjs.mums.ac.ir/article_8731_f89c3910ea5232e3be52ddbcd460e9e2.pdf ER -