Contralateral preoperative templating for fracture reverse total shoulder arthroplasty: technique article and case series
Abstract
https://doi.org/10.1016/j.xrrt.2023.05.004 2666-6391/© 2023 The Authors. Published (http://creativecommons.org/licenses/by-nc Proximal humerus fractures (PHFs) account for 5% of all fractures and have become the third most common fragility fracture.12 PHFs are challenging to manage as the treating surgeon must consider fracture pattern, age, overall health, function, and goals of the patient. Treatment options include nonoperative, open reduction internal fixation (ORIF), intramedullary nailing, hemiarthroplasty (HA), and reverse total shoulder arthroplasty (rTSA). The most common treatment varies based on geography which is likely attributable to differences in patient population and bone mineral density.4,20,38 The vast majority of PHFs in the geriatric population is low energy and minimally displaced which can be successfully treated nonoperatively.16,17 However, there are certain fractures that may benefit from surgical intervention, such as 3-4 part PHFs with significant displacement, head splitting fractures, and fracture dislocations.12 These injuries can be difficult to manage and controversy exists in the optimal treatment for the geriatric population (aged > 65 years).27 ORIF has been shown to have high reoperation and failure rates in the setting of osteopenia with similar outcome scores compared to nonoperative treatment.9,24,29 High complication rates have led to reconstructive options gaining popularity. HA can achieve excellent outcomes with successful…
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Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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