Functional outcomes of reverse total shoulder arthroplasty in acute proximal humeral fractures versus post-traumatic sequelae
DOI:
https://doi.org/10.15674/0030-59872026133-42Keywords:
Proximal humeral fractures, post-traumatic, acute, reverse shoulder arthroplastyAbstract
Proximal humeral fractures account for 4–6 % of all fractures and are the third most prevalent fracture pattern in the elderly. Reverse total shoulder arthroplasty (RTSA) is a frequently utilized surgical procedure for treating this fracture. Aim. To improve the functional outcome and quality of life of patients with acute proximal humeral fractures and post-traumatic sequelae using reverse total shoulder arthroplasty. Subjects and Methods. This comparative study was conducted on a total of 20 patients with 3- or 4-part proximal humeral fractures aged more than 55 years, 10 patients were suffering from acute fractures (group I) and 10 patients with post-traumatic sequelae (group II). All patients were evaluated preoperatively and followed up postoperatively at 6 weeks, 3 months, 6 months and one year for functional outcomes. Radiological, clinical and functional outcomes were assessed by a goniometric range of motion (ROM), Constant-Murley score, and the Arabic version of the Quick DASH score. The rate of postoperative complications and the need for revision surgery were also reported. Results. In group I, the DASH and VAS score declined from 88.30 (± 8.23) and 5.90 (± 1.28) in the 6th weeks after surgery down to 34.30 (± 11.55) and 0.70 (± 0.48), respectively after 1 year. The Constant score increased from 14.70 (± 5.67) to 67.30 (± 14.98). All scores showed almost similar improvements in all three parameters in group II. Moreover, similar improvements in the deltoid muscle power, function and ranges of motion were reported in patients of both groups. Conclusion. Reverse shoulder arthroplasty provides favorable post-operative outcomes among elderly patients with 3-part and 4-part fractures of the proximal humerus. Indication for RTSA will not be affected by whether patients are presenting with acute or post-traumatic sequelae fractures. Level of evidence: Therapeutic study level III.
Downloads
How to Cite
Issue
Section
License
Copyright (c) 2026 Ahmed Adel Abdelaty Abdo, Tarek Abdelaziz, Mohamed Omar Soliman, Mohamed Ibrahim Rakha, Asser Abdelhay Sallam
This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain the right of authorship of their manuscript and pass the journal the right of the first publication of this article, which automatically become available from the date of publication under the terms of Creative Commons Attribution License, which allows others to freely distribute the published manuscript with mandatory linking to authors of the original research and the first publication of this one in this journal.
Authors have the right to enter into a separate supplemental agreement on the additional non-exclusive distribution of manuscript in the form in which it was published by the journal (i.e. to put work in electronic storage of an institution or publish as a part of the book) while maintaining the reference to the first publication of the manuscript in this journal.
The editorial policy of the journal allows authors and encourages manuscript accommodation online (i.e. in storage of an institution or on the personal websites) as before submission of the manuscript to the editorial office, and during its editorial processing because it contributes to productive scientific discussion and positively affects the efficiency and dynamics of the published manuscript citation (see The Effect of Open Access).
