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The effect of tuberosity healing on functional outcomes after reverse shoulder arthroplasty for proximal humerus fractures: a systematic review and meta-analysis.
Buchanan, Timothy R; Reddy, Akshay R; Bindi, Victoria E; Hones, Keegan M; Holt, Kara E; Wright, Thomas W; Schoch, Bradley S; Wright, Jonathan O; Kaar, Scott G; King, Joseph J; Hao, Kevin A.
Afiliación
  • Buchanan TR; College of Medicine, University of Florida, Gainesville, FL, USA.
  • Reddy AR; College of Medicine, University of Florida, Gainesville, FL, USA.
  • Bindi VE; College of Medicine, University of Florida, Gainesville, FL, USA.
  • Hones KM; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA.
  • Holt KE; College of Medicine, University of Florida, Gainesville, FL, USA.
  • Wright TW; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA.
  • Schoch BS; Department of Orthopaedic Surgery, Mayo Clinic, Jacksonville, FL, USA.
  • Wright JO; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA.
  • Kaar SG; Department of Orthopaedic Surgery, Saint Louis University, Saint Louis, MO, USA.
  • King JJ; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA. kingjj@ortho.ufl.edu.
  • Hao KA; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA.
Int Orthop ; 2024 Sep 09.
Article en En | MEDLINE | ID: mdl-39249532
ABSTRACT

PURPOSE:

This systematic review and meta-analysis compared clinical outcome measures in patients undergoing reverse shoulder arthroplasty (RSA) for proximal humerus fracture (PHF) with healed versus non-healed greater tuberosity (GT).

METHODS:

We performed a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines querying PubMed/MEDLINE, EMBASE, Web of Science, and Cochrane for studies that stratified results by the GT healing status. Studies that did not attempt to repair the GT were excluded. We extracted and compared clinical outcomes including postoperative forward flexion (FF), external rotation (ER), internal rotation (IR), Constant score, and complications and revision rates.

RESULTS:

Of the included patients, 295 (78.5%) demonstrated GT healing while 81 did not (21.5%). The healed GT cohort exhibited increased postoperative FF (P < .001), ER (P < .001), IR (P = .006), and Constant score (P = .006) compared to the non-healed GT cohort. The overall dislocation rate was 0.8% with no study differentiating GT status of dislocation cases.

CONCLUSION:

Healing of the GT after RSA for PHF yields improved postoperative range of motion and strength, whereas patient-reported pain and function were largely not affected by GT healing indicating merit to RSA for PHF regardless of the likelihood of the GT healing.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int Orthop Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int Orthop Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Alemania