Research
Reverse Shoulder Arthroplasty for Complex Proximal Humerus Fractures
Function and tuberosity healing after reverse arthroplasty for four-part fractures in patients over seventy, with a standardised rehabilitation pathway.
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Specialty
Shoulder
Location
Hyderabad, Telangana
Published
9 May 2024
Research type
Prospective Study
Abstract
Demo abstract. Consecutive patients over seventy with four-part fractures underwent reverse arthroplasty with tuberosity repair and were followed for eighteen months.
Description
Tuberosity repair technique was standardised across the series to isolate its effect on rotation.
Rehabilitation used a single protocol with early passive motion.
Innovation / discovery
A cerclage-and-tension-band tuberosity construct was used uniformly, allowing healing rates to be attributed to the construct rather than surgeon variation.
Surgical / procedural method
Deltopectoral approach, fracture-specific stem, standardised tuberosity repair, radiographic assessment of healing at six months.
Research findings
- Forward elevation improved consistently across the demo cohort.
- External rotation correlated with tuberosity healing.
- Complication rates were in line with published expectations.
Attached documents
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Study protocol
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