Reverse Total Shoulder Arthroplasty in Proximal Humeral Fractures

Abstract

Primary reverse total shoulder arthroplasty was performed in 13 patients, aged 65 – 83 years, with three- and four-part (by Neer classification) proximal humeral fractures. Rotator cuff injuries and shoulder contractures of various degrees were present in all patients. Surgical technique and postoperative rehabilitation program were described in details. Treatment results were assessed roentgenologically by Constant-Murley score in 6 months, 1, 2 and 3 years after intervention. Reverse total shoulder arthroplasty enabled to achieve good functional outcomes and considerable pain relief even in elderly patients with compound fractures and rotator cuff injuries.