Journal of shoulder and elbow surgery
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J Shoulder Elbow Surg · Oct 2014
Randomized Controlled Trial Comparative StudyReverse shoulder arthroplasty versus hemiarthroplasty for acute proximal humeral fractures. A blinded, randomized, controlled, prospective study.
There is no consensus on what type of arthroplasty is best for the treatment of complex proximal humeral fractures in elderly patients. The purpose of this prospective study was to compare the outcomes of reverse shoulder arthroplasty (RSA) and hemiarthroplasty (HA). ⋯ RSA resulted in better pain and function and lower revision rate. Revision from HA to RSA does not appear to improve outcomes.