Surgical treatment of proximal fractures of the humerus in elderly patients

The aim of this study is to compare mortality, serious adverse events, and complication rates after surgical treatment of proximal humerus fractures with angular stable plate osteosynthesis (WPO) or inverse shoulder arthroplasty (ISE) in elderly patients.
Results:
After adjustment for patient risk profile, inverse shoulder arthroplasty demonstrated statistically significant lower all-cause mortality and fewer serious adverse events. After
eight years, stable-angle plate osteosynthesis had twice the risk of surgical complications, with 3.8% of patients receiving secondary inverse shoulder arthroplasty during follow-up.
Patients diagnosed with/m osteoporosis, obesity, alcohol abuse, chronic polyarthritis, and frozen shoulder were at increased risk for surgical complications .

Conclusion:
The long-term results are consistent with studies of short-term clinical outcomes and support the current trend toward more liberal use of inverse shoulder arthroplasty in older patients.

Author(s)Source
Stolberg-Stolberg J, Köppe J, Rischen R et al.Dtsch Arztebl Int 2021; 118: 817–23. DOI: 10.3238/arztebl.m2021.0326 (german original)
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