Panel discusses use of reverse total shoulder arthroplasty for proximal humeral fractures
Management of displaced three- and four-part proximal humeral fractures continues to challenge surgeons. Advocates of nonoperative management, percutaneous pinning, open reduction and internal fixation and hemiarthroplasty all support their technique in certain clinical scenarios. Historically, hemiarthroplasty was considered the “gold standard” for displaced four-part proximal humeral fractures in the elderly patient. While pain relief was reliable, active motion was less predictable and sometimes catastrophic if the tuberosities failed to heal. Reverse total shoulder replacement has emerged as a viable option in the elderly patient with complex displaced four-part proximal humeral fractures.
I would like to thank our esteemed panel, which includes international and national leaders in the field of shoulder arthroplasty, all of whom have extensive experience with reverse total shoulder replacement.
William N. Levine, MDModerator