The treatment of proximal humerus nonunions in older patients with the reverse shoulder arthroplasty (original) (raw)

Injury, 2012

Abstract

INTRODUCTION: The experience of the treatment of proximal humeral nonunions with the reverse total shoulder arthroplasty is limited. We report our results. PATIENTS: Eighteen patients with proximal humeral atrophic nonunion were treated with the reverse total shoulder prosthesis. There were 12 women and 6 men, with a mean age of 78.8 years (range, 75-84 years). The mean follow-up after the reverse arthorplasty was 28months (range, 24-32months). Extensive proximal humeral bone loss that was found in six cases was treated adding a proximal humeral allograft. A long humeral stem was always used. RESULTS: The mean constant score increased from 26% preoperatively to 55% postoperatively (p<0.0001). The average anterior elevation increased from 35° to 90° (p<0.0001), abduction from 35° to 85°…

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