title: Reverse shoulder prosthesis as revision surgery after fractures of the proximal humerus, treated initially by internal fixation or hemiarthroplasty.
abstract: Complex (3-4 fragments) fractures of the proximal humerus often have a bad outcome, whatever treatment is performed. When revision surgery is required, reverse shoulder prosthesis can improve function and reduce pain in these patients. We analysed whether the choice of the first treatment (hemiarthroplasty vs. reduction and fixation) can influence the outcome of revision surgery. Our data demonstrate that results are not significantly dependent on the choice of the first implant, even though there is a tendency for patients with previous hemiarthroplasty to have a worse outcome.
authors.affiliation: Orthopaedic and Traumatology Department, University of Turin, Mauriziano Hospital, Largo Turati 61, 10128 Turin, Italy. N.lollino@libero.it
authors.forename: Nicola
authors.initials: N
authors.lastname: Lollino
authors.forename: Paolo
authors.initials: P
authors.lastname: Paladini
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Campi
authors.forename: Giovanni
authors.initials: G
authors.lastname: Merolla
authors.forename: Paolo
authors.initials: P
authors.lastname: Rossi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Porcellini
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement / Q000379:methods* / Q000534:rehabilitation; D001860:Bone Plates; D001863:Bone Screws; D001864:Bone Wires; D020878:Device Removal; D005260:Female; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D010149:Postoperative Pain / Q000209:etiology; D011859:Radiography; D020127:Recovery of Function; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D017006:Rotator Cuff / Q000601:surgery; D012720:Severity of Illness Index; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery*; D020069:Shoulder Pain / Q000209:etiology; D016896:Treatment Outcome