Long-term outcomes of reverse shoulder arthroplasty versus nonoperative treatment for 3- or 4-part proximal humerus fractures in elderly patients: results from a prior randomized clinical trial.
J Shoulder Elbow SurgJun 17, 2026 (epub)
Clinical ResearchOrthopedic Surgery
Yaiza Lopiz, Borja Alcobía-Díaz, Jaime Coderch et al.
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In 30 seconds
This randomized controlled trial evaluated long-term outcomes of reverse shoulder arthroplasty (RSA) versus nonoperative treatment for 3- or 4-part proximal humerus fractures in patients aged 80 and older. The study found that RSA resulted in better functional outcomes compared to conservative treatment, with a Constant score of 62 for RSA versus 51 for nonoperative treatment (P = .039).
Key findings
- RSA patients had a Constant score of 62 compared to 51 for nonoperative treatment (P = .039).
- All nonoperatively treated fractures healed in malposition, but none required revision to RSA.
- One RSA patient required revision surgery due to prosthesis dislocation.
Why it matters
Understanding the long-term outcomes of different treatment options for proximal humerus fractures in elderly patients is crucial for optimizing patient care and improving functional recovery.