RSA Tops Hemiarthroplasty for Humeral Fractures in Elderly

Terry Stanton

Reverse shoulder arthroplasty (RSA) may be a better choice than hemiarthroplasty (HA) in treating humeral fractures in the elderly, according to a study presented during the American Shoulder and Elbow Surgeons (ASES) 2013 Specialty Day session on shoulder trauma and arthroplasty. The study, which the researchers note is the largest prospective study to date that includes complete radiographic follow-up in comparing the two procedures, was presented by Derek Cuff, MD, of the Foundation for Orthopaedic Research and Education in Tampa, Fla.

Dr. Cuff noted that HA has historically been the standard of care for comminuted proximal humeral fractures in the elderly. However, many clinical series have reported mixed results, which has led to increased consideration of RSA (Fig. 1) as an alternative treatment.

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