External fixation versus reverse shoulder arthroplasty for proximal humerus fractures in the elderly: a retrospective comparative study - Takeaways - MDSpire

External fixation versus reverse shoulder arthroplasty for proximal humerus fractures in the elderly: a retrospective comparative study

  • By

  • Antonio Vadalà

  • Cristiano Benelli

  • Francesco Suraci

  • Benedetto Carta

  • Giorgio Baldassari

  • Nicola Maffulli

  • April 6, 2026

  • 0 min

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  • 1

    Proximal humerus fractures are common in older adults, particularly osteoporotic women over 60, presenting significant management challenges.

  • 2

    External fixation offers a minimally invasive option with benefits like reduced operative time and lower infection rates compared to traditional methods.

  • 3

    Reverse shoulder arthroplasty has gained popularity due to modern implant designs and favorable long-term outcomes, shifting away from open reduction techniques.

  • 4

    This study compares clinical and functional outcomes of external fixation and reverse shoulder arthroplasty in patients aged 65-80 with displaced proximal humerus fractures.

  • 5

    Patient selection for surgical intervention was based on surgeon preference, emphasizing the need for individualized treatment approaches in older adults.

Original Source(s)

External fixation versus reverse shoulder arthroplasty for proximal humerus fractures in the elderly: a retrospective comparative study

  • by Antonio Vadalà, Cristiano Benelli, Francesco Suraci, Benedetto Carta, Giorgio Baldassari, Nicola Maffulli

  • April 6, 2026

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