Purpose: Reverse shoulder arthroplasty (RSA) as an alternative to hemiarthroplasty (HA) as treatment for proximal humerus fractures has prompted a re-evaluation of utilization trends.
Methods: Operative treatment for proximal humeral fractures were analyzed using a New York State database.
Results: After introduction as an ICD-9 code, RSA increased to 39.3% (m = +5.2%/year, r = 0.984). When stratifying by age ≥65, HA decreased to 7.7% (m = -2.8%/year, r = 0.962) while RSA increased to 50.6% (m = +6.4%/year, r = 0.985).
Conclusion: RSA overtook HA as the arthroplasty procedure of choice for proximal humerus fractures. In patients ≥65, RSA passed ORIF as the most prevalent procedure in 2017.
Level Of Evidence: III, Descriptive Epidemiology Study, Large Database Analysis.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7114839 | PMC |
| http://dx.doi.org/10.1016/j.jor.2020.03.001 | DOI Listing |
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