Comparison Between Anterior Approach (Deltopectoral) and Lateral Approach (Deltoid Splitting) in Shoulder Reverse Arthroplasty for Proximal Humerus Fracture

University Hospital, Clermont-Ferrand90 enrolled

Overview

The aim of the study consists in comparing two surgical approaches (deltopectoral versus lateral deltoid splitting) in the treatment of proximal humerus fractures treated with a reversed total shoulder arthroplasty The assessment will focus on clinical (clinical scores, efficacy, safety…) and radiological results, between these two types of surgical approaches by using a prospective, randomized analysis.

The 2 main surgical approaches in total shoulder arthroplasty (TSA) are the anterior approach (deltopectoral) and the lateral one (deltoid splitting) (18). Their advantages and drawbacks have not been clearly evaluated in proximal humerus fracture treated with an arthroplasty. The goal of the study is to compare the results between patients (older than 65yo) presenting a proximal humerus fracture treated with a reversed shoulder arthroplasty performed through an anterior approach or a lateral one.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Humeral Fracture Aged Patient Reversed Total Shoulder Arthroplasty

Interventions

Reversed total shoulder arthroplastyPROCEDURE

Replacement of the proximal humeral head by a reversed prosthesis through an anterior approach

lateral approachPROCEDURE

Replacement of the proximal humeral head by a reversed prosthesis through a lateral approach

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient older than 65yo with a proximal humerus fracture (Neer 3-4 and 2 dislcated) * Patient registered to the national health system * Patient able to understand information about the protocol and answer to questionnaire Exclusion Criteria: * Non-displaced fracture or no need of surgical treatment. * Existing bone disease * Infection * Neurological deficit (axillary nerve) * Multi-injured patients * Patient no able to fulfill the questionnaire * Patient refuses the study

Locations (1)

Chu Clermont-Ferrand

Clermont-Ferrand, France

Outcomes

Primary Outcomes

Constant Murley Score

Constant Murley Score it a clinical method of functional assessment of the shoulder. The score varies between 0 and 100, more the value is better brought up is the score

Time frame: 12 months

Secondary Outcomes

Quick dash score

the Quick Dash score is a functional assessment of the shoulder. The score varies between 0 and 100, more the value is better brought up is the score