"Changing trends in the management of proximal humerus fractures in New" by M. J. Sayegh, R. A. Nixon et al.
 

Changing trends in the management of proximal humerus fractures in New York State

Publication Date

2020

Journal Title

J Orthop

Abstract

© 2020 Professor P K Surendran Memorial Education Foundation 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.

Volume Number

21

Pages

127 - 130

Document Type

Article

Status

Faculty, Northwell Resident

Facility

School of Medicine; Northwell Health

Primary Department

Orthopedic Surgery

PMID

32255993

DOI

10.1016/j.jor.2020.03.001

For the public and Northwell Health campuses

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