Proximal humerus fractures in elderly patients: fixation, hemiarthroplasty or reverse TSA?
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OrthoVellum Editorial · 7d ago
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X-rays after hemiarthroplasty for three or four part proximal humerus fracture — Credit: Open-i / NIH (Open-i (NIH)), CC BY
Recent registry data and RCTs show comparable functional scores between reverse TSA and fixation in selected patients over 70, but with different complication profiles including infection and tuberosity healing. Non-operative management remains viable for low-demand individuals. What factors currently guide your choice between these three options in displaced three- and four-part fractures?
