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- W2991138863 abstract "To report cumulative survival rates and reasons for revision after arthroplasty for proximal humerus fracture sequelae (PHFS). Proximal humerus fractures (PHF) may result in sequelae indicating arthroplasty. Data was derived from the Nordic Arthroplasty Register Association. The Kaplan-Meier method was used to illustrate survival rates. Cox regression model was used to calculate hazard ratios. Type of arthroplasty, age, gender and period of surgery were included in the model. Revision was defined as removal or exchange of any component or the addition of a glenoid component. 30,190 primary arthroplasties were reported from 2004 to 2016, of which 3,245 were for PHFS. The 12-year cumulative survival rates were 0.85 for stemmed hemiarthroplasty (SHA) and 0.86 for reverse shoulder arthroplasty (RSA) (p=0.12) with a mean time to revision of 30 months (SD 29) and 13 months (SD21) (p<0.001). The most common reason for revision was luxation and instability for RSA and “other reasons” (including glenoid wear) for SHA. Men, compared to women (HR: 1.4, 95%CI: 1.1;1.8, p=0.003), and younger patients compared to older (HR:1.6,95% CI:1.3;2.0, p<0.001) had an increased risk of revision. Shoulder arthroplasty for PHFS was associated with lower survival rates, compared to previously published results of shoulder arthroplasty for acute PHF. The low arthroplasty survival rates for especially men and young patients are worrying." @default.
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- W2991138863 date "2019-12-01" @default.
- W2991138863 modified "2023-09-30" @default.
- W2991138863 title "Low Survival Rates of Stemmed Hemiarthroplasty and Reverse Arthroplasty After Treatment for Proximal Humerus Fracture Sequelae. A Register-Based Study from the Nordic Arthroplasty Register Association" @default.
- W2991138863 doi "https://doi.org/10.1016/j.jses.2019.10.035" @default.
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