Open AccessReverse Total Shoulder Arthroplasty Is the Most Cost-effective Treatment Strategy for Proximal Humerus Fractures in Older Adults: A Cost-utility Analysis
Author(s) -
Hassaan Abdel Khalik,
Brittany Humphries,
Michael J. Zoratti,
Daniel Axelrod,
Colin Kruse,
Bill Ristevski,
Krishan Rajaratnam,
Michael J. Gardner,
JeanÉric Tarride,
Herman Johal
Publication year - 2022
Publication title -
clinical orthopaedics and related research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.178
H-Index - 204
eISSN - 1528-1132
pISSN - 0009-921X
DOI - 10.1097/corr.0000000000002219
Subject(s) - medicine , internal fixation , arthroplasty , quality of life (healthcare) , proximal humerus , surgery , cohort , humerus , humerus fracture , shoulder fracture , physical therapy , nursing
Proximal humerus fractures are the second-most common fragility fracture in older adults. Although reverse total shoulder arthroplasty (RTSA) is a promising treatment strategy for proximal humerus fractures with favorable clinical and quality of life outcomes, it is associated with much higher, and possibly prohibitive, upfront costs relative to nonoperative treatment and other surgical alternatives.