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Turkish Journal of Medical Sciences

Author ORCID Identifier

İBRAHİM BOZKURT: 0000-0003-2232-3129

İBRAHİM KAYA: 0000-0001-8205-6515

UMUT ÖKTEM: 0000-0001-8436-8934

SİNAN YILMAZ: 0000-0002-6683-8178

NAİM', 'ŞUAYİP ATA', 'BİRİNCİ: 0000-0001-8104-6198

MUSTAFA', 'MUSTAFA MAHİR ÜLGÜ: 0000-0003-0825-1851

FATİH KARAASLAN: 0000-0002-8283-3051

İZZET BİNGÖL: 0000-0003-0097-3905

DURMUŞ ÖÇGÜDER: 0000-0003-3610-0938

DOI

10.55730/1300-0144.5884

Abstract

Background/aim: This study is aimed to scrutinize the nationwide utilization trends of shoulder arthroplasty for proximal humerus fractures (PHFs), using a comprehensive national surgical database.Materials and methods: A retrospective study was conducted with 4181 patients who underwent shoulder arthroplasty due to PHF between 2016 and 2022 using national health records. They are grouped as hemiarthroplasty (HA), anatomical total shoulder arthroplasty (TSA) and reverse shoulder arthroplasty (RSA). The patients’ demographic data, hospitalization period, revision history, transfusion rates, mortality data, distribution of trends in arthroplasty methods by years, distribution of cases according to hospital characteristics, and geographical regions , were analyzed.Results: 22.1% of patients were treated with HA, 30.2% with TSA, and 47.7% with RSA. Lowest revision rate was after HA (4.3%), while high rates were seen after TSA (7.9%) and RSA (7.4%) (p=0.019). It was observed that there was a significant increasing trend in RSA rates and a decrease in HA and TSA rates over time (p <0.001).Conclusion: From 2016 to 2022, there appears to have been a significant increase in the utilization of RSA for arthroplasty treatment of proximal humeral fractures in Turkey, and it is increasingly used more than HA. However, revision rates after RSA are still higher than those after HA.

Keywords

Proximal humerus fracture, hemiarthroplasty, reverse shoulder arthroplasty, total shoulder arthroplasty, national trends

First Page

1052

Last Page

1059

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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