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Vol:257 Issue:1 Number:7 ISSN#:2564-2537
ACE Report #14729
Ace Report Cover Shoulder & Elbow

COA 2022: Reverse Total Shoulder Arthroplasty vs. Plate Osteosynthesis for Acute Proximal Humerus Fx

How to Cite

OrthoEvidence. COA 2022: Reverse Total Shoulder Arthroplasty vs. Plate Osteosynthesis for Acute Proximal Humerus Fx. ACE Report. 2022;257(1):7. Available from:

Study Type:Meta-analysis/Systematic Review
OE Level Evidence:N/A
Journal Level of Evidence:N/A

Fix or replace? Acute reverse total shoulder arthroplasty versus plate osteosynthesis in the management of acute proximal humerus fractures in the elderly: a systematic review and meta-analysis

Contributing Authors:
K Walsh A Sepehri M McIntosh A Huang

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This ACE Report is a summary of a conference presentation or abstract. The information provided has limited the ability to provide an accurate assessment of the risk of bias or the overall quality. Please interpret the results with caution as trials may be in progress and select results may have been presented.


Four studies were included in this meta-analysis comparing reverse total shoulder arthroplasty and open reduction and internal fixation for the treatment of acute proximal humerus fractures. Pooled outcomes of interest included patient-reported outcomes, range of motion, and re-operation rates. Pooled results revealed significantly better Constant scores and a lower likelihood of re-operation in t...

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