RT Journal Article T1 Reverse shoulder arthroplasty in complex fractures of the proximal humerus: results after 7 years of follow-up. A1 Izquierdo-Fernández, Alberto A1 Gómez-Rodríguez, Marta A1 Urbano-Luque, Maite A1 García-Carmona, Manuel A1 Quevedo-Reinoso, Rafael A1 Minarro, José Carlos K1 Elderly patient K1 Outcomes K1 Proximal humerus fracture K1 Reverse shoulder arthroplasty K1 Scapular notching AB There is still little information about the long-term results of clinical and radiological evolution in patients older than 65 years with complex proximal humerus fractures (CPHF) treated acutely with reverse shoulder arthroplasty (RSA). The aim of this paper was to evaluate function and results 7 years after surgery. A prospective cross-sectional cohort study was designed for this purpose. Patients who underwent RSA surgery during 2012 because of a CPHF were included. The surgical approach was randomized (deltopectoral vs anterosuperior). Functional activity, evolution of tuberosities and evidence of scapular notching 7 years after surgery were analyzed. After evaluating 32 patients, the Constant score improved from 64.83 in the first year to 69.54 at 7 years postoperative. Results were independent of the approach used. Functional outcomes were poorer in patients with scapular notching and when tuberosities were resorbed or displaced. At 7 years, function in patients undergoing RSA after CPHF demonstrated improvement in all patients except those who developed scapular notching or when tuberosities did not consolidate in an anatomical position. These results are completely independent of the approach used. III Controlled cohort study. YR 2021 FD 2021-09-24 LK https://hdl.handle.net/10668/25451 UL https://hdl.handle.net/10668/25451 LA en DS RISalud RD Apr 12, 2025