Long-term outcomes of hemiarthroplasty for complex proximal humerus fractures: a systematic review of clinical studies with minimum 10-year follow-up
HA for the treatment of complex proximal humerus fractures yields variable long-term clinical outcomes and high rates of failure, with the majority due to greater tuberosity malunion or nonunion. Anatomic greater tuberosity healing appears to result in improved function and lower failure risk. These findings suggest limited utility of HA in the long term, supporting the need for careful patient selection and consideration of alternative surgical options such as reverse shoulder arthroplasty for treatment of complex proximal humerus fractures.
Authors
- Andrew S. Bi (ORCID: https://orcid.org/0000-0002-1703-6232)
- Amelia Hummel (ORCID: https://orcid.org/0009-0002-5102-6094)
- Alexander L. Hornung (ORCID: https://orcid.org/0000-0001-7041-3319)
- Nikhil N. Verma (ORCID: https://orcid.org/0000-0001-9875-2769)
- Matthew E. Henriques (ORCID: https://orcid.org/0000-0002-8851-4449)
- Logan D. Moews (ORCID: https://orcid.org/0009-0006-8119-1399)
- J. Livingston R. Morgan (ORCID: https://orcid.org/0009-0006-3734-6584)
- Tomas F. Vega (ORCID: https://orcid.org/0009-0007-1083-6329)
- Lord L. Hyeamang
Institutions
- Rush University Medical Center (US)
- Rush University (US)
Publication Details
- Journal
- JSES Reviews Reports and Techniques
- Published
- 2025-11-20
- DOI
- https://doi.org/10.1016/j.xrrt.2025.100616
- Primary Topic
- Shoulder Injury and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00