RCT - Hemi vs Reverse shoulder arthroplasty for fracture
Research type
Research Study
Full title
Randomised Controlled Trial comparing Hemi Arthroplasty and Reverse Polarity Shoulder Replacment for the treatment of proximal humerus fractures in the elderly.
IRAS ID
122700
Contact name
Matthew Smith
Contact email
Sponsor organisation
Royal Liverpool and Broadgreen Hospitals NHS Trust
Research summary
Fractures of the proximal aspect of the humerus bone are common especially in the people with poor bone strength. The ideal treatment for these fractures when they are too displaced to allow normal healing would be to surgically put the pieces back in place and hold it with metal devices. However when this is not suitable for a variety of factors including fracture pattern or patient charecteristcs, the broken part would have to be replaced with a prosthetic joint. This situation is encountered commonly in the older age group due to their weaker bone and comparatively poor bone helaing potential. The prosthetic replacement surgery is performed using either a shoulder hemi arthroplasty device or a reverse polarity shoulder arthroplasty device. Though both these devices are commonly used, we know very little as to which of these two devices produce better patient satisfaction and outcomes. This can only be elucidated through a direct head to head comparative study using a randomised controlled study method. Various cohort studies looking at the two devices have so far failed to produce a convincing answer.
REC name
North West - Greater Manchester East Research Ethics Committee
REC reference
13/NW/0173
Date of REC Opinion
1 Jul 2013
REC opinion
Further Information Favourable Opinion