NCT03694457

Comparison Between Anterior Approach (Deltopectoral) and Lateral Approach (Deltoid Splitting) in Shoulder Reverse Arthroplasty for Proximal Humerus Fracture

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 90 (actual)
• Sponsor: University Hospital, Clermont-Ferrand · Academic / Other
• Sex: All
• Age: 65 Years
• Healthy volunteers: Not accepted

Summary

The aim of the study consists in comparing two surgical approaches (deltopectoral versus lateral deltoid splitting) in the treatment of proximal humerus fractures treated with a reversed total shoulder arthroplasty The assessment will focus on clinical (clinical scores, efficacy, safety…) and radiological results, between these two types of surgical approaches by using a prospective, randomized analysis.

Detailed description

The 2 main surgical approaches in total shoulder arthroplasty (TSA) are the anterior approach (deltopectoral) and the lateral one (deltoid splitting) (18). Their advantages and drawbacks have not been clearly evaluated in proximal humerus fracture treated with an arthroplasty. The goal of the study is to compare the results between patients (older than 65yo) presenting a proximal humerus fracture treated with a reversed shoulder arthroplasty performed through an anterior approach or a lateral one.

Conditions

• Humeral Fracture
• Aged Patient
• Reversed Total Shoulder Arthroplasty
• Surgical Approach

Interventions

Type	Name	Description
PROCEDURE	Reversed total shoulder arthroplasty	Replacement of the proximal humeral head by a reversed prosthesis through an anterior approach
PROCEDURE	lateral approach	Replacement of the proximal humeral head by a reversed prosthesis through a lateral approach

Timeline

• Start date: 2018-11-26
• Primary completion: 2023-12-31
• Completion: 2024-06-30
• First posted: 2018-10-03
• Last updated: 2025-12-30

Locations

1 site across 1 country: France